Effective Communication Strategies For Patients With Chronic Conditions

Many healthcare leaders are advocates for, and believe that patient engagement and experience has gained true importance and value in improving healthcare quality, it has easily become the ‘heart’ of the core definition of ‘quality care’. It is clear that patients are able to provide expertise beyond generic feedback on ways of improving the patient experience.

Helman, C. G. (1981). Disease versus illness in general practice. The Journal of the Royal College of General Practitioners, 31(230), 548-552.

Cultivate effective communication for use with patients, providers, family members, and other referral and support systems.

A wide range of studies have demonstrated that one of the benefits of patient engagement is better health outcomes (Weingarten, 2002; Deakin, 2005; Epstein & Street, 2008; Ng et al, 2012; Hibbard and Green, 2013). There is also evidence that patient engagement can lead to improvements in quality and patient safety but on the whole this is more limited (Coulter and Ellins,

-motivational interviewing(MI) is patient centered counseling style for addressing the common problem of ambivalence about change.

My intervention is to develop a health coaching model with an assessment tool that evaluates the client risk for admission and also identifies active issues that need to be addressed. In addition, I plan to assess how engaged the clients are in their care by implementing the patient activation measure. Lastly, implementing care coordination to

When addressing patient obstacles usually, problems arise when the patient “demonstrates noncompliant behaviors, such as missing appointments or failing to make healthy lifestyle changes such as quitting smoking or losing weight” (Hyden, 2011). This is difficult because if people do not want to take an active role in their care, then patient centered care will be compromised. “Evidence demonstrates that patients who are involved in their care decisions and management have better outcomes, lower costs, and higher functional status than those who are not so involved” (Grenier and Knebel,

Patient engagement is important in that the triple aim for healthcare calls for improved quality, improved outcomes and decreased costs. Patient engagement is seen as critical to achieving these simultaneously (Berwick, Nolan, & Whittington, 2008) (Porter & Kaplan, 2011). As patients take an active role in their medical care, indeed, when they view themselves as part of the overall “care team,” it leads to establishing a more accurate diagnosis, effectively controlling chronic diseases and overall reducing unnecessary expenses. All of these activities move us closer to meeting the triple aim, and in so doing improve the care to the

Motivational interviewing (MI) refers to a counseling approach in part developed by clinical psychologists Professor William R Miller, Ph.D. and Professor Stephen Rollnick, Ph.D. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. It is a goal-oriented, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. It is focused and goal-directed (Miller & Rollnick, 2012).

Patient education and patient engagement in many forms support improved care and reduced cost of care as patients who are engaged with their health care have better outcomes and cost savings for their care. (Centers for Medicare & Medicaid Services, 2015, p. 62771). This project is occurring at Norton Audubon Hospital. Norton Audubon

My practice in these areas begins with trying to identify with the patient as more than a disease or problem. I want them to know I am human and view

Cerimagic, S. (2013). Cross-cultural effects on cancer patient-doctor communication. European Journal of Business and Social Sciences, 1 (12), 192-200.

Patient-centred care is healthcare that provides a more active involvement of the patient in regards to their condition and the options which are available for their treatment. It is an approach where in addition to educating the patient about their condition and possible treatments, the healthcare professional involves the patient and family in the decision making (Royal College of General Practitioners 2014). This approach helps to create a rapport between the patients and the healthcare professionals responsible for their care which in turn provides support for the patient and increases adherence as the healthcare users feel they have more control of their own care.

According to the World Health Organization (WHO) (2005), patient-centred care allows the patient’s values, preferences, desires and knowledge to guide care for the chronic conditions that they live with. A shift in teaching from provider-centred to patient-centred care is a competency specifically recommended by numerous health care authorities and professional bodies (WHO, 2005). The purpose of this paper is to perform an in-depth analysis of patient-centred care, which is one specific competency outlined by the World Health Organization (2005) to effectively care for individuals with chronic conditions. This paper will use relevant nursing and health-related literature to discuss the core competency of patient-centred care and will elaborate on why patient-centred care is important when caring for clients with chronic illnesses. Lastly, this paper will discuss how patient-centred care can be applied to Mr. Benoit (Mr. B) and his family in their situation.

I have had extensive training in Motivation Interviewing, which is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. MI is a goal-oriented, client-centered counseling