W5 Patient Centred Care and Patient expectations Flashcards
What is patient centred care?
What does it take into account?
It recognises that care should be..?
- A process that is people focused, promotes independence and autonomy, provides choice
and control. - It takes into account people’s needs and views and builds relationships with family members
- It recognises that care that care should be holistic and so includes a spiritual, pastoral and religious dimension.
What are the principles for patient centred care?
Respect for patients preferences
Coordination and integration of care
Information and education
Physical comfort
Emotional support
Involvement of family and friends
Continuity and transition
Access to care
Why is patient centred care important?
- Helps build relationships with our patients
- Encourages co-production
- Better health and wellbeing outcomes for our patients
- Increases efficiency of NHS services
- Increased job satisfaction for healthcare professionals
- Professional requirement
How can we apply patient centred care to practise as pharmacy professionals?
- Hello my name is… (builds trust/relationships)
- Ask rather than tell (open questions)
- Avoid medical jargon (Unless they understand)
- Allow them to voice opinions, open and honest
- Involving them in decisions about their care
- Awareness that impacts of medicine taking differs from patient to patient
Examples of cultural awareness:
- How you address a patient
- Creating a welcoming environment for all
- Never assume “ASS-U-ME”
- Ask open questions to give patients the opportunity to tell you things they want you to know about them
- Be patient
How do we ensure that patient safety is maintained? (4)
- Getting the culture right in our working environment
- Reporting adverse events
- Professional approach to errors
- Safeguarding
Describe The PUNITIVE Culture
- not common in healthcare settings
- Culture that assigns blame and punishment when something goes wrong.
- Results in fear
- less reporting
- less raising concerns
- Single instance can impact a large group of individuals
What is THE NO BLAME CULTURE?
- not common in healthcare settings
What does it result in?
- Doesn’t assign blame to anyone when something goes wrong
Results in: - Complacency
- No accountability
- Easy for people to abuse this culture
- Big impact on patient safety
What is the “JUST” CULTURE?
- Culture based on the principles of:
- Transparency
- Fairness
- Quality
- Reporting
- Learning & safety
- Creates an open culture and promotes
reporting when things go wrong
Why the “Just” Culture?
- Removes fear
- Increases sharing
- Encourages reporting concerns
- Allows learning from mistakes
- Promotes sharing lessons learnt
- Reduced risk of same error being made
- Fair accountability
= Improves patient safety
What is an adverse drug reaction?
What are some examples? (3)
Unwanted or harmful reaction which occurs after a drug(s) are administered and the reaction is
suspected or known to be due to the drug(s)
Penicillin – Rash
* Ramipril – cough
* Bisoprolol – low heat rate Penicillin – Rash
* Ramipril – cough
* Bisoprolol – low heat rate
Facts about adverse drug reactions (for info)
- 70% of these reactions are avoidable
- Increase mortality and morbidity in our patients
- Annual cost to the NHS = £380 MILLION
- 6-7% of hospital admissions are as a result of ADRs
Why is reporting of ADRs so important? (4)
- ADRs result in loss of patients confidence in the healthcare system & health care professionals
- Reduces quality of life
- Impacts patient compliance
- Cause diagnostic confusion →unnecessary treatments / tests
How do you report adverse drug reactions?
The Yellow Card Reporting Scheme
* All confirmed or suspected ADRs should be
reported via the yellow card scheme:
* BNF – yellow forms can be ripped out
and removed
* Online -https://yellowcard.mhra.gov.uk/
* Via the app
Who can report ADRs via the yellow card scheme?
✓Pharmacists & other pharmacy
professionals
✓Doctors
✓Nurses
✓Dentists
✓Other Healthcare Professionals
(physios, dieticians, Ots)
✓Patients & the public
