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Patient-Centered Care

Patient-Centered Care. Group 1 Mariel Lontoc Josephine Macaraig Jignasa Pancholy. DEFINITION. Recognize the patient or designee as the source of control and full partner in providing and coordinated care based on respect for patient’s preference’s, values and needs . (QSEN).

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Patient-Centered Care

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  1. Patient-Centered Care Group 1 Mariel Lontoc Josephine Macaraig JignasaPancholy

  2. DEFINITION • Recognize the patient or designee as the source of control and full partner in providing and coordinated care based on respect for patient’s preference’s,values and needs. (QSEN).

  3. KNOWLEDGE • Information and skills acquired through experience or education • The theoretical and practical understanding of a subject.

  4. Critical Thinking using Knowledge • Definition • Creative thinking vs reflective thinking • Application in professional Nursing practice.

  5. Clinical Judgment in Patient Centered Care • Gather all pertinent information • Collaborate with the team • Use critical thinking and problem solving skills • Consider patients values, beliefs and goals when appropriate.

  6. Nursing Process as a Continuous Cycle Assessment Diagnosis PLAN Evaluate Implement

  7. Key Nursing concepts • 4 Central Concepts: • Human beings • Environment • Health • Nursing

  8. Nursing roles in Patient Centered Care • Continuity of Care • Assuring coordination • Integration • Communication

  9. CASE STUDY • Ms. N 70 y.o. female • c/o left labial pain, hematuria x3d • Hx: DM, HTN, CKD, CAD, PVD, DN • Arrived from Philippines. ‘97 • Separated from husband • 6 children • $300 income SSI • Guest friends house

  10. Vital signs • Temp 98.2 • BP 155/42 • HR 55 • RR 22 • No mention of pain • A & Ox3 • Ambulatory

  11. Plan of Care • Day 1 HD, treated for UTI • Day 3 Gyn Consult noted fluctuance on labial lesion 4x3cm • Transferred to ACE unit

  12. Patient in ACE unit • Assess patient cognition- MINI COG • Monitor ADL, baseline function • Ambulation • Communal dining • Activities • IPOC rounds

  13. Discharge Plans • HD 3x week While waiting for a HD slot-pt transferred to a regular floor Two weeks-developed progressive difficulty ambulating Gait unsteady, assist with ADL’s D/C to SNF

  14. Ethical and legal implications of patient-centered care • Law and Ethics • Ethical standard: Consider the patient’s wishes and goals • Care for the whole patient • Legal standard: What would a reasonably prudent nurse in like or similar circumstances do?

  15. Attitude • Respecting, Recognizing and Understanding patients cultural and social values along with ethical responsibilities in patients outcome.

  16. Understanding Culture • Culture • Transcultural nursing • Multicultural nursing

  17. Establishing Cultural Competences • Examination of personal Values, Beliefs , Biases, and prejudices. • Cultural Awareness • Specific Communication Strategies • Interaction with Different Cultures • Mistake Identification and Acknowledgement • Remediation for Cultural Mistakes

  18. Professional Role • Culturally Congruent Care • Multi Cultural Professionalism must occur. • Understanding physical appearance variations • Understanding variation in philosophy

  19. Case Study-Evidence based • Ms. N was one of the victim of Hospital –Associated Disability • Ms. N was an immigrant from Philippines and her primary language was Tagalog • Ms. N came for pain on her libia • Ms. N was placed in long term care

  20. Lesson Learned • Preventing Hospital Acquired Disability • Team collaboration • Continuity of care • Client Advocate and Attitude

  21. Patient Centered Care

  22. References Betancourt, J. R. (2004, September 2). Cultural Competence — Marginal or Mainstream Movement? The New England Journal of Medicine, 351(2004), 953-955. Covinsky, K. E., Pierluissi, E., & Johnston, B. C. (2011, October 26). Hospitalization-Associated Disability. JAMA, 306(16), 1782-1793. Retrieved from QSEN - Quality & Safety Education for Nurses. (n.d.). Retrieved February 19, 2012, from Assessment tools (see forms) Hood 7th edition 2009

  23. Resources • www. QSEN.ORG • • • Assessment tools (see forms) • Hood 7th edition 2009

  24. Questions?

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