Patient Centered Care Report Paper

Introduction

Population health improvement initiative is meant to bring some improvement in a certain health issue in the community (Hack et al., 2017). The initiative must have some outcomes at the end of the improvement process. These are the set goals or achievements that the initiative wishes to achieve at the end of the process.In the case at hand, the expected achievements of the population health improvement plan for elderly people with traumatic brain injury (TBI) and post traumatic stress disorder (PTSD)include; improvement in moods, memory, and muscle control. Most elderly people with TBI and PTSD have frequent cases of loss of memory. They tend to forget things easily (Winter et al., 2016). In addition, they also have issues with their moods. Their muscle control is also very low. Patient Centered Care Report Paper

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The Outcomes

Out of the above outcomesWhat outcomes? You have not identified any outcomes yet, but you stated – “Out of the above outcomes…” This is very confusingthat the initiative wished to achieve, the achievements that were made are going to be focused in this section. The first one is improvement in memory. The initiative managed to improve the memory of the participants using various interventions. Exercise was the most effective treatment (Duzel, van Praag, &Sendtner, 2016).About four hundred people agreed to participate in the exercise therapy. This was about half the number of the total participants.  They followed the Center incorrect name – Centers – not Centerfor Disease and Prevention’s recommendations for aerobics and after four weeks, there was a general improvement in mood, memory, and muscle control for all the four hundred participants. 75% of the four hundred participants continued with the therapy and after three weeks, they showed a great improvement in short to medium term memory (Winter et al,. 2016). Although there was an improvement in mood and muscle control, it was not as great as improvement in memory. How do you know this? There is no reference. Patient Centered Care Report Paper

The second one was improvement in mood. The medication and therapy were very effective in the improvement of mood. While analyzing the needs of the population, it was discovered that most of the patients did not receive any form of psychotherapy immediately they were diagnosed with TBI and PTSD. Therefore, the healthcarehealth care is two words – not one.giver decided to introduce the patients to anti-depressant medication. Forty percent of the total population started the anti-depressant medication and nine percent started taking anti psychotics and the outcomes were measured after six months. They recorded a twenty-six percent improvement in mood and six percent improvement in memory. Again, no reference – where did you obtain this information? Patient Centered Care Report Paper

The third outcome is improvement in muscle control. Elderly people generally become weak such that they can hardly control their muscles. To improve on this need, the patients were introduced to strength training which they preferred as compared to aerobics. This showed a great improvement in muscle control but did not have any impact on mood and memory. No references to validate this information

Outcomes that were not achieved

However, the following outcomes were not achieved as expected.The section was to identify outcomes and an evaluation of them. This section was not required.The initiative planned to use Sudoku and crossword puzzles as a therapy to improve on the memory of the elderly people. However, they did not how any gains even after the healthcare givers tried to take the patients through the therapy. Also, meditation is another intervention that the healthcare givers planned to use to improve health of the population. It is a very effective intervention when it comes to TBI and PTSD. However, it did not work as expected because only a few participants were willing to take part in it.  For those who accepted the mediation intervention, they recorded more than seventy percent improvement in mood and memory and over thirty-two percent improvement in muscle control. Patient Centered Care Report Paper

Evaluation of outcomes

The outcomes of the above interventions are a reflection of the most effective interventions that can be used for similar cases. Exercise is an effective intervention for people suffering from TBI and PTSD because in this case, seventy five percent of those who adhered to the rules of the exercise therapy showed great improvement in their muscle support and memory. Medication is also another strategy though it is not very effective. It has to go hand in hand with other therapies. No references to validate any of the information in this section. Patient Centered Care Report Paper

