...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...Most of the memorable stories that resonate with readers have a major central theme/s that directs the plot and ties in all the elements of fiction together such as characters, settings, and conflicts. Similarly, the central theme underlying my journey “To search for meaning through medicine” centers around patient centered care. Patient centered care involves respecting patient’s cultural values, preferences, and needs and ensuring that patient’s values guide all clinical decisions (Institute of Medicine). This idea of patient centered care is at the heart of my journey. It was this revelation that sparked my interest in medicine in the first place and it was this concept that urged me to apply to Mayo Clinic School of Medicine. The consciousness...
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...Patient-Centered Care and Communication in Critical Care Pikes Peak Community College Patient-Centered Care and Communication in Critical Care Introduction Communication is a key component in nursing care. As nurses we must communicate with our patient’s, patients’ families, and a wide variety of healthcare team members. Communication can be vital to patient’s lives, informative to physicians, and calming or educational to families. The communication method, or theme, that a nurse uses as part of her care can positively, or negatively, affect every aspect of patient care. Communication plays a huge role in the way I care for patients and their families. Without positive, supportive communication I would have a very difficult time building a trusting relationship with my patients. My nursing career goal is to one day become a critical care nurse. I chose this article to further educate myself about affective communication and how I can apply this knowledge in a critical care setting. As a nurse working in the Intensive Care Unit, communication has a critical role in patient-centered care. The objective of this study was to perform a qualitative analysis of nurses’ communication behaviors to develop interventions that will improve patient-centered communication in the critical care setting. The theoretical model of patient-centered care contains five domains. The five domains include: the biopsychosocial perspective; the patient-as-person; sharing power and responsibility;...
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...Analysis of Patient Centered Care Monet J. Scott Chamberlain College of Nursing NR: 501 Theoretical Basis Advance Nursing May 2015 Concept Analysis of Patient Centered Care A concept analysis seeks to outline, distinguish, and enhance the clarity of the nursing profession as well as stimulate future research endeavors. Within the development of a concept analysis, notions and thoughts are outlined and examined through the fundamental features of that particular concept. According to Walker & Avant (2011), the seven steps to accomplishing a concept analysis includes the selection of a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case of the concept, identifying antecedents and consequences, and identifying empirical references. Patient centered care is an imperative task performed by not only nurses, but the absolute interdisciplinary staff involved. It is essential to the establishment of quality care with the ultimate goal of positive patient outcomes. Several responsibilities of the nurse for patient centered care may include pain relief, listening, advocating for the patient, disease prevention, health promotion, respect for patient values and preferences, and maintaining patient dignity and identity (Lusk & Fater, 2013). Jean Watson’s theory of caring closes correlates with the concept of patient centered care in respect to the practice of nursing. This concept analysis of patient centered...
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...Patient-Centered Care: Core Competency Patient centered care is considered the key competency in which the other four competencies function. The other four competencies include: working with an interprofessional team, employing evidence-based practice, ensuring quality improvement, and utilizing informatics. The Institute of Medicine (IOM) describes patient-centered care as being able to identify, respect and care about patients’ differences, their values, preferences, and expressed needs. Patient-centered care also includes being able to relieve pain and suffering, coordinate continuous care including: listening to, clearly informing, communicating with, educating patients, sharing decision-making and management; and continuously advocating disease prevention, wellness, and the promotion of living a healthy lifestyle, including a focus on population health (Finkelman...
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...Care Management Model Based on My Philosophy Care Management A shift from encounter based care to continuums of care is one of the biggest changes occurring in health care today. This change is driven by governmental legislation, payer incentives, and the recognized need by providers and healthcare systems. The lack of coordinated care results in medical errors, unnecessary procedures, and other forms of waste. This also creates higher costs for the patient, lower quality, and produces an unsatisfactory patient experience. A study performed by the Midwest Business Group on Health in collaboration with the Juran Institute revealed that 30% of all health care expenses result from poor quality care. In 2009, total health expenditures in the U.S. were $2.5 trillion. This means that $750 billion was the result of poor quality (Ralston & Park, 2011). Care Management Model Based on My Philosophy Case management and clinical pathways are strategies used to manage patient care. Although they use different approaches, both are related. The primary function of a case management program is to enhance the coordination of needed resources for patients and their families. Case managers facilitate access to services, both clinical and non-clinical, by connecting the individuals to resources that support him/her in playing an active role in the self-direction of his/her health care needs. Clinical pathways, on the other hand, are tools and systems. The tool reflects only part of the case...
