When providing care for patients health care providers must take into account key factors, such as: the patient’s current condition, medical history, risk factors, barriers to healthcare (availability, accessibility, affordability, appropriateness, accountability, adaptability, acceptability, awareness, attitudes, approachability, alternative practices, additional services availability), as well as the patient’s characteristics of vulnerabilities of predisposing, enabling, and needs (Denisco & Barker, 2016). All these play a role in how a provider can determine the best way to approach the care for a patient and to maximize the quality of care they provide the patients that can lead to positive health outcomes. Both Mr. S and Mrs. M are considered to be vulnerable individuals because of their age and their current medical conditions. Both need interdisciplinary teams to manager their care; therefore, as a primary care provider it is important to provide proper resources and referral for both the patient and their families. In both situations assessments of the patient’s current condition needs to be addressed. In the case of Mr. S focused cardiovascular assessment needs to be done to see how he and his family are managing and controlling his fluid retention. In the case of Mrs. M a focused assessment on her diabetes and RA management would need to be performed. Although both have similarities in their vulnerabilities and delivery of care, there are some differences that set
Enabling choice of specific care and services to meet the patient’s health and social care needs and preferences. 4 Providing information that is tailored to each person to assist him or her in making decisions based on the best evidence available. Assisting patients to interpret technical information, evidence and complex concepts and helping them to understand their options and consequences of this, while accessing support from other health and social care experts. 4 Supporting the person to assert his or her choices. If the individual is unable to do this for him or herself, then the nursing team or an appointed formal advocate would present and pursue the person’s stated wishes. 4 Ongoing evaluation to ascertain that care and services continue to be appropriate for each person. This involves encouraging, listening to and acting on feedback from patients and service users.
Nurses and physicians would get no input from the patient on their wishes for treatment and care (Giddens, 2016). Health Care has recently advanced by adopting the patient and family centered care model which was designed to “recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respects for the patient’s preferences, values, and needs” (Knuths, 2017). This model allows patients to have a voice on what happens to their bodies and allows them to actively participate in their care. It has also allowed the patient’s family and loved ones to be involved. This involvement has given the patient a strong support system with their best interest in mind. Moving towards this concept has made nurses more aware of patient’s cultural differences, spiritual differences, family preferences, and personal values. This system has lead to better overall care and patient satisfaction. Care has become about the patient and not the provider (Knuths, 2017).
Everyone should have the opportunity to achieve a healthy life and have comprehensive health care services available to them. To achieve this healthy life, people need to have access to the health care system and to a health care provider with whom they can develop a trusting relationship. However, existing barriers to attaining health care services often lead to disparities which in turn lead to differences in life expectancy, health status and a higher prevalence of certain chronic diseases (HealthyPeople.gov, 2012).
Patients with long-term, chronic illnesses like Mr. Davis’s, care can be very costly, especially when the patient is unable to maintain routine medical care or visits and medications. Without routine medical care and maintenance medications, patients like Mr. Davis tend to have more frequent emergency room visits and hospitalizations; increasing costs for state and local government as well as tax payers. Though Mr. Davis is able to receive care during an emergency room visit, the providers are not fully aware of his health history and are only able to provide a temporary fix of his symptoms and not address his health care needs.
Effective healthcare is dependent on understanding vulnerable individuals and populations with respect to biases and prejudices of healthcare providers. According to de Chesnay (2008), “Vulnerability is a general concept meaning susceptibility, and its specific connotation in terms of healthcare is at risk for health problems” (p. 3). Anyone can be vulnerable at different times in his or her life under specific circumstances. According to de Chesnay (2008), “Vulnerable populations are those at risk for poor physical, psychological, or social health.