Strategy for improving outcomes

Therefore, in order to ensure that all the outcomes are achieved, the plan should include a strategy to deal with the outcomes that were not achieved. For example, in order to ensure thatthe cases of people being unable to control their muscles, the population should be educated on the importance of body exercise. To ensure that there is a great improvement on moods; patients should be encouraged to embrace medication because its outcomes were excellent.  Some people were disinterested in meditation because it seems boring and requires a lot of discipline and they did not know its outcome. Before beginning the initiative, the stakeholders should come together and make a plan and the steps to be followed and also define clearly the roles of each stakeholder. This will ensure that all the anticipated outcomes will be achieved by the end of the initiative. Where is the references to validate any of this information.  Patient Centered Care Report Paper

In the previous section, it was pointed out that Sudoku and crossword puzzles could not be helpful in improvement elder people’s memory. This can be improved, however, by ensuring that they are provided with periodic monitoring, providing lifestyle guidance, and training them on cognitive function. Training programs and cognitive activities that include Sudoku, novels, and crosswords puzzles should be provided to them more frequently to aid in slowing down cognitive decline and to improve their cognitive ability (Eshkoor et al., 2015).

Another strategy for improving the outcomes of the population health improvement plan is by involving the community so as to ensure that the initiative is patient-centered. The community members should be consulted on their preferences and their opinions towards improving the issue of TBI and PTSD (Wick et al., 2015). The community will give the initiative light on the areas and factors that need to be improved. The initiative should not come up with outcomes that are against the community members’ cultures, preferences, and beliefs. If the outcomes are not in line with the needs of the community members, they will not be effective in improving the situation. This aspect is correlated with patient-centered care where the nurse should evaluate the patient’s needs and preferences before providing care to the patient.Patient Centered Care Report Paper

Community Needs

A shared-decision making intervention would be very helpful in ensuring that care provided for TBI and PTSD patients is personalized. This intervention primarily emphasizes on collaboration between the patient and the physician. It involves the sharing of information reading the pros and cons of the various available treatment options; exploration of the preferences and expectations of the patient; and formulating a treatment option that is mutually agreed on by both the patient and the health care provider (Raue&Sirey, 2011).This intervention is helpful in clarifying personal patient values to enhance more informed treatment options. This intervention would be delivered to the patients by nurses with the involved primary care settings. It would involve face-to-face sessions and telephone follow-ups(Raue&Sirey, 2011).

Communication strategy

Communication is also a very important factor when carrying out a population health improvement initiative. In cases of communication barriers, the initiative may not bear fruits as expected. Communication barriers may be as a result of illiteracy of the community members or difference in ethnicity among the stakeholders (Smith&Topham, 2016).  The community is made up both literate and illiterate people and all of them should benefit from the initiative. Therefore, in order to find a solution for miscommunication, the initiative should include some members of the community to communicate the process to the community in a language that every person will understand (Davis Boykins, 2014). It is very important to involve community members in the initiative. Patient Centered Care Report Paper

Conclusion

In conclusion, patient centered care includes involving the patient in the healthcare by listening to the patient and also informing the patient about the healthcare process. Patients have the rights to know about their illnesses, and the form of healthcare that the healthcare givers plan to give the patients. Patient-centered care provides care that is respectful to the preferences, the values, and the needs of the patient. The healthcare givers are guided by the preferences of the patient. This has improved the quality of healthcare given to the patients.Patient Centered Care Report Paper

 

 

References

Davis Boykins, A. (2014). Core communication competencies in patient-centered care. ABNF Journal, 25(2).

Duzel, E., van Praag, H., &Sendtner, M. (2016). Can physical exercise in old age improve memory and hippocampal function? Brain, 139(3), 662–673. http://doi.org/10.1093/brain/awv407

Eshkoor, S. A., Hamid, T. A., Mun, C. Y., & Ng, C. K. (2015). Mild cognitive impairment and its management in older people. Clinical Interventions in Aging, 10, 687–693. http://doi.org/10.2147/CIA.S73922

Hack, S. M., Muralidharan, A., Brown, C. H., Lucksted, A. A., & Patterson, J. (2017). Provider behaviors or consumer participation: How should we measure person-centered care?.International Journal of Person Centered Medicine, 7(1), 14-20.

