Fund 50 week 3 - day 1 Flashcards
patient centered care (respect the center)
“Providing care that is respectful of and responsive to
individual patient preferences, needs and values and
ensuring that patient values guide all clinical decisions” (Institute of
Medicine)*
dimensions of patient centered care (the center of my world RE CCSF)
respect for patients’ preferences (individuals have preferences and we need to learn how to incorporate that into our care)
coordination and integeration of care (interprofessional colaboration and teamwork is so important)
information and education (make sure 1) ppl are receptive to information 2) be able to provide info and education - ie diagnosis, what to expect for care, or self care abilities)
physical comfort (pain needs must be addressed. ie - activities of daily living)
emotional support (find out who can patients rely on for emotional support?)
involvement of family and friends (having family and friends improves outcomes)
conituity and transition (transitioning back to home, and access to care)
Family Centered Care (I decide you are my family)
An extension of the patient-centered care, “widening the circle of concern to include those persons who are important in a patient’s life.” (Hennerman & Cardin)*
who the patient decides is their family
Patient & Family Centered Care (the family is my patient)
According to QSEN, this is the most inclusive option, emphasizing the philosophy that both the patient and the family, as defined by the patient, are recipients of care by nurses.*
compentency (the patient is competent)
Recognizes that the patient or designee is the source of control and full partner in providing compassionate and coordinated care based on respect for patients
preferences, values and needs (QSEN, 2010).*
Why is Patient & Family Centered Care important? (outcomes and power)
what the outcomes are, they are better. it is a precursor to quality. patient more comfortable and feel like they have more power.
Barriers to providing Patient and Family-Centered Care:
frustration, lack of agreement about goals, nurse is busy so they are task oriented, no time to talk to patient, misunderstanding about goals or what is expected. conflict btwn patient and family (can be cultural)
allow some private time w/ patient to ask which family members should be involved.Covid is prevented family centered care, they can’t be present. use facetime.
8 questions (CCS DSTR PF - ccs duster pan fried) - (call, cause, start, does, work, severe, treatment, problem, fear)
What do you call the problem?
What do you think has caused the problem?
Why do you think it started when it did?
What do you think the sickness does? How does it work?
How severe is the sickness? Will it have a long or short course?
What kind of treatment do you think the patient should receive? What are the most important results you hope he/she receives from this treatment?
What are the chief problems the sickness has caused?
What do you fear most about the sickness?
Promotion of Patient and Family-Centered Care: (promote white board and reasonable goals)
1) making use of white boards, what to expect for patient.
2) QSEN - 5 minute checklist - ex. ask the patient about their goals. this needs to be a thoughtful process, come up with goals for the day. ex. of goal - address how pain is going to be managed for the day. ex. walk around the unit 3 times. I want 1 hour of time to pray.
person and family centered care (book) (patient is bad, person is good)
don’t use patient, use “person” what their wants and likes are
visiting hours
can interfere w/ patient and family centered care. if we are flexible, we can promote p and family care. provide a private room if your family can only come late. be accomodating.
therapy dogs
so important and beneficial. they come maybe once a week.
disneyland
customer is always right, scripting, hotel-like service in a hospital. worry about scripting - might prevent us from thinking outside of the box, and the what-ifs.
