Patient And Family Centered Care: A Case Study

In this article, Working Together to improve the Patient Experience, author Richard Billingsley(2014) explains how working together amongst providers, the patients, and the patient's family improves the patient experience, thus markedly heightening the quality of care. In this article, he also shares how other organizations have successfully adopted a model to facilitate cultural change within their facilities. This cultural model is referred to as patient family centered care (PFCC), and while it is not a new concept, it's emphasis has gained popularity as insurance companies adjust the criteria that encompasses what constitutes as high quality care.

Patient centered care have evolved to improve quality of care and safety while delivering care to our patients. While providing safe and effective care to patients, nurses should be utilizing resources to deliver the optimum care. Patient centered care does not only involve the patient it also involves the family on making decision, this approach will endorse quality of life and health. To coordinate care some characteristics must be present including not limited to dignity, unbiased decision, care to be focused to enhance independent in the care. Patient have the right to be respected while receiving care. In addition, the care should be delivered without any judgment and the information should be delivered in a way that the patient and

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

The first and most important method would be, respecting the resident’s voice. As a nurse aide, I want to make sure that my residents are being heard. I want them to be able to come to me when they need help or have problems. I also want them to know that I am here for them.

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.

In a day and age where everything is becoming mobile and consumer-driven, healthcare is no exception. Patients are now able to drive healthcare industry spending and have access to more health services. “A growing body of evidence suggests that the patient-centered medical home is an effective model to transform primary care and serve as a foundation for accountable care organizations, working together in integrated communities of care” (Harbrechet & Latts, 2015). Patient centered care could change the outdated medical models by focusing on patient-doctor relationships and what the patient deems important in their healthcare (Kahn, 2014). “Patient centered care has a triple aim: to improve individuals’ health; achieve improved population health; and reduce cost trends. A complementary goal was to improve satisfaction for patients and health care teams“ (Harbrechet & Latts, 2015). Early studies suggest that this type of care will also improve efficiency and lend us closer to the frontier of health production. The Patient Centered Health model is the fastest growing healthcare delivery system innovation (O’Kane, Barr, &Scholle, 2014). This is largely due to the Affordable Care Act and its impact on health coverage (Fifield, Forrest, Burleson, Martin-Peele, & Gillespie, 2013; Harbrechet & Latts, 2015). This paper will focus on how patient centered medicine impacts efficiency in healthcare.

The purpose of this research paper was to establish understanding and the importance behind patient-centered care and safety. The research includes the relationship between the healthcare professionals, patients, and the patient’s families. The research also identifies the approach and outcome of collaborative care, caring attitudes, patient satisfaction and positive outcomes. The approach towards patient-centered care and safety is a team effort including all healthcare members, patients and at times family involvement.

According to Hood (2014), patient centered care embraces a holistic approach which includes taking in consideration the patient/patient’s family preferences, culture or religious needs, values, and specific lifestyle choices (p. 408). The nurse then supplies knowledge and resources to support the patient in the health making decision process. “We need a mechanism to close gaps between the current and the ideal state (from patients’ and families’ points of view). The mechanism by which these gaps are closed should create “aha” moments each time it’s used, so that its usefulness is apparent.” (DiGioia 2016, p. 34). Reaching these “aha” moments with the patient and their families validates the nurses’ efforts of overcoming the presented barriers and accomplishing the expected patient

The general principles that should be used with family centered care are: information sharing, respect and honoring differences, partnership and collaboration, negotiation, and care in context of family and community (Kuo, et al., 2012). The family centered approach is beneficial because it helps build rapport between the social worker and the family but also includes the family as the professional of their lives. This is most beneficial for Miranda because she does not have a strong support system; therefore, this method will help to assure her that she holds the power to change her life and her current

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.

Healthcare professionals strive to center their care around their patients, only benefitting and never causing harm to the patient. This concept is aptly called patient-centered care and is central to nursing care. Nurses spend time learning about this type of care and spend their careers focussing on care that is patient centered. While many concepts contribute to patient-centered care this paper will highlight the importance of safety, sleep, and rest as they relate to patient-centered care.

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As healthcare advances and becomes more convoluted there is an increase need for interprofessional collaboration to provide quality and patient-centered care. According to the Institute of Medicine (2015), not one profession can lead and expand interprofessional collaboration independently. It requires collaboration of all team members working to their highest level of functioning to provide patient centered care. Interprofessional collaboration involves healthcare professionals from multi-disciplinary teams with one common goal of providing excellent care to patients. To provide the best patient-centered and team based care all of the team members have to be in sync and willing

Family centered care is a belief that the health care staff and the family should work together in order to meet the needs of the patient. By working together, the patient receives the best care while respecting the choices of the family. Nurses must provide dignity and respect by listening to values, beliefs, and cultural backgrounds to provide the best care plan (St Jude Children’s Research Hospital, n.d.). Nurses must communicate unbiased, accurate information to the patient and their family in order to facilitate decision making. Nurses need to encourage and support the family’s decisions. We must recognize that each family is unique. We must acknowledge that emotional, developmental, and social support are important components of a patient’s health care. There are several approaches to family nursing to take into consideration. These are: Family as Context, Family as Client, Family as System, and Family as Component of Society (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015). In this paper, I will explain each of these approaches and give a personal example of patients and families I have experienced these approaches with.

The patient centered care concept support the active involvement of the patients and their families, in the decision making process that are related upon the treatment services. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions."