Case Study Patient Centered Care

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

In the beginning of this activity, I did not know much about collaboration between different healthcare professionals. It helped me to clarify the meaning of a healthcare team and also to understand the role of different professionals in the team. Different team members have their specific roles and all of them work together to achieve a common goal –healthier patient. They work independently, but when it comes to decision making they seek advice from other healthcare provider in order to do the best for the patient. Not only doctor, physiotherapists, pharmacists and etc. are considered being part of the team. Patients must also be considered part of the decision making process,

Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.

Patient-centered care recognizes that the care that you provide as a nurse should be centered on the patient, respecting the patient’s needs, values and preferences. By using this competency, I was able to create a mutual respect relationship between me and my patients. I believe that when they feel respected, and that you are there for them, to care for their needs, the whole process of providing care for your patient becomes easier and a better experience for the patient, independently of what the reason is for what they are being cared

As we talked, we discussed the questions as outlined in the assignment starting with patient-centered care, barriers that may hinder it, and how it can be improved. She defined patient-centered care as “The patient being involved in their care. The patient needs to feel they are empowered to ask questions regarding their care, tests, medications, and any consultation that may be scheduled.” She stated that while at our facility our staff did a “great job” accommodating patient and family cares, comforts, and concerns. We agreed, there are times that barriers prevent fully supportive patient-centered care such as, doctors who refuse discuss patient care or concerns, short staffing, and when care management is disorganized. This can be improved by encouraging

This is the way nurses come together with healthcare consumer, family, and others in the conduct of nursing practices. Collaboration is professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; the commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship. (Spring, 2010). Nursing students should be ready to collaborate with their patients and their families at times in every situation in order to come out with a positive outcome while helping the patients. This is attained by sharing the knowledge we have learned in class combined with what the patient says (subjectives) orthe situation you are. When nurses collaborate together and understand one another it will be easier for them to take care of the patients and they will manage to offer a high quality care possible.

acutely ill patients. The nurse should allow the family to observe care and explain the

This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12).

In the formative peer view assignment, you were asked to review an article on promoting dignity in healthcare setting and how this forms the basis of patient centred care. Following on from this you are now asked to:-

Collaboration is a functional concept repetitively discussed in health care atmosphere. The benefits are well corroborated. Until now, collaboration is not often practiced between the professional healthcare system. Much of the research literature on collaboration describes what should occur to obtain a positive outcome, but not much is documented describing how to approach the developmental process of collaboration.

Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

In order to collaborate successfully with the other members of the team, they have to ‘work together’. Collaboration implies “working together to achieve something that neither agency could achieve alone” (cited by Biggs in Day, 2006, p9). It involves effective communication and contribution to a common goal – and the health and wellbeing of the patient and shared responsibility of the outcome. Each team requires a quality leader, regular meetings attended by all members, joint assessment, regular reviews of patient records which should include ‘shared care plans’; joint decisions following consultation and task delegation to individual team members with the outcome being that “care must be structured, organised and systematically provided to each person in a variety of ways” (Creating an Interprofessional Workforce, 2007, p10).

According to American Nurses Association (2010) Scope and Standards of Nursing Practice, collaboration is defined as, “a professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship”.(p. 64). Collaboration amongst health care providers is very crucial in providing quality care to patients. Integration of disciplinary teams, improves communication, coordination, and most importantly, the safety and quality of patient care. It provides interaction between team members allowing

Teamwork is vital in healthcare.  When all participants are engaged in a program, goals are successfully achieved. Being able to communicate and work collectively as a team requires an appreciation for each other’s area of practice.  Every team member has an important role and being acknowledged provides a sense of responsibility and accountability. Essentially, inter-professional collaboration helps ensure that the patient is getting care that is not only accessible but also comprehensive.  The plan of a patients’ care includes active participation by all health care professionals working interdependently in accordance to the patient’s preferences, values and beliefs. The health care team accomplishes the goal of meeting the patient’s medical needs by delivering evidence-based practice.   To deliver quality care, the patient should always be involved.