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Patient centred care
Thesis for patient centered care
Communication strategies used in health care
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Recommended: Patient centred care
My patient Mr A, mentioned in Task 2, is a 20-yr-old male who had a lateral collateral ligament sprain and a mild patellofemoral pain syndrome at his right knee. The patient was an enthusiastic part-time soccer player who longed to become a full-time player. While actively preparing for the upcoming matches, he had a collision with his teammate during a practice session 1/52 ago. I was asked by my clinical educator to give him an initial assessment and some treatments.
During the assessment, I asked him to walking along the corridor because I would like to observe his gait pattern. However, I could see that he was pushing himself to go as fast as he could and he told me that this injury has prevented him from running fast. I addressed
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Reflecting on my performance in delivering healthcare to Mr. A, I found out there were both good and bad points which enabled and hindered patient-centered care respectively. First of all, addressing his goal of returning to sports helped me to build rapport with the patient as patient will know that the physiotherapist would be working to solve what he concerned the most. This would also promote patient’s compliance to treatment when there was a specific goal. Using patients’ desire to motivate them is an effective technique to enhance compliance, and thus patient-centered care. What I also did well is customizing time allocation for different treatment parts. Rather than following a standardized routine of treatment, I learnt from past experience and used the time for what the patient wants the most. Moreover, communication also played the role as an enabler when delivering patient-centered care to Mr. …show more content…
Patient’s emotions can be a 2-sided sword when delivering patient centered care. Addressing their concern and anxiety can enhance patient compliance with treatment, rapport between the therapist the patient, as well as achieving patient’s desired outcomes. In order to address their concern, we need to develop empathy. Instead of giving pure suggestions or evidences, therapist should link up their instructions and education with patient’s real-life situation. For example, giving the prognosis and estimated period of recovery could Mr. A to plan for his upcoming soccer match. Instead of going with standardized speech and instructions, putting patient’s concern as the top priority of treatment goals, and telling him that we will be working on it is also communication technique which builds the bond in the therapist-patient relationship. Moreover, delivery of patient-centered care actually involves not only the patient, the therapist, but also the people surrounding the patient. If I met a patient who was influenced by external factors such as peer pressure, I would choose to seek help from other health care practitioners, to address the patient’s problem from different facets because patient’s health involves both physical and psychological
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Nowadays the concept of patient-centeredness plays an important role in high-quality health care. Patient-centeredness joins the care the patient is getting together with the care that the patient is willing to receive, giving therefore the patient a certain ethical authority. This particular approach to practice is built upon important concepts such as patient’s preferences respect, whole-person knowledge and creating an effective relationship between the patient and the clinician. These particular concepts might vary taking in consideration the condition of the patient and the patient himself. Patient-centeredness is also known as patient centered care. [1] [2]
Reinventing Healthcare-A Fred Friendly Seminar was produced in 2008. The film explores the current issues in health care at that time. This paper explores the issues that were addressed in the movie and compares them to the problems of health care today.
...e foot, asks the athlete exactly what happened and is informed that there was a ‘snapping’ noise heard at the time of injury. Due to swelling it would be difficult to palpate the joint line if the ankle, but there is pain on palpation. The therapist will direct the athlete to perform active movements of the ankle; the movements were not produced by the athlete due to the amount of pain. The next step is to get the athlete off of the pitch safely. Due to the lack of active movement there will be hesitation to apply full pressure on the ankle and the unusual positioning it would be best for the therapist to splint the ankle with a SAM splint and then remove from the pitch according to the EAP(see appendix 1&4) (Wilkerson, A.J. etal (2010).
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
Providing care today is much concentrated on “patient-centered” or “person centered,” or delivering care using a “client-centered approach”. In this discussion defines the history of the terms client-, patient-, and person-centered care and then focus on person-centered care, especially as it relates to nursing. In its landmark book Crossing the Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined patient centered 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.” Thus, efforts to promote patient-centered care should consider patient-centeredness of patients (and their families), clinicians, and health systems.
Patient-centered care (PCC) is a health care model focused on actively involving the patient in all aspects of planning, implementation, and monitoring of care. It integrates respect for the patient’s needs, values and beliefs into the healthcare process. Important aspects of PCC are collaborative care, family-centered care, and comfort. PCC allows the patient to have autonomy and encourages active participation in making decisions regarding their treatment.
Swankin, J.D. (2002). Patient-centred care. Current reality, barriers and proposed actions. http: www. iom.edu/iom/iomhome.nsf/Wfiles/ swankin/$file/ swankin.Patient-CtrdCare.ppt-.html.
Learning about the different types of interventions in the program and providing both pharmacologic and non-pharmacologic interventions in the clinical setting has taught this author what it really means to provide optimal, safe, and effective patient-centered care. In learning the different between the two types of interventions, this author can implement the proper interventions to meet the needs of a patient, care for the patient holistically, and produce a successful
I have a lot to reflect on from my clinical practice this week: working with my client’s primary care giver, my client’s complex health experience and through acknowledgement of the areas of practice of where I am wanting to improve confidence in my skills as a nursing student as well as recognizing and acknowledging areas I have strength in. These two clinical days gave me experience that enabled me to step forward in understanding of collaboration with other health care providers, new ways of finding information, working with a more acute client and recognition of feelings that develop in situations where I am strengthen my skills, and where I am needing work on my confidence in my skills and abilities to communicate with different care
Providing clinical treatment, education, and empathy while involving the patient in their care achieves a win-win situation for all. I have adapted my practice to address the primary needs of each patient; education and treatment are modified to attain the best outcome for every client. Segueing from the bedside to clinical research has permitted me to concentrate on the distinct needs of each patient; while allowing me to contribute to the advancement of science and treatment modalities. As I work towards obtaining my advanced practice degree, I have focused on the evolving changes in health care (Mudd, 2014, p. 2).
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
My most valuable work with patients is to listen and learn from each one, and let them determine their goals. The person in person-centered in care is more of an expert in what’s best for them than I am. As shocking as this fact was to me, it’s been liberating to let go of having to know everything about a patient that I just met. As a result of my experience with my therapy patients, person-centered care has now become the foundation of my practice.
Patient teaching is a big part of the nurse's role as it helps prevent further complications from arising and overall improving the patient's quality of life. It is our responsibility to fully educate our patients about their condition to guide them through the right direction. During clinical I got the opportunity to educate a 79-year-old patient with COPD on ways to improve his quality of life back at home. He already had all the complications that could arise from not managing COPD properly, so all we could do at this point was to teach him ways to manage his fatigue and shortness of breath.