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Principles of Pt Cen
From ANCC Review
| Question | Answer |
|---|---|
| Pt centered care is based on principle that | healthcare services should be coordinated and directed by a single provider |
| Access Model: Pts can access services | from multiple access points Services can be located in same facility or an integrated care network of providers in different locations can be accessed when needed |
| Welcoming environment | physical space that is welcoming, initial personal interaction is welcoming, familiar and not intimidating |
| Respect for pt's values and expressed needs | obtain information re:pts care preferences, inform and involve pt and family/caregivers in decision making tailor care to individual promote mutually respectful consistent pt provider relationship |
| pt empowerment aka | activation |
| NP must do this for empowerment/activation | educate and encourage the pt to expand his/her role in decision making, health related behaviors and self management |
| Sociocultural competence | understand and consider culture, economic and educational status, health literacy understand and consider family patterns, traditions and situation - including alternative/folk remedies communicate in language and @ level that pt understands |
| Coordination and Integration of Care | assess pts need for formal and informal services that may impact health/tx provide team based care, care mgmt and or referrals as needed ensure smooth transitions between different providers and phases of care |
| Comfort and Support | emphasize physical comfort, privacy and emotional support involve family and friends in accordance with pts preferences |
| To assess health literacy | tell me about your medication |
| Access and Navigation Skills | Provide what the pt can consider a medical home Keep waiting times to a minimum Provide convenient service hours Promote access and patient flow Help patients attain skills to better navigate healthcare system |
| Community Outreach | make demonstrable, proactive efforts to understand and reach out to the local community |
| Cultural Competence is | the ability to view each patient as a unique individual, fully considering the pts cultural experiences within the context of the common ecological challenges faced by all people. |
| Recommended standards for culturally and linguistically appropriate health care services can be found | With the Department of Health and Human Services Office of Minority Health |
| Cultural Competence should now be referred to as | Cultural Sensitivity |
| Cultural Competence Requires | respect for diversity & understanding of attitudes, beliefs, behaviors, practices, & comm. patterns of multiple cultures and their languages requires the development of interpersonal skills, comm skills & awareness of the uniqueness of individuals |
| Assessment of Cultural Identity includes | How the person defines, him/herself Degree of acculturation Affinity of the pt to native culture/host culture Language use/abilities/preferences Language spoken when growing up Pts percep of culture of origin Hx of acculturation/migration Religion |
| Assessment of Spiritual Needs | Pt definition of spirituality, beliefs/faith, religious background, spiritual practices/rituals/symbols/ traditions Distinguishing b/w spiritual expression & pathology Encouraging pt to define values Dx spiritual distress Soucres of Hope/Strength |
| Assimilation definition per ANCC Reviewer | process where the majority of culture is absorbed or gets lost takes generations, language lost, completely absorbed |
| Acculturation is | cultural aspects are adapted without loss of traditions |
| Religious traditions may define how people interpret | health meaning of illness and suffering life hope vs. despair healing and what it entails death and life after death |
| Recovery is | a process of change through which individuals improve their health and wellness, live a self directed life and strive to reach their full potential |
| Four Dimensions of Recovery | Health Home Purpose Community |
| Four Dimensions of Recovery - Health | overcoming or managing one's disease or sx ex. abstaining from ETOH, substance etc. Make informed healthy choices that support physical and emotional well being |
| Four Dimensions of Recovery - Home | a stable and safe place to live |
| Four Dimensions of Recovery - Purpose | meaningful daily activities - job, school, volunteerism, family caretaking or creative endeavors and independence, income and resources to participate in society |
| Four Dimensions of Recovery - Community | relationships and social networks that provide support, friendship, love and hope |
| Principles of Recovery | emerges from hope pt driven occurs via many pathways holistic supported by peers and allies, rxnshps & networks culturally based & influenced addressing trauma based on respect involves individual, fam, community strengths/responsibility |
| Counseling across the lifespan | tailor comm./interventions to age/develp. appropriate for pt consider pts presentation/needs w/in clinical setting consider pt/family values/traditions consider risk/protective factors consider commu resources id facilitators/barriers to care |
Created by:
jonquil
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