Patient-Centered Care

PATIENT-CENTERED CARE

Group 1Mariel Lontoc

Josephine MacaraigJignasa 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).

KNOWLEDGE Information and skills acquired through

experience or education The theoretical and practical

understanding of a subject.

Critical Thinking using Knowledge

Definition

Creative thinking vs reflective thinking

Application in professional Nursing practice.

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.

Nursing Process as a Continuous Cycle

Assessment

Diagnosis

Implement

PLANEvaluate

Key Nursing concepts 4 Central Concepts:1. Human beings2. Environment3. Health 4. Nursing

Nursing roles in Patient Centered Care

Continuity of Care Assuring coordination Integration Communication

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

Vital signs

Temp 98.2 BP 155/42 HR 55 RR 22 No mention of pain A & Ox3 Ambulatory

Plan of Care Day 1 HD, treated for UTI Day 3 Gyn Consult noted fluctuance on

labial lesion 4x3cm Transferred to ACE unit

Patient in ACE unit

Assess patient cognition- MINI COG Monitor ADL, baseline function Ambulation Communal dining Activities IPOC rounds

Discharge Plans

HD 3x weekWhile waiting for a HD slot-pt transferred to a regular floorTwo weeks-developed progressive difficulty ambulatingGait unsteady, assist with ADL’sD/C to SNF

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?

Attitude Respecting, Recognizing and

Understanding patients cultural and social values along with ethical responsibilities in patients outcome.

Understanding Culture Culture

Transcultural nursing

Multicultural nursing

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

Professional Role Culturally Congruent Care

Multi Cultural Professionalism must occur.

Understanding physical appearance variations

Understanding variation in philosophy

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

Lesson Learned Preventing Hospital Acquired Disability

Team collaboration

Continuity of care

Client Advocate and Attitude

Patient Centered Care

Knowledge

AttitudeSkills

ReferencesBetancourt, 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 jama.ama-assn.org

QSEN - Quality & Safety Education for Nurses. (n.d.). Retrieved February 19, 2012, from http://www.qsen.org/

[email protected]

http://www.youtube.com/watch?v=SSauhroFTpk

Assessment tools (see forms)

Hood 7th edition 2009

Resources www. QSEN.ORG [email protected] http://www.youtube.com/watch?v=SSauh

roFTpk Assessment tools (see forms) Hood 7th edition 2009

Questions?