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...avert a government shutdown[->0] after midnight action in the House to delay President Obama[->1]'s healthcare law[->2], with both parties trading accusations Sunday about who would be to blame for an impasse. Neither the House nor Senate[->3] planned to meet Sunday, with fewer than 36 hours left to approve a new stopgap spending measure. Instead, members of Congress[->4] fanned out to the TV networks' Sunday news shows to react to mostly party-line votes the House took overnight to again send the spending bill back to the Senate with provisions to undermine the Affordable Care Act. Republicans[->5] have insisted that such provisions be part of any deal to keep federal agencies open once the new budget year begins Tuesday. Sen. Ted Cruz[->6] (R-Texas), who has assumed a lead role among conservatives in pursuing the “defund or delay” strategy, repeatedly argued Sunday that Senate Majority Leader Harry Reid[->7] (D-Nev.) now stands in the way of a resolution. Cruz accused Reid of using "brute political force" to resist any changes in the healthcare law, which Cruz described as the "biggest job-killer in this country." "So far Majority Leader Harry Reid has essentially told the House of Representatives[->8] and the American people, 'Go jump in a lake,' " Cruz said on NBC's "Meet The Press." "If we have a shutdown, it will only be because when the Senate comes back, Harry Reid says, 'I refuse even to talk.' " Reid on Saturday called the Republicans' latest offer — a one-year...
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...The Liverpool Care Pathway: Does it improve the quality of dying? The Liverpool Care Pathway (LCP) is an integrated care pathway developed in the late 1990’s (Ellershaw et al, 1997) as a means of transferring best practice in care of the dying, from the hospice environment to other sectors starting in the acute setting. Currently the LCP is a recognised tool used by clinicians in the United Kingdom as well as over twenty countries, to give appropriate care to patients who have reached the last hours or days of their lives. Described to provide comfort to the dying and also address the needs of the carers (Chapman 2009). During this assignment the author will highlight and explain how a data search was conducted, and will analyse the data retrieved, explaining and evaluating the data to build a discussion based on the chosen topic of end of life care, with a focus on the Liverpool Care Pathway. The author will conclude by producing recommendations for practice. Although described above that the Liverpool Care Pathway is an appropriate tool for providing adequate care for patients, it can also be seen as a controversial pathway, being described as a ‘tick box’ approach rather than a humanistic approach (Chapman 2010). It has been referred to by the UK’s Daily Telegraph as ‘sentenced to death on the National Health Service’ (Devlin 2009). The author has a keen interest in palliative care, after researching is interested in enhancing knowledge surrounding the LCP as there are many...
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...Assisted Suicide: Governmental or Personal Decision? Assisted suicide is a widely argued ethical issue. A lot of the debate on this subject stems from either different viewpoints of when this act is appropriate, or what the resulting consequences would be if such an act were ever permissible. The point mostly debated between opposing sides is life-worth. What constitutes a life worth living and who is to ultimately decide this? The main problem with this question is that suffering cannot be measured unless one is to endure that same suffering themselves. The view that life is a special gift bestowed by God is held highly by many religions and it is of most importance to them when the debate on assisted suicides arises. A gift from God should not be tampered with let alone destructed. Although the number of ethical issues involved is endless this paper will be focusing on three points. The first point engages in the ethics of assisted suicide and will involve the psychologically vulnerable and the elderly. The second ethical issue to be mentioned will be the presence and/or lack of a definition for a terminal illness. The last point is concerned with the human will to power and how this creates a problem should assisted suicide be permissible. These ethical issues, although strong convictions on their own, can lead to slippery slope arguments and must be looked at very carefully. In addition depending on the standpoint that one would take, these arguments have both strengths and...
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...Advice and Resources > What is Patient Centered Care and how is it Better? What is Patient Centered Care and how is it Better? By Leslie McKerns On May 11, 2007 With the advent of managed care, more patients are seen in shorter amounts of time and the amount of one-on-one time with the doctor seems to be on the verge of evaporating. Escalating pressures on the physician and the medical staff increase as health care approval agencies mandate more paperwork and justification for procedures. From the patients’ perspective, care has become centered not on the needs of patients, but around the needs of the system itself. Patient-centered care is a quality benchmark actively sought by medical care professionals, eager to deliver dignified care and re-establish patient satisfaction. How do we define Patient-centered care and its goals? Patient-centered care treats the patient with dignity and respect, as one capable of making informed decisions and with the rights to express needs and preferences in treatment and expected outcome. Patient-centered care is based upon communication and involves both patient and their families in the treatment options and potential outcomes. Patient-centered care involves the patient in all aspects of their care and empowers them to seek the best solution for management or treatment. It moves the medical practice away from minimal communication towards open communication. Physicians in patient-centered care practices ask open-ended questions...
