Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

PATIENT-CENTERED CARE

Definition: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Knowledge Skills Attitudes

Integrate understanding of multiple dimensions of patient centered care:

 patient/family/community preferences, values

 coordination and integration of care

 information, communication, and education

 physical comfort and emotional support

 involvement of family and friends

 transition and continuity

Describe how diverse cultural, ethnic and social backgrounds function as sources of patient, family, and community values Elicit patient values,

preferences and expressed needs as part of clinical interview, implementation of care plan and evaluation of care Communicate patient values,

preferences and expressed needs to other members of health care teaProvide patient-centered care sensitivity and respect for the diversity of human

experience

Value seeing health care situations “through patients’ eyes”

Respect and encourage individual expression of patient values, preferences and expressed needs

Value the patient’s expertise with own health and symptoms

Seek learning opportunities with patients who represent all aspects of human diversity

Recognize personally held attitudes about working with patients from different ethnic, cultural and social backgrounds

Willingly support patient-centered care for individuals and groups whose values differ from own

Demonstrate comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort.

Assess presence and extent of pain and suffering

Assess levels of physical and emotional comfort

Elicit expectations of patient & family forrelief of pain, discomfort, or suffering

Recognize personally held values and beliefs about the management of pain or suffering

Appreciate the role of the nurse in relief of all types and sources of pain or suffering

Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs

Recognize that patient expectations influence outcomes in management of pain or suffering

Examine how the safety, quality and cost effectiveness of health care can be improved through the active involvement of patients and families

Examine common barriers to active involvement of patients in their own health care processes

Describe strategies to empower patients or families in all aspects of the health care process

Remove barriers to presence of families and other designated surrogates based on patient preferences

Assess level of patient’s decisional conflict and provide access to resources