Raue, P. J., &Sirey, J. A. (2011). Designing Personalized Treatment Engagement Interventions for Depressed Older Adults. The Psychiatric Clinics of North America, 34(2), 489–500. http://doi.org/10.1016/j.psc.2011.02.011

Smith, K., &Topham, C. (2016). Patient-Centered Care. Journal of Medical Imaging and Radiation Sciences, 47(4), 373-375. Patient Centered Care Report Paper

Wick, E. C., Galante, D. J., Hobson, D. B., Benson, A. R., Lee, K. K., Berenholtz, S. M., … & Wu, C. L. (2015). Organizational culture changes result in improvement in patient-centered outcomes: implementation of an integrated recovery pathway for surgical patients. Journal of the American College of Surgeons, 221(3), 669-677.

Winter, L., Moriarty, H. J., Robinson, K., Piersol, C. V., Vause-Earland, T., Newhart, B., … & Gitlin, L. N. (2016). Efficacy and acceptability of a home-based, family-inclusive intervention for veterans with TBI: A randomized controlled trial.Brain injury, 30(4), 373-387.

COMPETENCY:Evaluate the value and relative weight of available evidence upon which to make a clinical decision.

CRITERION:Justify the value and relevance of evidence used to support an approach to personalizing patient care.

Patient Centered Care Report Paper

 

BASIC

 

Basic

Presents a weak justification of the value and relevance of evidence used to support an approach to personalizing patient care.

Faculty Comments:“You were to provide research to validate information about personalizing patient care including a successful PHII. Then you were to identify knowledge gaps from the research you used.”

COMPETENCY:Evaluate outcomes of evidence-based interventions.

CRITERION:Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients.

 

Patient Centered Care Report Paper

BASIC

 

Basic

Attempts to propose a framework for evaluating the outcomes of an approach to personalizing patient care, but proposed criteria are not measurable or not relevant, or aspects of the approach are not likely to be transferable to other cases.

Faculty Comments:“In this section you were to identify a framework, which contains concepts, which would have been used to evaluate the outcomes of the PHII. You were to acknowledge the limitations of this proposal. ”

COMPETENCY:Apply evidence-based practice to design interventions to improve population health.

CRITERION:Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.

Patient Centered Care Report Paper

 

BASIC

 

Basic

Proposes a strategy that is not useful for improving outcomes or ensuring that all outcomes are being addressed, or the strategy is not based on the best available evidence.

Faculty Comments:“Did not use evidence-based information to validate the information in this evaluation. ”

COMPETENCY:Synthesize evidence-based practice and academic research to communicate effective solutions.

COMPETENCY:Apply evidence-based practice to plan patient-centered care.

CRITERION:Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative.

Patient Centered Care Report Paper

 

BASIC

 

Basic

Develops an approach to personalizing patient care that does not clearly incorporate lessons learned from a population health improvement plan.

Faculty Comments:“Identifying another PHII you were to develop approaches to personalizing patient care from the other PHII. ”Patient Center

 

 

ADDITIONAL INFO 

Patient Centered Care

Introduction

Patient centered care is a philosophy that has become increasingly popular in health care. The goal of this type of health care is to treat disease, but it also attempts to focus on the individual needs and preferences of the patient. This can be challenging for clinicians because they may not know what those needs are, how best to meet them, or even how well they’re being met until after they have completed an assessment.

“Health care that is respectful of and responsive to individual patient preferences, needs, and values.”

Patient centered care is a philosophy that holds that health care should be respectful of and responsive to individual patient preferences, needs, and values. It’s one of the most important ways we can improve the quality of our health care system.

When you’re treated like a person rather than an illness or disease (or even worse, like an object), you feel respected as a human being with real emotions and opinions about what works best for your life—not just how well you’re doing on some test results or other metric.

The idea behind this approach is simple: treat the patient first. Allowing yourself to be treated could mean anything from changing your diet when someone recommends it (no sugar!), changing where you work so that it doesn’t affect your commute time too much…

The goal of health care was to treat disease.

