Shared Decision-Making

This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,

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

Shared decision-making involves an open and honest conversation between the clinician and the patient. It is a collaboration that takes into account treatment options and the patient’s values and preferences. It gives a patient a voice in their own care. Therefore, pure placebo-prescribing is ethical when the patient has a say – which can foster a placebo effect within the patient. Not from the pill “itself, but rather from the relationship between [the] healer and [the] patient, and the latter’s own capacity for self-healing” (Brody, 1982, 117). In other words, the context in which the pure placebo is prescribed can influence its positive results. Contrastingly, when patients are left out of the decision-making process, there is no room for the clinician’s and patient’s relationship to grow. It also raises the possibility of deception – a concept appearing in almost all of the medical literature on placebo-prescribing in clinical practice.

A collaborative approach, as an essential component of patient care, is emerging as best practice in recent literature. A review of the literature reveals that there is a common interchanging of the terms Patient and Family-Centered Care (PFCC), Family-Centered Care (FCC), and Patient-Centered Care (PCC). Although researchers interchange these terms often, there are commonalities that can be identified. General common principles include; information sharing, respect and honoring differences, partnership and collaboration, negotiation, and care in the

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

According to the text, Dr. Alex Mahdi was committed to the idea of collaborative decision making. However, Dr. Mahdi utilized an individual and authoritative decision leadership style when he set up committees and appointed teachers to serve on his newly established committees in addition to their department level committees. I believe Dr. Mahdi has the resources necessary for success. He has the opportunity to boost morale, change the culture and climate of the school, and build trust worthy relationships through collaborative interaction.

In a study conducted by Chow and Wong (2014), they analyzed a case management team led by nurses and the effectiveness of the care coordination regarding older adults whom are diagnosed with co-morbidities. Utilizing a randomized controlled trial during 2010 to 2012, the researchers analyzed older adults who suffered from at least two chronic illnesses (Chow & Wong, 2014). Those chosen to be analyzed were then further divided into three groups, including one control groups and two study groups (Chow & Wong, 2014). Baseline data was gathered and collected at four weeks and then again at twelve weeks from the two hundred and eighty one patients participating (Chow & Wong, 2014). The two study groups in which interventions in which nurse led case management occurred, resulted in lower readmission rates within an eighty four day frame after discharge from hospitalization. Additionally these participants rated their health and self- sufficiency at a higher level than the control group (Chow & Wong, 2014). Conclusions gathered from research indicates that care coordination after discharge led by nurses whom empower patients are effective in improving clinical outcomes for older patients with co-morbidities (Chow & Wong, 2014). This research conducted is crucial to my selected topic as is provides evidence that coordination of care after discharge can improve outcomes.

The essay aim to explore the relevant objective on how effective theoretical concepts underpin is used to evaluate shared decision making and complying with local, national and professional guidelines in practice. A critical overview explanation will be used to establish a systematic comprehensive assessment, which is the initial stage to identify the care needs related to Mr Thompson's type 2 diabetes and hypertension condition. It is essential to provide a baseline information supporting every aspect entailing Mr Thompson’s complex needs. This includes, planning, intervention and outcome responding to the NHS Outcomes Framework (2015/16) domain 2, which stated the enhancement of the quality of his life with coping and taking responsibility of his own health care that may contributes to a speedy recovery.

(Ladwig, 2012-2014) Potential Nursing Intervention for diagnosis R/T LHI#3: Assist the individual Mr. H in enhancing the community support in time of need such as diabetic episode. (Ladwig, 2012-2014) Page 5 of 9 Grammarly Report generated on Mon, 27 Jul 2015 20:11 Grammarly Family as Partner in their own care: To educate and monitor the patient's disease process through training such as diabetic seminars/teaching with return demonstration. (Lancaster, 2012)

According to American Nurses Association (2010) Scope and Standards of Nursing Practice, collaboration is defined as, “a professional healthcare partnership grounded in a reciprocal and respectful recognition and acceptance of: each partner’s unique expertise, power, and sphere of influence and responsibilities; commonality of goals; the mutual safeguarding of the legitimate interest of each party; and the advantages of such a relationship”.(p. 64). Collaboration amongst health care providers is very crucial in providing quality care to patients. Integration of disciplinary teams, improves communication, coordination, and most importantly, the safety and quality of patient care. It provides interaction between team members allowing

Although working as a team to reach goals seems straight forward and logical, King’s theory is based on several assumptions. King believed that the nurse-patient working relationship is affected by how each sees the situation as well as how the goals, needs, and values. She believed in patient rights to personal information and to make decisions effecting their lives including the receipt of care. King knew that

Integrating the patient and the care team as a single unit instead of separated is what the core of a chronic care model is. It promotes productive interactions between patient and care team which leads to healthier patients and better prognosis of chronic disease. It is the nurse’s responsibility to get accurate and up to date information to patients and family so they can make informed decisions about their chronic disease. Nurses also need to act as advocates for their patient to make their lives with chronic disease as easy as

Part of the caregiver or nurse's duty is to provide emotional support and understanding to the patient. Swanson (1993) proclaims that being with assures patients that their reality is appreciated and that the nurse is ready and willing to provide emotional support. Emotional support can come in many forms, such as providing a shoulder to lean on and listening attentively. By using the process of 'being with', nursing professionals can convey messages such as, "you are not alone, what happens to you matters and that we are here for you" (Swanson, 1993). Conveying these messages can help with the healing process and overall well-being of the patient by decreasing anxiety and providing the patient with a caring relationship when family support is unavailable.

According to the Registered Nurses Association of Ontario (RNAO) it is important to analyze and assess families as a whole in order to come up with a working diagnosis and nursing plan (RNAO, 2006). Families are important because they play a huge role in the patients recovery as they can affect the clients health in a positive or negative way. When caring for a client it is good to include the family in your care plan, because family centered care looks at the patient from a holistic angle (Hutchfield, 1999). The care plan not only focuses on the clients disease, it is also considers the surrounding systems. This paper will discuss the results of two home visits I conducted' after getting the clients' (Mrs.