Question

define and provide an example of 8 dimensions of person and family centered care?

Answer 1

Person centered care is providing individual care to patient and their family in ways that are meaningful and valuable to them. It includes including and informing the patient in the care without effecting patient's privacy and integrity. The care should be provided according to individual patient preference. Dimensions of people centered care are:-

1. Respect for patient values, preferences and expressed needs- Every individual have there own values and beliefs, patient too should be treated accordingly. Always make them a part of decision makimaking and treat them with dignity,respect and sensitivity towards their cultural values.
2. Coordination and integration of care- There should be a proper coordination in clinical care, support services and front line patient care.
3. Information and education- Patient should always have full information about clinical status, progress, prognosis and processes of care.
4. Physical comfort- The level of physical comfort patients report has a significant impact on their experience.Three areas were reported as particularly important to patients: Pain management, assistance with ADLs and hospital environment.
5. Emotional support and alleviation of fear and anxiety- fear and anxiety associated with illness is very common. The care providers must give attention towards it and try comforting patient in best way possible. The best way to reduce the anxiety of patient is by educating him about illness and treatment.
6. Involvement of family and friends- Family and friends support is very important for the patient. The patients family should be provided a place to stay along with patient and should actively be involved in decision making. It is the duty of care giver to support the family and to clear their doubts.
7. Continuity and transition- Patients expressed concern about their ability to care for themselves after discharge. Meeting patients need in this area include teaching patient properly about the on going medication and treatment.Provide information regarding access to clinical, social, physical and financial support on a continuing basis.
8. Access to care-  Patient should need to know that they will recieve care whenever needed. Patient should be provided with ease to taking appointment and scheduled checkup. Clear instruction should be provided in when and how to get refferal.

Example of patient centered care in hospital- Strict visiting hours and visitor restrictions are a thing of the past in a patient-centered care model. Patients are given the authority to identify who can visit and when. Family members (as defined by the patient and not limited to blood relations) are invited to visit during rounding and shift changes so they can be part of the care team, participating in discussions and care decisions. When not in the room with the patient, they are kept informed of their loved one’s progress through direct and timely updates. A patient-centered care hospital’s infrastructure encourages family collaboration through a home-like environment that not only meets the needs of the patient, but also meets the needs of family members. For example, maternity wards are being redesigned with family-friendly postpartum rooms that can accommodate the mom, new baby, and family members, who are encouraged to spend up to 24 hours a day together in the room to foster family bonding