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 |