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Principles of Pt Cen

From ANCC Review

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