Patient and Family Centered Care

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Questions and Answers

What is a primary reason for dedicating a course to Patient and Family Centered Care?

  • It focuses on medical staff training.
  • It seeks to reduce patient wait times.
  • It prioritizes patient dignity and respect. (correct)
  • It emphasizes cost reduction in healthcare.

Which of the following is NOT a right of patients in Canada?

  • To refuse consent to any proposed treatment.
  • To request a second opinion.
  • To receive appropriate and timely care.
  • To have unrestricted access to health services. (correct)

How does patient-centered care influence clinical decisions?

  • It prioritizes physician preferences over patient needs.
  • It integrates patient values into treatment formulation. (correct)
  • It excludes family wishes from treatment plans.
  • It encourages personal biases to guide treatment.

What does the Canadian Charter of Rights and Freedoms ensure regarding multiculturalism?

<p>It guarantees individual rights while acknowledging cultural diversity. (D)</p> Signup and view all the answers

What is the significance of cultural safety in patient care?

<p>It emphasizes the need for cultural curiosity and understanding. (A)</p> Signup and view all the answers

Which statement best reflects the relationship between socio-cultural background and patient care?

<p>Understanding socio-cultural background influences patient beliefs and behaviors. (B)</p> Signup and view all the answers

What is a key characteristic of respectful, patient-centered care?

<p>It entails a dialogue respecting individual preferences. (A)</p> Signup and view all the answers

What is the primary purpose of Knowledge Translation tools in healthcare?

<p>To facilitate shared decision-making between patients and clinicians (A)</p> Signup and view all the answers

Which of the following is an example of a nonvisible sign of culture?

<p>Personal beliefs about time (B)</p> Signup and view all the answers

How might a cultural misunderstanding affect interactions between patients and healthcare providers?

<p>It might lead to an accidental offense or miscommunication (D)</p> Signup and view all the answers

In the context of health and culture, what might influence a patient's approach to treatment options?

<p>Their cultural beliefs regarding the cause of disease and treatment (C)</p> Signup and view all the answers

What is a potential issue faced by healthcare providers working with diverse patient populations in Canada?

<p>Language barriers complicating communication and understanding (A)</p> Signup and view all the answers

What was the consequence for the plastic surgeon after the complaint was made?

<p>He was required to undertake sensitivity training. (C)</p> Signup and view all the answers

Which principle emphasizes the need for nurses to maintain the trust of patients?

<p>Nurses act with integrity to maintain patients' trust. (B)</p> Signup and view all the answers

What does dignity encompass in the context of patient care?

<p>Being appreciated for life accomplishments and contributions. (D)</p> Signup and view all the answers

How did HealthHub Patient Engagement Solutions begin its operation?

<p>By developing patient entertainment systems in hospitals. (A)</p> Signup and view all the answers

What is a fundamental commitment of the medical profession regarding patient treatment?

<p>Respect the autonomy of the patient. (C)</p> Signup and view all the answers

What service does VOYCE offer?

<p>On-demand Video Remote Interpreters. (A)</p> Signup and view all the answers

Which of the following principles is NOT part of the Code of Respect for nurses?

<p>Nurses exploit patients for personal gain. (A)</p> Signup and view all the answers

What is the primary role of the integrated bedside terminal provided by HealthHub?

<p>It facilitates digital health care engagement solutions. (A)</p> Signup and view all the answers

What is a key aspect of treating patients with dignity in healthcare?

<p>Acknowledging their contributions to society. (A)</p> Signup and view all the answers

What is the primary goal of expanding virtual language interpretation services in Canadian hospitals?

<p>To eliminate language barriers between hospital staff and patients. (D)</p> Signup and view all the answers

According to the study by Health Canada, what are limited English proficient patients at a higher risk of experiencing?

<p>Increased risk of medication errors and complications. (A)</p> Signup and view all the answers

What does Shared Decision-Making (SDM) primarily aim to achieve?

<p>To help patients make decisions that align with their values and evidence. (D)</p> Signup and view all the answers

For patients like John, who are at risk of lung cancer, what is the recommended screening protocol by the College of Family Physicians of Canada?

<p>Annual screening with low-dose computed tomography for ages 55 to 74 with significant smoking history. (B)</p> Signup and view all the answers

What aspect of digital health technology in Canada has been accelerated by the COVID-19 pandemic?

<p>The integration of virtual consultation services. (B)</p> Signup and view all the answers

How many languages and dialects will the Voyce software support for interpreting services?

<p>Over 235 languages and dialects. (C)</p> Signup and view all the answers

What is one potential consequence mentioned regarding patients facing language barriers?

<p>They are likely to experience adverse events. (B)</p> Signup and view all the answers

In the context of Shared Decision-Making, what factor is essential when assessing screening conditions?

<p>The potential benefits or harms from the screening. (B)</p> Signup and view all the answers

What issue is frequently not protected for limited English proficient patients?

