Patient and public involvement in health care Flashcards
What type of decisions are patients and the public involved in?
Decisions about their own health care, commissioning and designing services for community, professional teaching and learning material development, staff recruitment, evaluation of services and governance.
How can a Pt be involved in their own care?
By understanding the cause of their condition and the factors influencing health.
Self diagnosis and treatment of minor conditions
Selecting the most appropriate treatment in partnership with the HCP after education.
Managing treatments and understanding the need for it and any S.E
Being aware of and reporting safety issues in health care.
Managing symptoms or chronic disease.
Adopting healthy behaviour to prevent occurrence or recurrence
What is health literacy?
The ability to make sound decisions about everyday life through Pt education to help them understand health resources for approprate and effective use and to tackle health inequalities.
What may influence a Pt’s decision about health care?
Attitude towards illness and risk
Values and preferences
Social circumstances
The decision and responsibility is shared between the patient and HCP.
What is self care?
Ability to manage an illness medically, carry out normal roles and activities and to manage the emotional effect.
How is self efficacy influenced?
Based on an individuals belief in their own capacity to learn and perform a specific behaviour. It requires self confidence, empowerment and motivation in their own ability.
What interventions may improve self management and empowerment?
Confidence building Equipping with knowledge and skills Coaching of management and changes Prompt cards and diaries Decision aids to provide an accurate perception of risk
Why is self efficacy important in chronic illness?
To maximise the health benefits and to reduce rates of hospital admissions.
What must a professional do in order to maintain the doctor - patient relationship?
Understand and consider Pt perspective and preference
Guide them to resources and educate on protecting health and preventing disease
Communicate risks and probability clearly
Provide support for self care
Share treatment decisions
Work within a MDT for continuation of care
Use new technologies to engage the pt
Effective time management for all the above
What does the Health and Social Care Act 2012 state?
‘No decision about me, without me’. Applies to individual care, service changes on a local and national level. Acts to strengthen pt voice.
Why is patient involvement in NHS planning important?
Helps to improve services. The health watch patient group contains lay members who are involved in NHS planning.
Why is patient involvement in planning viewed negatively by some?
It is thought the public is being compromised by the lack of their representation, knowledge and vulnerability to the area of health.