The goal of health care was to treat disease. The job of the doctor, nurse and other health professionals was to cure illnesses and restore patients’ health. This focus on treating illness is what we call “medical paternalism.”

The medical approach has its roots in ancient Greece where Hippocrates wrote about the importance of cleanliness and personal hygiene as part of good health (the Hippocratic oath). In medieval times, doctors believed that people were made up of four humors: black bile or choleric humor (hot), yellow bile or sanguine humor (cold), phlegm or melancholy humor (sickness) and blood in red corpuscles. A person could be healthy if he had an even balance between these four humors which meant he didn’t have an excess amount of any one humor over another—hence “balanced”.

– Patient centered care

Patient centered care is a philosophy of health care that focuses on the unique needs of each individual. It’s based on the idea that patients are the center of their own care, and emphasizes respect, dignity and autonomy.

Patient centered care recognizes that every person has different values and goals in life: some want to be independent; others prefer to have someone else handle most decisions for them; still others may not be able to make informed decisions because they lack information or experience with particular situations. It also acknowledges that there may be barriers preventing individuals from accessing services or receiving needed treatment because of financial constraints or other reasons (such as language barriers).

– How is it different from other types of care?

Patient centered care is a philosophy of care that focuses on the needs and preferences of patients, as well as their values and beliefs. It’s about respecting the patient’s choices, working with them to achieve their goals, and valuing every person’s experience in a health care setting.

In other words: when you’re receiving patient centered care at your local hospital or clinic (or even at home), you’re getting exactly what you need from your medical professional—not what they think they should provide based on some arbitrary idea of what it should be like!

– What are the characteristics?

Patient-centered care is patient-centered. It’s about giving patients the information, guidance and support they need to make decisions about their healthcare.

Patient centered care is patient centered. It’s focused on improving the quality of life for individuals who have chronic conditions or disabilities by helping them overcome challenges that limit their ability to manage daily living activities, such as bathing or dressing themselves; eating nutritious food; getting dressed; climbing stairs safely; going outside safely without assistance; speaking clearly during conversations with others (such as family members) around them – all while maintaining control over their health care decisions at home through regular visits with a doctor/nurse practitioner who will provide medications as needed based on results from blood tests performed during office hours each week!

– How does it improve health?

Patient centered care focuses on fulfilling individual needs. Patients are more engaged in their health care and can make better decisions about their care. They have a greater sense of control, which leads to improved health outcomes and satisfaction with the experience of receiving services from providers.

Patients are involved in every aspect of their healthcare from conception to death, so they should be treated as partners in this process. The patient’s perspective is often overlooked by clinicians who may not understand what it means for patients to be at the center of their own health decisions or how these decisions impact overall wellbeing (e.g., mental well-being).

– How can clinicians and patients work together to create a patient centered care environment?

For clinicians, patient centered care means being respectful of patients’ wishes and needs. It also requires that the clinician has an open mind when it comes to ideas from patients. Finally, clinicians should be willing to listen to their concerns and take them seriously in order to develop a stronger relationship with the patient.

Patients can be helpful in this process as well by respecting their clinicians’ time while at the same time sharing their opinions with them so that they may better understand what is going on with their health care provider’s work-life balance issues or other concerns they may have about how they’re being treated by their doctor.

Patient centered care focuses on fulfilling their individual needs.

Patient centered care is a philosophy of health care that focuses on fulfilling individual patient preferences, needs and values. It is based on the idea that patients are the experts in their own lives and know what is best for them.

The goal of patient-centered care is to meet patients’ goals by tailoring services to meet their specific needs. The focus here is on providing services that are consistent with individuals’ values so they can make informed decisions about what they want or need from their healthcare providers.

Conclusion

Patient centered care is a concept that focuses on what patients need and want. It’s a way to create a relationship with them where they feel heard, understood, and cared for by their doctors and other healthcare professionals. By implementing this approach into your practice, you can ensure that your patients get the most out of their health care experience.

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