Improving Patient Centered Care: A Case Study

The aspect of patient-centered is the most important aspect in therapeutic care in order to provide the best medical outcomes. The idea of patient-centered care mean providers must understand and meet the needs of their patients for better outcome satisfaction. All rules must be followed by the providers, putting their patient’s first, and by encouraging them to participate in their care as long as it is safe. The purpose of this essay is to assess the communication on Episode four of My Old Lady T.V. show by providing an application of what happened the video to discuss about terms used in the textbook and lecture notes.

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.

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 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 the United States, the predominating political view is that healthcare is not a human right. Since healthcare is not viewed as a right, within the current system, there is a disparity in access to healthcare between those who have health insurance and those who do not. In addition, while some people struggle to receive the care they need, the current healthcare system in the U.S. is overusing, underusing and misusing medical resources. As the growing trend shows, the United States is spending the most on healthcare, yet this increase in spending does not lead to better health outcomes. In this essay, I will explore what is overuse, what are the factors that influence overuse in the current healthcare system and what are the ways in which

When I decided a few years ago that I was going to become a pharmacist, the reason why I made that decision was because I wanted to make a difference in the life of every patient I come across. Dr Jacobsen reiterated this idea in his speech when he talked about his reason for having a specialized residency in primary care which is equivalent to today’s post graduate year two (PGY2) program. Patient centered care approach is an immense way of advancing patients health outcome by a healthcare provider.

The two ideas that caused me to think and reflect on my past experiences are as follows:

Healthcare in the twenty-first century is transforming as swiftly as I type these words. Now, more than ever, patients, families, and teams of wellness providers are continuously striving towards comprehensive partnership development, to allow for the best possible patient outcomes. McGregor PACE (Program of All-Inclusive Care for the Elderly), is a managed care program in Cleveland, Ohio that has paved the way for over a decade, in the area of patient and family-centered care. The attached “Patient- and Family-Centered Care Organizational Tool” (Self-Assessment Tool, 2013) displays areas of facility strengths, as well as developmental areas within the organization. This paper serves to evaluate the organization’s gaps in

“Truly patient-centered care extends the role of family members beyond the bounds of visitation and support.” (Cappiello, Frampton, Wahl, p.53) For anyone who has ever been hospitalized, one of many satisfying feelings during one’s hospital stay is when one receives a visit from a friend or family member. On the other hand, there are those inpatients that do not have any family members or friends to love and care for them. Planetree, an international nonprofit organization, decided to have patient-centered hospitals participate in their Planetree model of patient-centered care. Depending on the patients’ medical condition and/or diagnosis, “…patients aren’t able to make their own health care decisions, hospitals and clinicians often rely on family members.” (Cappiello, Frampton, Wahl, p.53)

Patient-centered intervention and strategies facilitate excellent, safe, and quality care. Ensuring the proper use of devices through effective evidence-based education and skills competency contribute to the provision of safe, outstanding, and superior care. The strategy of educating the nursing staffs and other healthcare team focuses on the patient and staff in any healthcare setting. The project of decreasing the rate of inappropriate use of physical restraint is aligned with the patient-centeredness as well as the staff focus. Empowering the staffs of the proper use of physical restraint assists in the provision of appropriate delivery of health care services, thus, preventing any sentinel events which spotlights on patient safety.

One of the latest goals in health care is a concept referred to as patient-centered care, which strives to provide care based on the individual's needs and wishes. According to Mahoney, Mulder, Hardestry, and Madan (2017), patient-centered care is a term used to describe respectful care that includes attention to the patient’s unique values, beliefs, needs, circumstances, and preferences in guiding shared clinical decision making (p. 234). Patient-centered care allows autonomy and gives the individual the feeling that their voice is heard. In addition, providing care that focuses on the patient facilitates better communication between the patient and health care providers. According to Carr (2017), effective communication advances patient

Picker institute additionally explore and improve the eight points of care, later allowing the Institute of Medicine to use them as part of their definition of patient-centeredness in 2001 in the Crossing the Quality Chasm (Ransom, 2008). The measurements for patient centeredness were a success because the surveys were design to take into consideration ratings, and reports from a patient perspective. Patient experiences were evaluated from dimensions of care, satisfaction of care, and services acquire. Overall, patients were place as means to improve and provide a better quality of care. Now the IOM recognizes that it is necessary to take in to considering the measurements of quality. Patient satisfaction or patient experiences of care surveys

End of life decision making and care are critical aspects of the delivery of patient centered healthcare. Advances in scientific knowledge and medical technology can now prolong the dying process indefinitely. Many Americans fear the possibility of dying a painful, protracted, or undignified death, in an institutional setting, absent personal control or meaning (Schwarz, 2004). With the modernizations of medical technology today, individuals are now given the option to choose how, when and where they die. This topic has prompted many ethical and legal debates regarding end of life care. As a result it has made it challenging for nurses and other healthcare professionals to provide appropriate care. Nurses need to incorporate the American Nurses Association (ANA) Code of Ethics and the professional standards of the Association of Hospice and Palliative Care Nurses when addressing end of life issues.

For nurses, patient-centered care can be demonstrated thorough respect, response, and clear communication. When patients and their families are involved in making decisions about their care, they become safety allies, thus preventing errors. For example, patients may alert physicians when their care is not according to their usual routine or noticing a different medication being administered (Sherwood, G. & Zomorodi, M. 2014) .

There is no need in reinventing the wheel, and Iezzoni, DesRoches and Vogeli (2012) could not use a better description of what is patient center care. In essence, they describe the shift to patient care as a “movement towards collaborative care, empathic listening, shared decision making, and culturally competent care that reflect a growing understanding of the potentially therapeutic implications of patient-physician communication” (Iezzoni, DesRoches and Vogeli, 2012 pg. 384). However, hospital life does not always allow the time for this relationship to run its course for many reasons. Therefore, as a member of the hospital leadership team, I would encourage disclosure of medical errors by implementing an error disclosure training, promoting