<p>Informed consent and confidentiality. (D)</p> Signup and view all the answers

Why is John's smoking history relevant to his lung cancer screening recommendation?

<p>It identifies him as a candidate for annual CT screening. (B)</p> Signup and view all the answers

What is the primary purpose of risk communication in shared decision-making?

<p>To communicate the benefits and harms of interventions based on evidence (C)</p> Signup and view all the answers

What does values clarification involve in the context of shared decision-making?

<p>Understanding what matters most to the patient and their family (A)</p> Signup and view all the answers

In what scenario is shared decision-making particularly relevant?

<p>When individual patient values and preferences significantly affect the outcome of a decision (D)</p> Signup and view all the answers

What is the first step in the process of shared decision-making?

<p>Identify a clear decision regarding the patient's awareness of options (C)</p> Signup and view all the answers

What aspect is crucial for a physician when discussing lung cancer screening with a patient?

<p>Balancing the statistical risks of lung cancer with patient understanding (B)</p> Signup and view all the answers

Which of the following statements best reflects the nature of shared decision-making?

<p>It requires mutual influence between the healthcare provider and the patient (C)</p> Signup and view all the answers

What is one of the main weaknesses in the recommendation for screening in healthcare settings?

<p>The recommendation is based on low-quality evidence (C)</p> Signup and view all the answers

When assessing comfort level in shared decision-making, what is being evaluated?

<p>The patient's feelings towards the final decision made (C)</p> Signup and view all the answers

What information did the physician provide to John regarding lung cancer statistics?

<p>16 smokers per 1000 die from lung cancer within a median follow-up (D)</p> Signup and view all the answers

Which element is fundamental to successful shared decision-making?

<p>Incorporating evidence and patient values into healthcare decisions (A)</p> Signup and view all the answers

Flashcards

Patient-Centred Care

A person's needs and preferences should guide their health care plan, with their values considered in every decision.

Respectful Care

Treating individuals with dignity, respect, and understanding of their cultural background.

Cultural Safety

Understanding and valuing the diversity of beliefs, customs, and practices within a society.

Canadian Charter of Rights and Freedoms

The Canadian law that protects individual rights and freedoms, emphasizing the importance of multiculturalism.

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Cultural Curiosity

The ability to identify a patient's cultural background and its effect on their beliefs and actions.

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Refusal of Treatment

Patients have the right to refuse any suggested treatment, making informed choices about their own health.

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Second Opinion

The process of obtaining a second medical opinion from another healthcare provider.

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Sensitivity Training for Surgeons

The College of Physicians and Surgeons of Ontario (CPSO) required a plastic surgeon to take sensitivity training after he asked a veiled patient to remove her veil so he could see who he was speaking with. The mother perceived his request as inappropriate and complained to the CPSO.

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Nurses' Respect for Patient Dignity

Nurses have a responsibility to always treat patients with dignity and respect, regardless of their situation or personal characteristics.

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Patient Autonomy

Patient autonomy means respecting the right of patients to make their own informed decisions about their health care, treatment, and end-of-life care.

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Exploiting Patients

Never exploit or take advantage of patients for personal gain.

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Fundamental Medical Commitments

The fundamental commitments of the medical profession include treating patients with dignity and respect, respecting patient autonomy, avoiding exploitation, and upholding basic human rights.

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What is Dignity?

Dignity refers to being treated with respect, maintaining a sense of self-worth, and being accepted for who you are regardless of your circumstances.

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HealthHub Patient Engagement Solutions

This company, originally founded in 1967, provides digital health care engagement solutions, including integrated bedside terminals, to hospitals and healthcare facilities.

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Who is VOYCE?

Voyce is a service providing on-demand access to remote live video interpreters for various devices, facilitating communication for patients who may need language assistance.

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How Does VOYCE Work?

VOYCE allows users to request live interpreters on demand using a variety of devices, enabling real-time communication for patients who need language assistance.

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Shared Decision-Making (SDM)

The process of healthcare providers working alongside patients to reach medical decisions based on evidence and shared values.

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Low-Dose CT Screening

A type of lung cancer screening using low-dose computed tomography (CT) scans, recommended for individuals with a significant smoking history.

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Screenable Condition

A medical condition or factor that might benefit from early detection and intervention through screening.

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Virtual Language Interpretation

The use of technology to bridge language barriers between healthcare providers and patients.

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Benefits and Harms of Screening

The potential benefits or drawbacks of undergoing a specific screening test.

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Patient Values

Patient values, beliefs, and preferences that influence their decisions regarding medical care.

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Varenicline

A nicotine-based medication prescribed to aid in smoking cessation.

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Evidence-Informed Decision-Making

The process of making informed decisions about healthcare based on individual needs and values.

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Informed Consent

The right of patients to understand and freely choose their treatment options, particularly when facing language barriers.

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Confidentiality

The ethical obligation to protect the privacy and confidentiality of patient information.

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What are Knowledge Translation tools?

