Patient-Centered Care

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.

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:-

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 Patient centered care could change the outdated medical models by focusing on patient-doctor relationships and what the patient deems important in their healthcare (Kahn, 2014).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.

Patient centered care is an important Future Nursing Core Competency that allows the best approach in providing care. Using strategies tailored to each individual patient can be almost expected from the patient and their family (Hood, 2014, p. 409). Patient centered care is an important aspect in the profession of nursing, and in achieving understanding. By incorporating this into everyday practice it allows the patient a better understanding of their diagnosis and instill compliance.

The model of care I observed at the hospital was the patient centered care model. The nurses worked with the patients, typically on a one-to-one nurse-patient ratio. The nurse helped and tended to the patient’s needs, drew her blood, inserted a catheter, and watched the monitors on the baby to ensure everything was going smoothly. It surprised me that a number of the patients I saw were being induced, and according to the nurses, a lot of patients have planned C-Sections. The two soon-to-be mothers that I encountered in the labor and delivery area were being induced. The first one was in the middle of the induction, and she had Pitocin already infusing when I got there, so her contractions were getting stronger. When she needed to use

Patient-centered care is a philosophy of care delivery in which services are arranged around the needs of the patient. It defines healthcare delivery from the patient’s perspective and organizes the building blocks of work around the patient and her care. It consists of sequences of activities by all involved staff members who care for the patients. It is consistent with cooperative work in clinical settings. According to Schmidt and Simone, “cooperative work is constituted by the interdependence of multiple actors who, in their individual activities, in changing the state of their individual field of work, also change the state of the field of work of others and who thus interact through changing the state of a common field of work.” A patient constitutes the common field of work for clinical and non-clinical healthcare delivery workers. The patient-oriented workflow also captures the temporal order of various roles’ contributions to care delivery (Ozkaynak et al., 2013). Example: We used a patient-oriented workflow approach to evaluate a health information exchange technology intervention in terms of how the intervention affects patient care in three emergency departments. We conducted a systematic investigation of patient care, captured in a temporal sequential context. Using a patient-oriented workflow approach was valuable because we were able to monitor the overall organization of care delivery individual patient episodes, capturing the engagement of multiple staff

Patient-centered care is the main goal not only in nursing, but all health care roles. There are many attributes that a nurse must acquire in order to achieve patient-centered care. As providers of patient-centered and ethical care, nurses must: act as advocates, keep their knowledge up to date, respect patients, maintain patient confidentiality, promote health and self-wellness, and apply effective communication skills. These main attributes jointly work together to succeed in patient-centered care (Arnold & Boggs, 2016).

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.

I have placed a binder with 27 polices out for staff to read and sign off

Throughout my experiences in healthcare, I have come to develop a patient-centered philosophy regarding the future of healthcare and the doctor I would like to become. I have seen first hand the benefits of treating a patient as a whole, and focusing on a patient’s well being through showing compassion and understanding, in order to improve a patient’s quality of care and outcome, which I believe is crucial in the future of healthcare.

‘Patient-centred care focuses on the patient and the individual particular healthcare needs.’ (Reynolds, A (2009)). It is a widely used model in today’s healthcare settings, by nurses, carers, and doctors. Person-centred approach will be the focus of this assignment, specifically, in relation to the older person. The importance of this style of care will be critically analysed, and researched with the help of relevant literature, in order to get a better understanding of the topic, and on care of the older adult.

I enjoyed reading your discussion post about the divide that is present between ideal patient centered care and actual patient centered care. I agree with you when you stated that there is a divide between ideal and actual patient care. However, I believe that the gap that is present is starting to decrease in size (Joshi, Ransom, Nash, & Ransom, 2014). Working in an emergency room a majority of the doctors will go into a patient’s room, sit down, and listen to what the patient has to say no matter how long it takes. The doctors will also spend a while discussing what will take place for testing and update the patient as the results are back. When it comes time to discharge the patient home the nurse and the doctor will spend as long as the

The committee should accept me into this year’s class because I am academically prepared to succeed and I intend to facilitate COMP in achieving its mission by practicing comprehensive, patient-centered medicine in a primary care specialty.

If you speak to the patient and she indicates that she does not wish to pursue the matter, should the issue be dropped? Why or why not?