Patient-Centered Care in Context of Family Have you ever heard anyone use the term “Care of the patient in context of the family”? What does this mean? For years when caring for a patient the healthcare provider would ultimately make the decisions regarding treatment plans and procedures without patient collaboration. This would often cause fear, a feeling of lack of control, and sometimes had a negative impact on the patients’ outcome. More currently, a new approach is becoming the norm, caring for the patient in context of the family. This paper will explore what this term means, how it affects the patient and family, as well as nursing. The staff at St. Jude’s Research Hospital defines this concept perfectly in the following quote. …show more content…
When caring for a pediatric patient admitted to the hospital there is usually a lot of fear and uncertainty for both the child and the parent/caregiver. Even if they have been educated on the condition, often that alone does not relieve their anxiety. By encouraging the parents/caregivers to be actively involved in the planning, decision-making, and care implementation of the child, can decrease the feeling of helplessness and gives them a sense of control (Matteo & Ceron, 2015). For the pediatric patient the period of hospitalization can have a negative impact so it is important that the child have a sense of security and support from their primary caregiver. By encouraging, the involvement of the involvement of the caregiver to be present and involved with the care helps the child cope better with the overall situation. By involving, the caregivers in the decision making will help the nurse know better how to care for child as an individual because of the added advice and understanding of the childs’ personal needs (Potts & Mandelco, …show more content…
In one medical journal, they discussed a study conducted by both researchers and practitioners where they observed the behavior of patients when not only decision-making was shared, but also motivational interviewing was involved. Shared decision-making was used to discuss treatment and make a decision. Motivational interviewing was used when there was a resistance to change by the patient. The motivational interviewing helped to identify the issue that was preventing the patient from moving forward and then counseled with them to overcome the issue and make a decision regarding treatment or change. Through this study, there was evidence that the patients who received this type of patient-centered care were associated with improved patient outcomes, improved self-care, patient satisfaction, and medical adherence (Elwyn et al., 2014). In conclusion, “care of the patient in context of family” is essential to the entire medical field and all patients receiving care and their families. By practicing this process, we are ensuring the best possible patient outcomes and the overall satisfaction of the patient and their families by implementing more effective nursing. The collaboration and feedback contributes to the future of evidence based practice. This is truly what nursing is all about, the best possible outcomes and positive experience for
This type of care is referred to as client centered care, which is to put the Veteran and their goals, not the disease, at the center of care (The Department of Veteran Affairs, 2011). According to Bertakis and Azari (2011), “Patient-centered care is associated with decreased utilization of health care services and lower total annual charges. Reduced annual medical care charges may be an important outcome of medical visits that are patient-centered”. The VA used an evidenced based model referred to as the "Elements of Patient Centered Care" This model is based on a holistic approach and is encompassed of both the experience of having a healing environment and relationship, as well as practice, which uses an individualized health and well- being
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs
Motivational interviewing offers an approach to this that is compatible with patient-centred care (Mason, 2008). Nurses use the processes of motivational interviewing in the healthcare setting to ensure the development of a collaborative partnership with the patient and to elicit a behaviour change. Motivational interviewing strengthens personal motivation for change, rather than instructing or warning the patient (Miller et al.,
states that they are primarily based on the infants needs for security and safety, and that they learn as they grow that their safety is best provided by a particular individual. This is what leads to the special relationship with the primary caregiver (pp 177). Responding to Izzie’s needs, behavioral cures, and being consistent in parenting I believe has led her to develop a secured attachment.
On Grace Hospital’s website, the hospital doesn’t list their own mission, vision, and values statements. Instead, Grace Hospital has referenced the Winnipeg Regional Health Authority’s own mission, vision, and values statements. Mission Statement The Winnipeg Regional Health Authority’s mission statement is “to co-ordinate and deliver safe and caring services that promote health and well-being.” At Grace Hospital, there is a need to work collaboratively in order to provide patient-centred care to our patients. This involves the coordination of services by various health care providers including physicians, nurses, and allied health professionals.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
The caregiver also explain each step they are taking to the child. The “want-nothing” quality time is when
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
Iinitially the main dialogue between teacher and parent is the safety of the child in their early childhood setting; therefore parents have to be able to develop trust with a provider and feel like their needs, desires, and wishes can be heard. The initial discussions about safety help build the beginnings of trust and a caring relationship, thereby always keeping the door open for parents in their participation and discussions, all in which helps with the child’s
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories
The households involved added up to an estimate of 22.9 million households (Hughes, 2008). Additionally, the healthcare delivery model highlights that it is important for the nurses or doctors involved to address what should be done by both the patient and the caregiver for the improvement of skills and knowledge in regard to providing healthcare (Hughes, 2008). Details of the instructions provided by the nurse or the doctor should be taken into account to avoid activities contributing to low qualities of health care. In conclusion, care giving is a universal obligation associated with the acts of love and third party responsibility.
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.
A high-quality program, as defined by Dodge (1995), is: 1) one that bases itself on the knowledge and understanding of child development in order to acknowledge children individually for their differences, 2) one that is set up safely and hazard free, 3) one that is arranged neatly and is well-equipped with materials suitable for the age group of children in that setting, and 4) one in which program administrators, staff members, families, and children relate positively amongst each other and are supportive of one another in a professional manner. A program founded on the knowledge and understanding of child development will allow for the program’s staff and administrative employees to be able to work around the individual interests and needs of children in care. The feeling of security and inquisitiveness the children experience will allow endless opportunities for discovery and exploration, hence the ability for each individual child to exert his/her full potential progressively. Positive relationships within and all around the individuals that make up the program will promote a healthy and enriching environment that is beneficial for both working and learning in. Every one of these aspects adds value to the quality of care children receive in a child care program setting.
Introduction Patient and family centered care is a move towards to the planning, delivery, and evaluation of health care that is based on equally advantageous partnerships among health care providers, patients, and families. Patient- and family-centered care is an approach to health care that shapes policies, programs, facility design, and employees’ day-to-day communications. It leads to improved health outcomes and better allocation of resources, and greater patient and family satisfaction. (The above article is an abstract from the link http://www.ipfcc.org/faq.html follow the link for referencing purposes)
It is important for practitioners to work closely with the child, their parents and other professionals in order to understand clearly both the child’s and the family’s needs and to build on their strengths and work through any problems effectively. Continuity of care is one of the most important aspects of a child’s life and it is this continuity which will ultimately make the child feel safe, secure and valued. It is extremely important that practitioners communicate effectively with everyone involved in the care of the child. A shared understanding of the requirements and strengths of both the child and their family is paramount and it is crucial to the child’s well-being and learning. This is particularly important for children with special