Patient Centered Care

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.

Nevertheless, many organizations continue to struggle with what “it” is. This ambiguity ultimately leaves many with vague or muddled expectations for what constitutes patient-centered care. Is it a surprise, then, that many leaders report feeling bewildered at how to go about becoming more patient-centered? Or that others, convinced that their approach is indeed a patient-centered one, are surprised to find data reflecting patient and/or staff discontent? In the broadest terms, patient-centered care is care organized around the patient. It is a model in which providers partner with patients and families to identify and satisfy the full range of patient needs and preferences. Not to be overlooked in defining patient-centered care is its concurrent focus on staff. To succeed, a patient-centered approach must also address the staff experience, as staff’s ability and inclination to effectively care for patients is unquestionably compromised if they do not feel cared for themselves. Although patients may not always be able to accurately assess the clinical quality of their care, or whether safety processes are in place, patient safety and high clinical quality are fundamental to a patient-centered approach. Patient-centered care does not replace excellent medicine―it both complements clinical excellence and contributes to it through effective partnerships and communication. A wealth of resources exists to guide organizations in addressing clinical

Respect, compassion, concern, shared decision making and communication are seen as basic elements for PCC. PCC is said to improve the quality of patient care, reduce the cost of care, and increase satisfaction among nurses, physicians and patients by strengthening professional practice and maintaining the values of the patient and healthcare providers. It is evident that effective PCC requires health professionals to have good knowledge of clinical practice, as well as skills in data gathering, clinical reporting/documentation, procedures, communication, and relationship development with patients their families, and other professionals. However, inadequate emphasis on PCC in education, a lack of coordination and collaboration among health professionals, a shortage of staff, and the dominance of a biomedical model of health care act as barriers to the delivery of PCC. This implies that the implementation of PCC requires a planned and coordinated approach, with sufficient staff, efficient teamwork, and adequate education of healthcare providers. Hence, this report analyses the advantages and disadvantages of Patient Centered Approach to Health care System trying to focus on the consumer satisfaction and importance in terms of providing effective health care service. In today’s technological advanced century, people do not have time to ponder

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 refers to the view that patients and their family members are partners in developing a care plan. This stems from the belief that the patient is in control and that the care provided is rooted in respect that addresses the patient’s personal needs and values (Barnsteiner & Sherwood, 2012). Creating a partnership with a patient that allows them to grasp the goals and methods of their plan of care and includes them in the decision-making process can prevent errors from occurring. This gives the patient the opportunity to correct any

Health facilities aim to achieve client satisfaction of care through every health profession worker despite directly providing care or not. As the patient, subjective experience will define the patient perception across the continuum care. Consequently, person centered care technique through communication enables the nurse to give more effective nursing care to patients. As everyone in the healthcare service works in partnership, to deliver care responsive to the patient’s individual abilities, needs, preferences and goals.

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:-

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

The patient is the entire purpose of the Patient Centered Medical Home. It is a system designed with the patient’s needs in mind, however the patient is required to play an active role in order for the system to work properly.

Patient centered care is defined as “the practice of caring for patients (and their families) in ways that are meaningful and valuable to the individual patient, which includes listening to, informing and involving patients in their care” (Grenier and Knebel, 2003). Five challenges presented in patient centered care are patient obstacles, physician and practice obstacles, facility obstacles, community obstacles, and health literacy.

This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.

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.

Patient-centered care encompasses ideas, skills, and attitudes that promote greater patient empowerment, responsibility, and prioritizing patients’ needs and experience of healthcare in influencing how care is delivered (Lorig, 2012). Patient-centered care focuses on individualizing care to meet the health care needs of individual patients but also encourages patient’s to be active participants in their own care. Important aspects of patient-centered care that focuses on the patient’s experience include cultural competency, involvement, and continuity of care.

Patient provider relationships play a pivotal role in the healthcare process. This relationship helps to bridge the gap between ailments of the patient and the diagnosis and care of the provider. The need for this relationship and its propensity to create the catalyst for patients need to be fulfilled is second only to the medical knowledge of the provider and the patient 's willingness to get better. As we have moved from a biomedical perspective to a biopsychosocial perspective the relationship between provider and patient has changed from physician centered modes of communication to more of a patient centered style of communication. And with the change of view we find that a strong and cohesive bond between patient and provider is the key to the advancement and overall quality of care for the patient. According to The Impact of Patient-Centered Care on Outcomes a patient centered approach to care has a correlation to a better healthcare outcome. Focusing on the patient increases compliance of the patient.