Patient Centred Care

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In the formative peer view assignment, you were asked to review an article on promoting dignity in healthcare setting and how this forms the basis of patient centred care. Following on from this you are now asked to:- 1. Briefly describe what is meant by the term patient centred care. 2. The following three aspects of patient dignity in healthcare have been selected from figure one of maliti article *Respect

*Making choices
*Confidentiality
Select two of these aspects and utilising relevant current literature, describe each of these aspects of patient dignity and briefly outline their relevance to patient centred care.

Promoting dignity within a healthcare setting is a very important aspect of health and social care. This forms the basis of a widely used movement called patient centred care. Firstly, it will be explained what is meant by the term patient centred care. Using relevant current literature, two aspects of patient dignity in healthcare will be described, these being respect and confidentiality, and their relevance to patient centred care will be outlined. The concept of dignity will also be discussed briefly. Any legislation that relates to respect, confidentiality and dignity will be cited. Following on from that there will be a conclusion which will just briefly outline all of the information that has been covered previously.

Patient centred care (PCC) is a fundamental aspect that has become very widely used by all healthcare professionals. However it is often misunderstood as it can be a very broad subject. ‘Patient centred care involves taking into account every patient’s point of view, it goes much further than just setting goals with the patient.‘(ponte et al 2003) This in turn encourages shared decision making which enables the patient to feel confident and relaxed about the care they are receiving. PCC ensures that patients are given the correct and appropriate health advice which enables them to make an informed decision about their health and wellbeing as well as the care they are receiving.

Hospital environments can often scare and confuse patients, and it is vital that they know exactly what is happening and when. It is the health professionals responsibility to inform the patient what their treatment involves and to ensure that they are kept up to date with this information. The fact that they are hospitalised also means a patient will be nervous, terrified and anxious about what is happening to them and the decisions that they may need to make in respect of their care and any treatment that they may require. They therefore need no other worries at that time such as feeling disregarded and disrespected whilst they are a patient within the hospital. A nurse should provide support and comfort which are the ‘basic functions of patient centred care’ (British journal of nursing 2010) to ease them into any decisions that are to be made about their care and possible treatment. If a patient feels comfortable and settled while in hospital on the first occasion, then if they need to return to hospital at any point they would not feel so nervous and anxious about having to be re-admitted at any time. Especially if PCC is adhered to and respect, confidentiality and dignity are maintained.

Seven components of PCC have been identified by Gerteis et al (1993). These are: Respect for patients’ values, preferences and expressed needs; coordination and integration of care; information, communication and education; physical comfort; emotional support and alleviation of fear and anxiety; involvement of family and friends; transition and continuity of care. If all these components are adhered to then patient centred care should be a success. However as above PCC is often misunderstood. This could happen within the healthcare setting if there is a breakdown of communication between either patient and healthcare professional or between a number of healthcare professionals...
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