Patient-Centered Care Overview
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Questions and Answers

What does "patient as person" refer to in the context of healthcare?

  • Focusing on the patient's physical symptoms above all else.
  • Treating patients solely based on their medical diagnosis.
  • Viewing patients as individuals with unique needs and preferences. (correct)
  • Prioritizing the doctor's perspective over the patient's.

    • What is the fundamental idea behind "professional as person" in healthcare?

  • Encouraging healthcare professionals to be more empathetic and understanding. (correct)
  • Evaluating healthcare professionals solely based on their technical expertise.
  • Focusing on the professional's personal skills and qualities over their qualifications.
  • Prioritizing the healthcare professional's needs over the patient's needs.

    • What is the main aim of incorporating "organizational commitment" into a person-centered approach to healthcare?

  • Prioritizing the needs of the organization over the needs of patients.
  • Focusing solely on the financial aspects of healthcare delivery.
  • Ensuring healthcare professionals are the only ones who are responsible for patient-centered care.
  • Creating an environment where all individuals, including staff, support the patient-centered philosophy. (correct)

    • Which of the following is NOT a key principle of Person-centered care?

    <p>Maximizing the use of technological advancements in healthcare. (C)</p> Signup and view all the answers

    What is the main difference between "patient-centered care" and "person-centered care"?

    <p>Patient-centered care is focused on the individual's physical health, while person-centered care is broader, considering their well-being and social factors. (D)</p> Signup and view all the answers

    Which of the following is a defining characteristic of the value-based care model?

    <p>Evaluating healthcare delivery based on quality, outcomes, and patient satisfaction. (C)</p> Signup and view all the answers

    Which of the following is NOT a key role of the nurse in delivering person-centered care?

    <p>Performing complex medical procedures and surgeries. (B)</p> Signup and view all the answers

    Which of the following is NOT a principle of person-centered care as described in the text?

    <p>Focusing primarily on the medical aspects of care, without considering the patient's emotional needs. (C)</p> Signup and view all the answers

    What type of question is "It seems to me that this is boring you, is that true?"

    <p>Leading question (C)</p> Signup and view all the answers

    Which of the following is NOT a phase of the patient-centered interview?

    <p>Validation of subjective data (B)</p> Signup and view all the answers

    Which level of prevention focuses on early diagnosis and prompt treatment?

    <p>Secondary prevention (B)</p> Signup and view all the answers

    Which type of family includes grandparents, aunts, and uncles in addition to the nuclear family?

    <p>Extended family (A)</p> Signup and view all the answers

    What is the primary focus of the "family as context" perspective in family nursing?

    <p>The health and development of an individual member within the family (C)</p> Signup and view all the answers

    Which of the following is NOT considered a nursing-sensitive outcome?

    <p>Patient mortality rates (A)</p> Signup and view all the answers

    What is the goal of the working phase of a patient-centered interview?

    <p>Gather accurate and relevant assessment data (D)</p> Signup and view all the answers

    What is the primary role of technology in healthcare, according to the text?

    <p>To enhance and support clinical judgment and decision making (B)</p> Signup and view all the answers

    Which type of question is most helpful in encouraging a patient to provide a detailed description of their health problem?

    <p>Open-ended question (D)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a patient-centered interview?

    <p>Focused on collecting objective data (D)</p> Signup and view all the answers

    What is the main purpose of the termination phase of a patient-centered interview?

    <p>To summarize the discussion and ensure accuracy (B)</p> Signup and view all the answers

    Which of the following is an example of family durability?

    <p>Adult children providing emotional support to their aging parents (B)</p> Signup and view all the answers

    Which of the following is NOT a core principle of patient-centered care?

    <p>Focus on disease management (D)</p> Signup and view all the answers

    Which type of family is characterized by parents bringing children from previous relationships into a new living situation?

    <p>Blended family (D)</p> Signup and view all the answers

    What is the primary focus of nursing care when the family is considered "the patient"?

    <p>The family's needs, processes, and relationships (A)</p> Signup and view all the answers

    What is the primary focus of "family as a system" approach?

    <p>Caring for both individual family members and the family unit as a whole (D)</p> Signup and view all the answers

    Flashcards

    Patient-Centeredness

    Care that respects and responds to patients' individual preferences, needs, and values.

    Professional as Person

    How patients and families perceive healthcare professionals involved in care.

    Organizational Commitment

    The collective effort of all staff to adopt a patient-centered philosophy in care delivery.

    Person-Centered Care

    Care emphasizing holistic understanding of the individual, including their strengths and family involvement.

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    Patient-Centered Care

    Care that ensures patient values guide all clinical decisions.

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    Value-Based Care Model

    A healthcare approach that emphasizes quality, outcomes, satisfaction, and cost.

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    Eight Principles of Person-Centered Care

    Key guidelines ensuring patients receive empathetic, responsive, and effective care.

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    Care Coordination

    The organization of patient care activities and sharing of information to facilitate care continuity.

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    Nursing-sensitive outcomes

    Patient outcomes linked directly to nursing care and workforce.

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    Technological advances in healthcare

    Innovations that enhance work but don't replace clinical decisions.

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    Telemedicine

    Health service using interactive video for remote care.

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    Patient-centered interview

    An organized conversation focusing on patient needs.

