S3 M1 Patient Centered Care Flashcards
In patient centered care the source of control and the full partner is the
Patient
6 Components of patient centered care
Respect for values Coordination and integration of care Information, communication, and education Physical comfort Emotional support Involvement of family and care
Respect for values means
Structuring care plan around values of patient
Coordination and integration of care means
Creating smooth transitions between procedures, dr visits, evaluations etc.
Information, communication, and education means
Provide as much or as little information as the patient wants with the goal of building trust
Physical comfort means
Free from pain
Emotional support means
Identifying and assisting in dealing with anxiety and distress in patients and family
Involvement of family and friends means
Accommodating visiting hours to meet patients’ needs
Patient centered care expectations
Being heard
Being told the truth
Having info
Partnering with staff
To help with patient centered care nurses need to ID
and champion
Barriers
Promoting what patients want
2 core concepts in patient centered approach
Cultural competency
Health literacy
Patient satisfaction
Degree to which healthcare service is useful effective or beneficial
Patient satisfaction
6 things patients want
Treat me like I matter Everyone's competence counts I am a providers first priority I have information Effective care process Simple insurance
Patient centered environment
Safe
Clean
Private
Wholesome
Patient centered care should strive to
Calm Comfort and Support those in it
Sub concepts of patient centered care
Health literacy
Empowerment of patient
Autonomy
Optimal healing environment
Antecedents
Respect for diversity, disparities and self
Advocate
Different nursing roles
Health promotion
Disease management
Family support
End of life care
Autonomy and accountability
Autonomy is a patients right
Have a high level of accountability
Six Cs of caring
Compassion Competence Confidence Conscience Commitment Comportment
Compassion
Participation in the experience of another
Competence
Having knowledge, skills, judgement, energy, experience, motivation to respond to responsibilities
Confidence
Comfort with self, patient and family
Conscience
Morals
Ethics
Sense of right and wrong
Commitment
Desire + obligation + deliberate choice to act
Comportment
Good demeanor, dress, language that are in harmony with care
Caring
Providing presence
Toughing appropriately
Listening actively
Knowing the patient
Spiritual support
Pain relief
Family care
Positive outcomes of patient centered care
Quality of care
Continuity of care
Treatment compliance
Comfort: psych of phys
Cost containment
Negative outcomes of patient centered care
Never event
Near miss
Sentinel event
Discomfort
Never event
Something that occurs that never should have as there are ALREADY procedures in place for prevention
Acting as a caregiver
Meeting health needs of patient/fam
Acting as an Advocate
Protecting patient rights
Assisting in asserting those rights
Acting as an Educator
Formal/informal teaching of pt