Patient-Centered Care

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

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

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).

One of the most important responsibilities of a pharmacist—whether in a hospital or community setting—is to help people. I was able to observe this critical factor portrayed by my clinical instructors at both St. Francis and at Walgreens. All the pharmacists I worked with during those two weeks displayed a genuine desire to improve their patients’ quality of life by ensuring no drug-drug interactions were present and asking questions about medication histories. I felt humbled and gratified being able to contribute in a minor way when providing

Our health care environment is faced with the patient safety issues, shortages on health and human resources, increasingly complex health care needs. Before coming to activity I expect that Interprofesional activity is a way of bringing all the perspectives of different healthcare professionals to improve patient safety. During the activity I found the role of a mental health counselor might treat a patient who has been the victim of domestic abuse, individuals struggling with poor self-esteem, helps individuals and families deal with difficult emotions, in a variety of settings, including schools, hospitals, private offices and clinics, and substance abuse treatment facilities. On the other hand, Pharmacists can play an active role in treating

During the interview, R. Crowdis emphasized on different safety measures nurses can take to protect patients from medication errors. These include verifying and clarifying any orders that look ambiguous or that do not match the patient’s needs, use the five rights of medication, always scan the medication, have two separate nurses verify high risk medications, and follow hospital policy when wasting narcotics (R. Crowdis, Personal Communication, June 11, 2016). The five “rights” of medication R. Crowdis is referring to are the right patient, right medication, right dose, right route, and the right time (Archer, 2015, p. 394: Centre for Policy Agency, 2011). Every medication must be scanned and if unable to, then notify the unit director and pharmacy of the issue. Always scan each individual pill, even if there are multiples of the same kind; one pill may be expired, a different medication, or same medication but different dosage that was accidentally stocked by pharmacy. Watch for system lags or additional screens that appear for this may cause errors is medication administration when scanning. Athanasakis (2012) also recommends reducing distractions and interruptions during medication preparation and administration to help in the prevention of medication errors (p. 775). Having excess family and friends step out of the room, informing the patient of the medication, what it does, and double checking when the last dose was given are additional measure a nurse should take in the prevention of any

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

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.

Woten (2016) attributes, National Patient Safety Goals (The Joint Commission, 2016): Medication Reconciliation – an Overview acknowledges effective communication is a driven force to accurate medication reconciling. Communication to patients, families, professional to professional provides honesty along with direction in role responsibilities. Poor communication was recognized from a study at Mayo Health system, reporting, “medical information at transition points was responsible for as many as 50% of all medication errors in the hospital and up to 20% of ADEs”(Vogenberg & DiLascia, 2013). The evidence in transitions throughout care directly connects to communication validating how medication lists, if not updated or accurate cause harm to

When initiated and implemented in the workplace, it aids healthcare professionals to function effectively to understand the needs of diverse patients and treat them efficiently. (National Institute of Health, 2015) To provide the best overall healthcare to a patient, the patient needs to understand and be familiarized with the information provided to them. According to the article, Communication in Pharmacy Practice, one way to ensure patients understand the information given to them by their healthcare professional is by keeping communication short, simple and specific. (MacLeod- Glover, 2006) It is important for the pharmacist to avoid unnecessary complexity.

In regards to the survey information the hospitals gathered, many of the hospitals shared the same strengths and weaknesses, with a few notable exceptions. Areas that were consistently low throughout all the hospitals were cleanliness of the hospital as well as noise level, an aspect which pharmacists do not have control over. An area in which they do have control over is if a patient’s medications are explained to them, which was a weakness of a majority of the hospitals. An area where the hospitals showed a collective strength was communication with doctors and nurses. A synergistic relationship between nurses, doctors and pharmacists will change this weakness of medication education to a strength.

Patient-Centered Care is an important determinant of quality of care. Research has shown that Patient Centered Care is a multi-dimensional concept and consists of eight dimensions that can improve patient-centeredness. It is necessary to understand what patient and professionals need to support interaction between them to increase patient’s outcomes. Therefore the aim of this study is to investigate patients and professionals experiences with Patient-Centered Care.

Holistic, patient-centered care is my philosophy when caring for the patient. It allows the patient to be in the driver seat as the care is being offered and provided. Nurses are a support system to their patients, sick or healthy. Healing cannot be done unless the patient is willing and is able to understand and accept the care being offered. Nurses deliver therapeutic environment conducive to healing which includes safety, acknowledgment of the patient, support, education, guidance, and encouragement. Establishment of a positive and compassionate relationship is key. While doing so a nurse must be aware of his or her own culture, values, and prejudices in order to prevent transferring them onto the patient. Patients’ cultural, religious,

Even though healthcare professionals may be practicing in different fields, performing different roles, having different ranks, or getting educated and trained differently, we all practice to achieve one main goal, and that is to provide excellent patient-centered care. Pharmacists, nurses, physicians, optometrists, and even social workers strive for the better outcome of their patients. Most, not necessarily all of the time, healthcare professionals work together to provide this best care for their patients. This type of care is known as interprofessional care. Some healthcare professionals interact with pharmacists on a regular basis, and others interact with them on a very limited basis.