Ask the nursing expert ... about patient-focused care
Angel McGarrity-Davis, RN, CDONA, NHA
Can you give some highlights on patient-centered care?
Examples of person- and family-centered care include patient and family engagement in care, care based on patient essentials and preferences, shared decision-making, and initiation for self-care management.
Assessments, interventions and plans of care should acknowledge and address medical, behavioral and social needs, and should reflect the ability or willingness of the care recipient to be an effective contributor in making healthcare decisions.
The process of plan of care's goal-setting should be a collective one driven by the patient in collaboration with the primary care provider and multidisciplinary team members. Examples of the patient's needs requiring consideration within “Patient-Centered Care” are as follows:
Cultural — Recognize religious dignity, language, and culture
Psychosocial — Mental health, advanced directives, cognitive impairment
Physiological — Diagnosis, medical follow-up, symptoms, care options
Beneficiary — Empowerment, education, respect for wishes, informed consent
Family — Identification of assistance, education, caregivers needs
Coordination — Multidisciplinary team approach
Environmental — Least restrictive environment, lawn, pets, meals, etc.
Spiritual — Assess and intervene with their wishes of spiritual needs
Financial — Must take into account what financial resources are available to them
There are many more aspects of patient-centered care. Until we care for the “whole” person, using the multidisciplinary team, we'll never fix healthcare.