Patient-Centered Care Approaches

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Questions and Answers

What type of counseling can be part of management for a patient like Rosario, in addition to medication?

Psychotherapy

Family therapy

Motivational counseling (correct)

Nutritional counseling

Which of the following best describes the impact of family resources on healthcare access for pediatric patients?

More family members ensure better access to healthcare.

Only financial resources are a concern for healthcare access.

Family resources have no impact on healthcare access.

Limited family resources can restrict patient access to care. (correct)

What is the primary focus of family assessment tools in the patient-centered matrix?

To gather relevant clinical histories and family dynamics. (correct)

To evaluate physical symptoms of patients.

To provide a diagnosis for individual patients.

To analyze financial standings of the family.

In what situation would family dysfunctionality be analyzed in the context of patient care?

When there are shared health behaviors affecting the patient. Signup and view all the answers

What does the diagnosis for a patient like Rosario include based on presented data?

Diarrhea, measles, and associated symptoms. Signup and view all the answers

How do shared health behaviors within a family potentially affect patient care?

They can influence health management and intervention strategies. Signup and view all the answers

What is an important factor in determining suitable management and intervention for pediatric patients?

Assessing the family’s overall health and functioning. Signup and view all the answers

Why is it important to include family-focused assessments in patient care?

To understand the environmental exposures experienced by the patient. Signup and view all the answers

What aspect does the biopsychosocial approach emphasize in patient care?

Considering both biomedical and psychosocial aspects Signup and view all the answers

According to Engel, how do body subsystems interact?

They create complex biological systems impacted by both social and psychological factors. Signup and view all the answers

What does Engel encourage clinicians to observe?

Biochemical and morphologic changes in relation to the patient's emotional patterns. Signup and view all the answers

What is a potential effect of environmental and psychological stress according to the biopsychosocial approach?

It can be potentially pathogenic for the individual. Signup and view all the answers

In the context of Engel's biopsychosocial model, how are brain and peripheral organs described?

They are linked in mutually adjusting relationships affected by social and physical stimuli. Signup and view all the answers

What is the primary focus of the biopsychosocial approach in patient treatment?

Recognizing the interconnection between psychological, social, and biological factors. Signup and view all the answers

Which of the following best describes the term 'community-oriented primary care' in the biopsychosocial model?

Integrating patient care with community resources and needs. Signup and view all the answers

What is not a factor highlighted in the biopsychosocial approach for clinicians to consider?

Exclusive focus on medical history. Signup and view all the answers

What social determinant primarily affects Lucy's decision to use condensed milk instead of formula milk?

Lack of financial resources Signup and view all the answers

Which aspect of the biopsychosocial approach is highlighted by Rosario's deteriorating health?

Social support and healthcare access Signup and view all the answers

What misconception did Lucy have about her child's parasitic infection?

That it indicated good digestion Signup and view all the answers

What is a primary component the PFC Matrix aims to address?

Holistic patient care Signup and view all the answers

Why were Lucy and her family unable to receive medication from the public health center?

The center had run out of stock Signup and view all the answers

Which factor influenced Haime's employment situation?

The economic conditions of Metro Manila Signup and view all the answers

What health issue is specifically mentioned regarding Rosario?

Measles infection Signup and view all the answers

Which component of care does the PFC Matrix emphasize as crucial for individual patients?

Family involvement in healthcare decisions Signup and view all the answers

What is the primary purpose of creating a genogram in family health assessment?

To analyze heredofamilial diseases and living arrangements Signup and view all the answers

Which action is recommended to prevent health issues among family members?

Create a family wellness plan focused on preventive measures Signup and view all the answers

What factors contributed to the poor health outcomes identified in the community?

Poor governance and lack of community resources Signup and view all the answers

When assessing a family, what should be identified to effectively manage their health?

Strengths and weaknesses of the family Signup and view all the answers

Which of the following is vital for improving healthcare delivery in a community?

Strengthening coordination of care among healthcare providers Signup and view all the answers

What is a significant environmental factor that impacts health outcomes in the community?

Availability of clean water sources Signup and view all the answers

In addressing family health issues, what should be considered aside from individual health?

The context of family and community living Signup and view all the answers

What role does family counseling play in managing health issues?

It offers resources for emotional support and health education Signup and view all the answers

What is the primary focus of the Patient-centered, Family-focused, and Community-oriented (PFC) Matrix?

Integrating clinical science with public health Signup and view all the answers

Which concept emphasizes the community's role in primary care and prevention?

Community-oriented primary care (COPC) Signup and view all the answers

What does the Astana Declaration affirm regarding primary care?

It is a pathway toward achieving Health for All. Signup and view all the answers

What is a key component of community-orientedness in health care?

Identifying social determinants affecting health conditions Signup and view all the answers

Which of the following most accurately describes 'management/interventions' in healthcare analysis?

Taking action based on identified factors Signup and view all the answers

In the context of the content, what is considered a barrier to care?

Financial constraints affecting access Signup and view all the answers

What role does epidemiology play in the community-oriented primary care framework?

It informs population health management strategies. Signup and view all the answers

What is emphasized by the strengthening of health systems in the context of the PFC matrix?

Investing in primary health care services Signup and view all the answers

What does the concept of 'building blocks of a health system' refer to?

Elements necessary for effective service delivery Signup and view all the answers

What is a salient feature of the assessments regarding social determinants of health?

They include socioeconomic and environmental factors. Signup and view all the answers

Study Notes

Patient-Centered Matrix

A tool to deliver patient-centered, family-focused, and community-oriented care
Aims to provide a holistic approach to caring for individuals within the context of their family and the community
Recognizes individuals are not isolated entities

Patient-Centered Approach

Encourages clinicians to observe the patient's emotional patterns, life goals, attitude towards illness, and social environment
Emphasizes the interplay of biomedical and psychosocial factors affecting the patient

Family-Focused Approach

Uses family assessment tools to gather data about the patient's family
Addresses medical and psychosocial issues identified within the family context
Recognizes the significant role of family in patient care

Community-Oriented Approach

Integrates clinical science and public health to analyze both individual and population-based care
Utilizes principles derived from epidemiology, primary care, preventive medicine, and health promotion
Aims to systematically combine primary care and community medicine in a coordinated manner

Key Concepts

Biopsychosocial Approach: Acknowledges the interconnectedness of biological, psychological, and social factors in health and illness
COPC (Community Oriented Primary Care): A model of primary care that emphasises community health, social determinants of health, and integration of public health approaches.
Social Determinants of Health: Factors such as poverty, education, access to resources, and social support that influence an individual's health status
Family Assessment: Evaluating the strengths and weaknesses of a family to identify their impact on the patient's health
Genogram: A visual representation of a family's structure, medical history, and relationships

Examples

Rosario's Case: Highlights the challenges faced by a family with limited resources, highlighting the importance of community-oriented care and social determinants of health.
Astana Declaration: Reaffirms the importance of primary healthcare and emphasizes the need for strengthening health systems by investing in primary care.

References

Leopando, et.al. (2014). Textbook of Family Medicine: Principles, Concepts, Practice and Context. C&E Publishing, Inc.
Chronicle Arts Production. (2017, May 8). The Story of Rosario - Zuellig Family Foundation [Video]. Youtube.

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Description

Explore the various frameworks of patient-centered care, including family-focused and community-oriented approaches. This quiz will help you understand the holistic methods clinicians can use to enhance patient well-being within the family and community context. Learn how emotional, social, and medical factors interplay in providing effective care.