Health care has moved forward with an emphasis on health care delivery and healthier people as a whole, as opposed to the traditional health care of the past. People used to go to different physicians to treat different conditions separately, and the physicians did not see the big picture of the patient’s health status, as they do in this day and age, by connecting these health care services under the same roof or network. Many times the patient would go to different physicians and would undergo the same tests, and their health insurance provider would have to cover these tests. Often times the patient would be sent out for testing that was not even necessary, and it would drive up the cost of health
When addressing patient obstacles usually, problems arise when the patient “demonstrates noncompliant behaviors, such as missing appointments or failing to make healthy lifestyle changes such as quitting smoking or losing weight” (Hyden, 2011). This is difficult because if people do not want to take an active role in their care, then patient centered care will be compromised. “Evidence demonstrates that patients who are involved in their care decisions and management have better outcomes, lower costs, and higher functional status than those who are not so involved” (Grenier and Knebel,
people with complex health care issues in terms of quality, cost and access to care (Agency for
Moreover, increasing costs of healthcare delivery and emerging trends toward patient empowerment and patient-centered care in order to achieve higher quality healthcare, needs patients to play a more active role in their
Patient and family centered care should occur in each step of the delivery of health care. The patient and family should be included in all of the decision making in the delivery of health care. They should be explained procedures thoroughly and they should also be involved in the evaluation of the care. Spruce (2015) mentioned the importance of health literacy among patients in regards to patient centered care (p. 35). This is beneficial because if the patient is able to understand the process of their illness, then they will be better able to understand the treatments available and what they wish to do in their situation.
As I progress through my clinical, I am feeling more confident interacting with patients as I conduct history taking and assessments. Adhering, learning, and following the guidelines will help me as I transition to practice as a nurse practitioner. Health care profession is a lifelong learning career as evidence-based research is conducted for better outcomes and as a clinician I am obligated to stay current with the evidence, provide patient teaching at ll times to promote health and prevent diseases. While caring for patients from different backgrounds, I have learned a lot from about their cultures and how they view their health. As a provider I respect patients view on their health and it is imperative to involve them in shared-decision making.
Customer services is a very important part of managing ongoing client/patient relationships, because they are the key to bringing in revenue. The concept of customer service is to deliver outstanding services so the customers will have a great experience. I currently work in the healthcare industry and the company that I work for is starting to have trainings and meetings to improve customer service to our clients to help increase our patient satisfaction levels. There are some employees who strive to help the patient by going far and beyond their line of duties, and as others are burned out and feel like they just need to get the patient in and out without really understanding the patient’s needs or
Even though healthcare professionals may be practicing in different fields, performing different roles, having different ranks, or getting educated and trained differently, we all practice to achieve one main goal, and that is to provide excellent patient-centered care. Pharmacists, nurses, physicians, optometrists, and even social workers strive for the better outcome of their patients. Most, not necessarily all of the time, healthcare professionals work together to provide this best care for their patients. This type of care is known as interprofessional care. Some healthcare professionals interact with pharmacists on a regular basis, and others interact with them on a very limited basis.
Health-care professionals regularly request systematic evidence-based guidance to facilitate decision-making in the provision of clinical care. For this, adequate support from hospital management is needed to implement changes within sectors of the NHS. An approach to the provision of such guidance is the use of clinical pathways as an implementation tool. Clinical pathways are structured multidisciplinary care plans containing detailed essential steps in the care of patients with specific problems (1). Overall, the degree of impact they have on patient outcomes, length of hospital stay and costs appear to be favourable and are established and developed by bodies such as NICE to maximise patient welfare (2). With clinical pathways tailoring the care of such a large range of problems, from patients with diabetes to head trauma to psychiatry (3) it is essential to critically evaluate their effectiveness within specific settings.
There is a critical situation that we are faced with today. We must dissect all the information and evidence in order to help the patient and her family through a tough decision. This is the current situation, L.D. a 39-year-old woman was admitted to the hospital and the health care provider noticed that L.D. has a rare illness called Arteriovenous malformation (AVM). AVM is an abnormal connection between arteries and veins bypassing the capillary system. “They typically consist of two