Patient and Family Centered Care Thesis Essay

Once revered by the volume of care provided, insurance companies now emphasize value of the care provided. In order to remain successful in a market such as this, healthcare institutions must adopt a new culture where the patient experience is central to the care provided. This culture needs to envelope a new mindset where the patient, and patient family are considered equal, active participants in their care.

Although leaders in the health professions have advocated incorporating patient /consumer centeredness in the curriculum of health professionals, there remain several educational, practice and regulatory barriers to implementing a patient-centred vision. The following are some of the most important barriers

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

Hederson, S., Princell, C. O., and Martin, S. (2012, December). The patient-centered medical home. American Journal of Nursing, 112(12), 54 59. doi: 10.1097/

Patients seek care and treatment in hopes of receiving confidential, unbiased, honest, and respectful treatment. They also expect that care providers maintain their personal values and beliefs related to their care. As healthcare

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

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).

Providing patient centered care each and every time I am in the hospital is something that I hold to a very high esteem for myself and everyone I work with. My preceptor and I both think it is very important to treat patients like they are our own family member or friend, so there are many examples I could give for how I exhibited patient centered care while I completed my senior practicum on 5200/5300. Perhaps the most memorable from my time on this floor was when I had a patient who had been in the hospital for more than 30 days. This patient was getting restless, had been in restraints, was unable to really communicate due to a tracheostomy, and had also been NPO for multiple days while waiting for surgery to insert a PEG tube and fix an elbow fracture. Although this patient was in isolation and many team members were worn down with him constantly trying to get out of bed, I was a fresh face and spent hours upon hours by his side trying to understand why he was acting the way he was.

The health care is reforming in a way that care delivery models have been formed and people will be paying for quality of care as a whole (Fairman, Rowe, Hassmiller, & Shalala, 2011). The health care reform law is attempting to balance the system of health care resources in that a balance will be yielded to award care value over the volume of care provided. This reform calls into nurse leadership and the input of nurses who contribute the largest labor to the health care system. Registered nurses are vital in the delivery model of patient centered care system.

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

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.

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