INTRODUCTION OF NURSING 1.2 Patient centred Care

INTRODUCTION OF NURSING




1.2 Patient centred Care




1 HOUR























JULIE JAMES ABDULLAH

At the end of the training session the
Be
students will be able to: -










State the definition of patient and patient
State centered care

Learning




Outcomes


Describe the principles of patient centered
Describe
care.










Explain the importance of patient centered
Explain
care..

Content 1. Definition of


• Patient
Outline

• Patient centered care

2. Picker’s 8 principles of patient centered

care


• Respect for patients, preferences and

expressed need



• Coordination and integration of care



Content • Information and education

• Physical comfort

Outline • Emotional support & alleviation of fear &



anxiety


• Involvement of family & friends



• Continuity & transition


• Access to care

3. The importance of patient centered care



• Improve patient satisfaction


• Encourage patient to lead healthier lifestyle



• Patient to be more involved in decision

Content about their health care




Outline • Impact on patient’s health outcomes &

maintenance



• Reduce the patient need of healthcare

services



• Improve confidence & satisfaction of


healthcare professionals

Definition








Patient






Patient centered care

Patient

















• A patient is someone who is waiting for or receiving medical treatment and care.


(Taber’s Medical Dictionary).






• According to the Kamus Dewan, the word patient comes from the Latin word meaning to

suffer or to endure.

Patient

















• Patient also comes from the word patience








The old tradition



• The patient is a passive person, patiently receiving whatever


treatment or care he or she receives from the nurse.

Patient

















Today is a patient


• attitude and feeling more active



• want more and also want to know more and they realize their

rights.



• more knowledge of their health, their disease



• have the right to take care of their health.

Patient Centered Care

















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.”



Picker’s 8




principles of




patient





centered care

Involve patients in decision-



making, recognizing they are
a. Respect for




patients, individuals with their own

unique values and preferences.
preferences




and




expressed Treat patients with dignity,
respect and sensitivity to

need

his/her cultural values and



autonomy.

During focus groups, patients expressed feeling vulnerable
and powerless in the face of illness. Proper coordination of

care can alleviate those feelings.






Patients identified three areas in which care coordination
can reduce feelings of vulnerability:
b. Coordination



and

Coordination of clinical care
integration



of care



Coordination of ancillary and support services










Coordination of front-line patient care

In interviews, patients expressed their worries that they

were not being completely informed about their condition
or prognosis.






To counter this fear, hospitals can focus on three kinds of
communication:


c. Information



and Information on clinical status, progress and prognosis




education





Information on processes of care








Information to facilitate autonomy, self-care and health

promotion

The level of physical comfort patients report

has a significant impact on their experience.






Three areas were reported as particularly

important to patients:




d. Physical


Pain management
comfort






Assistance with activities and daily living

needs








Hospital surroundings and environment

Fear and anxiety associated with illness can

be as debilitating as the physical effects.






e. Emotional Caregivers should pay particular attention

to:

support &




alleviation Anxiety over physical status, treatment and

prognosis

of fear &



Anxiety over the impact of the illness on
anxiety themselves and family










Anxiety over the financial impact of illness

This principle addresses the role of family and


friends in the patient experience.




Family dimensions of patient-centered care were

identified as follows:





f. Involvement Providing accommodations for family and friends



of family &



friends Involving family and close friends in decision making









Supporting family members as caregivers







Recognizing the needs of family and friends

Patients expressed concern about their


ability to care for themselves after


discharge.








g. Continuity Meeting patient needs in this area


requires the following:
&




transition • Understandable, detailed information regarding

medications, physical limitations, dietary needs,

etc.

• Coordinate and plan ongoing treatment and

services after discharge


• Provide information regarding access to clinical,

social, physical and financial support on a

continuing basis.

Patients need to know they can access care

when it is needed.








Focusing mainly on ambulatory care, the

following areas were of importance to the

8. Access to patient:




care • Access to the location of hospitals, clinics and physician

offices

• Availability of transportation

• Ease of scheduling appointments


• Availability of appointments when needed

• Accessibility to specialists or specialty services when a

referral is made

• Clear instructions provided on when and how to get

referrals.

The Importance Of





Patient Centered Care

a. Improve patient satisfaction






















Patients receiving this


kind of care are happier, It improves quality of


more satisfied, heal life.


more quickly, are in less



pain and stay healthier.

b. Encourage patient to lead healthier lifestyle

















Research conducted showed:



• frequent healthcare visits create an opportunity for healthcare


providers to encourage adoption and maintenance of healthy


diet and physical activity behaviors.








• This healthcare visit is one of the activities in patient centered


care

c. Patient to be more involved in decision



about their health care













• Engaged patients are more likely to receive recommended screenings,

follow treatment guidelines, and lead a healthy lifestyle.






• engaged patients are ones that:

✓Understand their conditions


✓Understand the treatment and what it will do for them

✓Believe the treatment will make a difference in their lives.

d. Impact on patient’s health outcomes &



maintenance














• When a patient trusts that a treatment will be effective, there's a


much higher chance it will work for them and produce the


desired results.

e. Reduce the patient need of healthcare



services














• As the patient & family consistency engaged with care of own


health, the need of healthcare services will be reduce.

f. Improve confidence & satisfaction of



healthcare professionals


















A more efficient system Improved retention


decreases employee


burnout, improves staff contributes to high-quality

relationships, and staff, less training costs and


enhances patient-caretaker decreased expenses due to
inefficient practices.
interactions.

Reading article









• https://bmchealthservres.biomedcentral.com/articles/10.1186/s1291

3-018-3818-y








• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893434/









• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060529/