Patient-Centered Care

2. Patient-Centered Care

3. Introduction patient-centered care is care organized around the patient. It is a model in which providers partner with patients and families to identify and satisfy the full range of patient needs and preferences. It applies to patients of all ages, and It may be practiced in any health care setting.

4. Patient-centered care is about examining all aspects of the patient experience and considering them from the perspective of patients versus the convenience of providers. So nurse and other providers must be flexible, respect the patient’s beliefs and wishes, and negotiate with the patient to meet their expectations.

5. Patient-centered care include a strong role for both the physician and nurse as an invaluable team toward the delivery of patient-centered care with the patient as the third and most important member at the center and constant focus of care. Where one team member is in the primary role at one point, the others are in the supportive roles, of which continually interact and change in a fluent cohesiveness.

6. Patient-centered care include a strong role for both the physician and nurse as an invaluable team toward the delivery of patient-centered care with the patient as the third and most important member at the center and constant focus of care. Where one team member is in the primary role at one point, the others are in the supportive roles, of which continually interact and change in a fluent cohesiveness.

7. Patient-centered care ensures that transitions between providers, departments, and health care settings are respectful, coordinated, and efficient. When care is patient centered, unneeded and unwanted services can be reduced. Ultimately, it is about a collective commitment to a set of beliefs about the way patients will be cared for, how family will be treated, how leadership will support staff, and how staff will nurture each other and themselves.

8. Several terms are used interchangeably or associated with ‘patient-centered care’; these are described below

9. Consumer-centered care The term ‘consumer - centered care’ is sometimes preferred to ‘patient -centered care’ it acknowledge that care should focus on people who are actual or potential users of healthcare services. For some, the term ‘patient’ has passive overtones . In contrast, the term ‘consumer’ is seen as a more active term, encompassing the need to engage people as partners in health service

10. Person-centered care The term ‘patient-centered care’ is often used interchangeably in primary care settings with terms such as ‘person- centered care’, ‘person- centeredness’, ‘relationship -centered care’ and ‘personalized care’. This term appears more frequently in literature on the care of older people, and focuses on developing relationships and plans of care collaboratively between staff and patients.

11. Personalized care Personalized care’ is the integrated practice of medicine and patient care based on one’s unique biology, behavior and environment. Personalized care uses genomics and other molecular-level techniques in clinical care; as well as health information technology, to integrate clinical care with the individualized treatment of patients.

12. Family-centered care This term emerged in response to the needs of families with children who could not leave hospital. These families sought to work more collaboratively with health care professionals and successfully advocated for changes to enable them to care for their children in home and community settings.

13. The myths of patient – centered care *Providing patient-centered care is too costly * Patient-centered care is ―nice. * Providing patient-centered care is the job of nurses * To provide patient-centered care, we will have to increase staffing ratios * Patient-centered care can only be effective in a small hospital * There is no evidence to prove patient-centered care is an effective model *Many patient-centered practices compromise infection control efforts

14. *The first step to becoming a patient-centered hospital is construction * Patient-centered care is a magic bullet * We have already received a number of quality awards, so we must be patient-centered care * Our patients aren‘t complaining, so we must be meeting all their needs * We‘re already doing another model, so we can‘t take on patient-centered care * Being patient-centered is too time consuming

15. Objectives of Patient Centered Care •Care delivered in a timely, safe and appropriate manner according to professional standards, medico-legal and statutory requirements. •Nursing delivery of inpatient care will be reflective of patient acuity and staff skill level. •Care is co-coordinated to ensure the best possible outcomes for the patient.

16. •No duplication of patient care •An equitable distribution of work •A multidisciplinary approach to delivery of care •To ensure a holistic approach in the delivery of nursing services which reflects current professional

17. values and guiding principles 1-Dignity and Respect As an interprofessional healthcare team, we listen to and honour the perspective, wishes and choices of our patients and their families.  The knowledge, values, beliefs and culture of our patients and their family members are incorporated into their plan and delivery of care.

18. 2-Information Sharing We openly communicate and share timely, complete and accurate information with our patients to help them understand, and we encourage them to participate in decisions about their care. 3-Participation We encourage and support patients and their families to participate in and make decisions about their care.

19. 4-Collaboration We work together with patients and families to design, implement and deliver the best care possible.  This philosophy goes into everything we do, from providing care to program planning

20. Barriers to PCC Numerous barriers in pursuing PCC, including the following: *Difficulty recruiting and retaining underrepresented minority physicians; *Lack of defined ‘boundaries’ for outreach staff who may be overwhelmed dealing with interrelated health, social, cultural, and economic issues of patients; *Strict hiring requirements that pose obstacles to hiring neighborhood residents;

21. * Lack of tools to gauge and reward PCC performance; * Financial constraints; * Traditional attitudes among staff unwilling to change the “old school” provider/patient relationship or acknowledge and address cultural and socio-economic issues. * Fatigue and competing priorities.