These are resources and products that aid in shared decision-making between patients and doctors, helping them understand their options and make informed choices.

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What is Culture?

This is a collection of beliefs and practices that define the values of different groups, influencing their views on health and illness.

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How does cultural understanding influence patient care?

Misunderstandings can happen when we fail to recognize or understand a patient's cultural viewpoint.

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How does culture impact care?

Culture can significantly impact how patients approach illness and treatment. Different beliefs and practices can influence their decisions about healthcare.

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Why is it important to be culturally sensitive when providing healthcare?

It's crucial to be sensitive to cultural differences, as different cultures have unique responses to illness and health promotion.

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Risk Communication

This component of SDM involves clearly communicating the potential positive and negative impacts of different treatment choices.

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Values Clarification

This component of SDM involves understanding what's most important to the patient, including their goals, priorities, and beliefs about their health.

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Low-Dose CT Chest Screening

A screening test for lung cancer using a low-dose computed tomography (CT) scan.

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Benefits of Lung Cancer Screening

This refers to the potential positive effects of screening for lung cancer, such as early detection and improved treatment outcomes.

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Harms of Lung Cancer Screening

This refers to the potential negative effects of screening for lung cancer, such as false positive results, anxiety, and unnecessary procedures.

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Identify a Clear Decision

The process of identifying a clear decision that needs to be made in shared decision-making.

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Provide Information

The process of providing information about different treatment options to the patient during shared decision-making.

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Elicit Patient Perspective

The process of understanding the patient's perspective and what matters most to them during shared decision-making.

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Guide Patient Decision

The process of guiding the patient towards a final decision in shared decision-making.

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Study Notes

Patient and Family Centered Care

  • Patient-centered care prioritizes the patient and their family's needs and values.
  • Dignity and respect are essential components.
  • Canadian patient rights include appropriate, timely care, respect, access to information and health services free from discrimination, refusing treatment, second opinions, and symptom management.
  • Patient values guide clinical decisions.

Respect and Cultural Safety

  • Cultural safety requires understanding diverse viewpoints and adapting attitudes without judgment.
  • Multiculturalism is a core Canadian value.
  • A doctor's responsibilities include considering patient values, beliefs, and wishes in the treatment plan and understanding how cultural background influences beliefs and behaviors.

Integrating Culture and Respect

  • Showing genuine interest in someone's cultural background fosters respect and leads to a better understanding.
  • Patient-centred care involves cultural curiosity.

Case Study: Plastic Surgeon and Veiled Woman

  • A plastic surgeon asked a veiled woman to remove her veil, causing offense and a complaint to the regulatory authority.
  • The college mandated sensitivity training for the surgeon.

Respect Integrated into the Code's 6 Principles

  • Nurses must respect patients' dignity.
  • Nurses should act with integrity to maintain trust, maintain patients' trust, and be supportive of patient well-being.
  • Teamwork supporting patient needs is essential.
  • Nurses maintain public confidence. Nurses promote patient trust.

Fundamental Commitment of the Medical Profession

  • Always treat patients with dignity and respect.
  • Respect patient autonomy.
  • Protect human rights.

HealthHub Patient Engagement Solutions

  • A Canadian company providing patient entertainment systems in hospitals since 1967, currently serving over 33,000 beds in more than 200 hospitals.
  • Now offering digital health care engagement solutions.

VOYCE

  • Provides on-demand video remote interpreters for diverse languages.
  • Aims to reduce communication barriers, improve patient satisfaction, and ensure seamless communication.

Partnerships in Healthcare

  • Partnerships aim to eliminate language barriers between hospital staff and patients.
  • Voyce and HealthHub offer interpreter services for over 235 languages.

Shared Decision-Making (SDM)

  • Clinicians support patients in making evidence-based medical decisions.
  • Screening decisions should align with individual patient values and preferences.
  • Relevant example: John's physician engages him in discussion surrounding lung cancer screening, considering his smoking history.

Core Elements of Shared Decision Making

  • Risk communication is crucial to communicate benefits and harms of interventions.
  • Values clarification involves understanding what's important to the patient.

Steps of Shared Decision Making

  • Defining the decision to be made.
  • Providing information about the clinical problem.
  • Eliciting patient views.
  • Guiding towards a final decision.
  • Evaluating patient's decision comfort.

SDM and Knowledge Translation Tools

  • Knowledge translation tools, like decision aids, facilitate shared decision-making.
  • Clinicians might need multiple interactions with SDM tools and other resources to effectively address patients' questions and concerns regarding their heath care decisions.

Culture and Healthcare

  • Culture encompasses beliefs and behaviours that define a community's values.
  • Cultural differences greatly influence health care interactions.
  • Important aspects to understanding cultural differences include: • visible signs (language, dress, food, practices/rituals); • non-visible signs (perceptions of time, modesty).
  • Healthcare interactions can be impacted by culture's role in understanding (or misunderstanding) terminal illnesses.

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