patient centric care Flashcards
(14 cards)
what are some principles of the Geseundheit! Institute?
care is based on an integrative medical model
patients are treated as friends
ample time is given to care interactions
trust is central to care interactions + no malpractice insurance
care is free… no 3rd party reimbursement accepted
the health of the care-giver is as important as the health of the care-receiver
what is spirituality?
can be defined as a sense of connection to something greater than oneself… such as a higher power, nature, or community
spirituality has played a role in healing practices thru out history
how does spiritual care benefit patients?
improved emotional and psychological well-being
reduced anxiety
better coping skills in the face of illness and death
—– spirituality can be particularly important in end-of-life care, as patients and their families often grapple with questions of meaning and purpose.
—– addressing these spiritual concerns can help patients find a sense of peace and acceptance in their final days
what are some challenges to addressing spirituality in modern medicine?
concerns about imposing one’s own beliefs on patients
navigating cultural and religious differences
limited time and resources
what is patient-centered care?
an approach to healthcare that focuses on the specific patient’s needs and preferences
it recognizes that spirituality is an important aspect of many patients’ lives and seeks to address their spiritual needs
expands on the disease-oriented model by incorporating the patient’s experience of illness, the psychosocial context, and shared decision-making
what are the Picker/Commonwealth Dimensions of patient centric care?
respect for patient-centered values, preferences, and expressed needs
coordination and integration of care
——- across clinical, ancillary, and support services
information, communication, and education
——– to facilitate autonomy, self-care, and health promotion
physical comfort
——– including pain management, help with activities of daily living, and clean and comfortable surroundings.
emotional support and alleviation of fear and anxiety
involvement of family and friends
——– in decision making and accommodating their needs as a caregiver
transition and continuity
——– when away from a clinical setting to ease transitions
access to care
——— less delays in time (waiting, admission, etc.)
what are the core concepts of patient- and family-centered care?
dignity and respect
—- health care practitioners listen to and honour patients and family perspectives and choices to incorporate it into planning and delivery
information sharing
—- health care practitioners communicate and share info with patients in ways that are affirming and useful
—- timely, complete, and accurate info in order to allow patients and family to effectively participate in care and decision making
participation
—- patients and families are encouraged and supported in participating in care and decision-making at the level they choose
collaboration
—- patients and families are also included on an institution-wide basis
—- e.g. policy implementation/development/evaluation, professional education, delivery of care
what is the Planetree model?
their mission is to advance patient-centered, holistic healthcare models that integrate scientific medicine with traditional healing
what are the elements of the Planetree patient-centered care model?
explicitly recognizing the importance of human interaction in terms of personalized care, kindness, and being “present” with patients.
informing and empowering diverse patient populations through consumer-oriented health libraries and patient education.
integrating health partnerships with family and friends in all aspects of care.
attending to the nurturing aspects of food and nutrition.
integrating complementary and alternative practices into conventional care and the healing process
creating healing environments thru architecture and design
what are the benefits of patient-centered care?
patient, providers, and health care systems benefit through:
Improved satisfaction scores among patients and their families.
Enhanced reputation of providers among health care consumers.
Better morale and productivity among clinicians and ancillary staff.
Improved resource allocation.
Reduced expenses and increased financial margins throughout the continuum of care.
what is happiness?
of subjective nature
a balance between the positive and negative
multi-dimensional
what is quality of life?
no perfect definition of QOL because it is made up of so many dimensions
state of complete physical, mental, and social well-being
not merely the absence of disease!
even if you have a health issue that has been resolved, there is still some residual effect of the original health problem
what is health-related quality of life?
HRQOL is shaped by the interplay between personal health experiences and the broader social and environmental context.
integrates both individual perceptions and broader community determinants, recognizing that policies, resources, and social conditions all contribute to how populations experience and perceive their health and daily functioning
what factors contribute to patient-centered care?
leadership, at the level of the CEO and board of directors, sufficiently committed and engaged to unify and sustain the organization in a common mission.
—– and a strategic vision clearly and constantly communicated to every member of the organization.
involvement of patients and families at multiple levels, not only in the care process but as full participants in key committees throughout the organization.
care for the caregivers through a supportive work environment that engages employees in all aspects of process design and treats them with the same dignity and respect that they are expected to show patients and families
systematic measurement and feedback to continuously monitor the impact of specific interventions and change strategies.
quality of the built environment that provides a supportive and nurturing physical space and design for patients, families, and employees alike.
supportive technology that engages patients and families directly in the process of care by facilitating information access and communication with their caregivers