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...Leadership SMART Goal Sherri Love Chamberlain School of Nursing Christle Shavers NR 447 Collaborative Health Care Team-building Leadership Core healthcare competence According to the Institute of Medicine, patient-centered is “health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care” (2001). There are many attributes that can be associated with patient-centered care. First, there is the requirement for education and shared knowledge; second is the requirement for the involvement of a patient’s family and friends; and third is collaboration and management of a care team. Since patient-centered care connotes healthcare that is solely focused on the needs of the patient, there is need for nurses and other health care providers to be sensitive to the spiritual dimensions of care as well as to other non-medical attributes of human nature. The patient should be respected and his needs and preferences should form the core of the decisions made by health care providers. As a requirement, and to streamline care, there is need for information to flow from the experts to the patients and to the family and be accessible to the relevant parties. Leadership SMART goal I will learn how to handle a patient’s members...
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...INTRODUCTION In recent years, patient-centeredness and cultural competence have been promoted as integral to improving health care quality. Although patient- centeredness and cultural competence have grown out of separate traditions each with its own focus they have many similarities. Health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered. Proponents of patient-centeredness may therefore view cultural competence as within its purview; likewise, proponents of cultural competence may view patient-centeredness as an essential element. THE EVOLUTION OF PATIENT-CENTEREDNESS Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." The term “patient-centered medicine” was originally coined by Balint in 1969 to express the belief that each patient “has to be understood as a unique human being (Balint)".The concept has evolved and expanded, and today, no one would deny that health care should be patient-centered.2 However, despite universal endorsement of patient-centeredness, there is considerable ambiguity in its definition and use across settings...
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...RVH uses a patient-centered comprehensive care approach for patient management. All considerations of the patient’s personal preferences and values, their family situations, and their lifestyles are made. The patient and their loved ones are an integral part of the treatment team in that they collaborate with their health care professionals in making clinical decisions for patients. This is evident across the continuum of care with all focus on the patient and by extension to their family. When analyzing this organization using the Patient- and Family-Centered Care Organizational Self-Assessment Tool, low marks are received across the board except in the area of communication with hospital staff. RVH spear headed a Patient-Center bedside report years ago and encourage patients and their family to be actively involved during nurse to nurse report. This has become a standard of care across the continuum of all hospitals and proven to save time, improve communication and care, but most important save lives. Daily meetings or phone calls with family are the expectation for doctors while patients are in the hospital. This coupled with 24 hour visitation on all units encourages family involvement in patient care. In RVH outpatient settings, patient/family centered care is evident with the introduction 3 years ago of MYChart where patients and family can receive up to date information specific to their care, and have direct communication with their doctors. However, patients...
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...According to Winthrop university hospital, patient and family-centered care gives patients a voice in the planning, delivery, and evaluation of their care which leads to better adherence to the patients’ plan of care (“Winthrop University,”2016). Children’s Mercy Hospital in Kansas City also incorporates the concept of patient and family-centered care in their practice. Children’s mercy hospital define patient and family-centered care based on four key elements which include dignity and respect for patients’ and families’ values and beliefs; information sharing to promote effective participation in health care decisions; encouraging patients and families to participate in decision-making; and collaboration, which incorporates patients, families, healthcare providers along with different departments in the hospital in order to provide the best possible care (“Children's Mercy,”...
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...Quality and Patient-Centered Care SO and SO Such and Such University Nurs2263-04 Summary of Service Quality and Patient-Centered Care Quality patient centered care is vital to a hospital or clinic’s ability to treat whole patients. Dabney and Tzeng (2013) address the necessity to implement patient-centered care into clinic and hospital settings. The article clarifies what patient-centered care and service quality is by consolidating many works and sighting benefits medical professionals can observe in their practice. Dabney and Tzang (2013) highlight the importance, sighting the Department of Heath and Human Services heads (2011), urging health care providers to improve their overall quality of health care by making it more patient centered. Patient-centered care, or person-centered care, refers to the therapeutic relationship between health care providers and recipients of health care services, with emphasis on meeting the needs of individual patients (Dabney and Tzang 2013). This process allows the patient to become a more active part of the healing process. By implementing a patient-centered approach a health care provider will increase quality of services offered and also better educate patients in disease prevention (Dabney and Tzang 2013). Moreover, a patient will be more willing to communicate with the clinical staff if they feel they are being cared for in a personalized way. Communication between provider and patient is crucial...
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