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    Phases of the interview

    Stages: orientation, working phase, termination.

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    Open-ended questions

    Questions that encourage detailed patient responses.

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    Direct closed-ended questions

    Questions seeking specific information with short answers.

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    Leading questions

    Questions that suggest a particular answer.

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    Levels of prevention

    Strategies: primary, secondary, tertiary prevention.

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    Family as context

    Focus on the individual's health within a family setting.

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    Family as patient

    Prioritizing the family's health needs and dynamics.

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    Family dynamics

    Interactions and relationships among family members.

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    Family resilience

    The family's ability to cope with stressors.

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    Family assessment

    Evaluating family structure, development, and functioning.

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    Family caregiving

    Providing physical and emotional support to family members.

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    Study Notes

    Patient-Centered Care

    • Patient as Person: Focuses on respecting patients and families as unique individuals, engaging them in healthcare decisions, and considering them holistically, not just their diagnosis.
    • Professional as Person: How patients/families view healthcare professionals involved in their care.
    • Organizational Commitment: Requires the entire organization to adopt the patient-as-person philosophy, removing barriers and providing resources to achieve patient-centered goals.
    • Attributes/Criteria: Respect for patient values, preferences, needs; coordination and integration of care; information and education; physical comfort; emotional support; family and friend involvement; continuity of care; access to care.
    • Patient-Centered Care (PCC): Care that is responsive to individual patient preferences, needs, and values, ensuring patient values guide decisions.
    • Person-Centered Care: Emphasizes a holistic understanding of the person, including strengths, and involves individuals and families as partners. Differs from patient-centered care in its broader focus on the whole person, not just illness.

    Value-Based Care

    • Value-Based Care Model: Focuses on quality, health outcomes, patient satisfaction, and cost of care.

    Role of the Nurse & Delivery of Nursing Care

    • Relational Lens: Emphasizes the nurse-patient relationship.
    • Care Delivery: Addresses information, education, and care coordination.

    Principles of Person-Centered Care

    • Eight Principles: Fast access to health advice; effective treatment by trusted professionals; continuity of care; family/carer involvement; clear information/self-care support; involvement in decisions & respect for preferences; emotional support/empathy/respect; and attention to physical/environmental needs.

    Nursing-Sensitive Outcomes

    • Nursing-Sensitive Outcomes: Outcomes (e.g., symptom experience, functional status, safety, psychological distress) and nursing workforce characteristics (e.g., RN job satisfaction, nursing hours per patient) that directly relate to nursing care. These are directly influenced by nursing actions. Costs are also included.

    Technology in Healthcare

    • Technological Advances: Make work easier but do not replace clinical judgment and decision making.
    • Robotics: A developing technology impacting future nursing practice.
    • Telemedicine: Uses interactive video to gather and review medical information, transmitting treatment to another site.

    Nursing Assessment (Chapter 16)

    • Patient-Centered Interview: A relationship-based, organized conversation focusing on patient concerns and needs, using a combination of questions and observation.
    • Phases: Orientation (setting agenda), working (data collection), and termination (summarizing and verifying information). A key part of the orientation phase is developing trust and rapport with the patient.
    • Interview Techniques: Employ open-ended questions, validate subjective data with objective information, avoid leading questions, and use observation of verbal and nonverbal behaviors.
    • Open-Ended Questions: Encourage patient explanations and thoughts/feelings.
    • Direct Closed-Ended Questions: Gather specific information about problems but are less effective in gaining details.
    • Leading Questions: Can restrict information patients provide.

    Managing Patient Care (Chapter 21)

    • Patient-Centered Care (Chapter 21): Integrates patient, families, and caregivers' needs and perspectives.

    Levels of Prevention (Chapter 6)

    • Primary Prevention: Health promotion and protection.
    • Secondary Prevention: Early diagnosis, prompt treatment; limitations of disability.
    • Tertiary Prevention: Restoration and rehabilitation.

    Family Concept (Chapters 10, Other)

    • Family: Groups with emotional connections and functioning as a unit.
    • Family as Context: Focuses on individual members within the family environment.
    • Family as Patient: Focuses on family needs, processes, and relationships (e.g., parenting, caregiving).
    • Family as a System: Addresses both individual family members and the family unit, utilizing available resources (environmental, social, psychological, community).
    • Family Caregiving: Providing most care for patients in the home.
    • Family Diversity: Uniqueness of every family unit.
    • Family Durability: Support and structure extending beyond the home.
    • Family Dynamics: Interactions between family members affected by makeup, function, problem-solving, and coping.
    • Family Forms: Nuclear, extended, single-parent, blended, and alternative.
    • Family Function: How families interact (socialization, finances, societal relationships).
    • Family Hardiness: Internal family strengths/durability.
    • Family Resiliency: Ability to cope with stressors through adaptation.

    Family Assessment (Chapter 10)

    • Family Assessment: Evaluates structure, development, and functioning.
    • Assessment Questions: Designed to gain family context, assess adaptations to changes, and examine family functioning. Examples of questions given.

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    Description

    This quiz explores the fundamental concepts of patient-centered care (PCC), emphasizing the importance of treating patients as unique individuals. It covers the roles of healthcare professionals, organizational commitment, and the attributes that define effective PCC. Understand how to integrate these principles into healthcare practices.

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