Patient Centered Care Dr Sylvia Cole - PowerPoint Presentation

Slide1

Patient Centered Care

Dr Sylvia Cole

MB;BS, DA, FRCA

Consultant Anaesthetist/ Intensive Care Physician

Paelon Memorial Clinic

sylvia@paelonmemorial.com

contact@paelonmemorial.com

www.paelonmemorial.com

0909 360 8138

Slide2

Definition

Providing care that is respectful and responsive to individual patient preferences, needs and values and ensuring that patient values guide all clinical decisions.

Slide3

The UK experience

Slide4

NICE(National Institute for Health and Care Excellence) UK

Healthcare professionals should follow the department of health’s advice on consent.

If someone does not have the capacity to make decisions, healthcare professionals should follow the the code of practice that accompanies the Mental Capacity Act and the supplementary code of practice on deprivation of liberty

safegaurds

.

Slide5

NICE

Multifactorial risk assessment identifies the patients risk factors

Cognitive impairment

Continence problems

Falls history

Footwear

Medication

Syncope

Visual impairment

Slide6

Listened to

Informed

Respected

Involved in their care

Wishes are honored

Slide7

Quality of personal, professional and organizational relationships

Attributes

Whole person care

Coordination and communication

Patient support and empowerment

Ready access

Reference Institute of Medicine

Slide8

What can we do?

Slide9

Nigerian Medical and Dental council

Society for Quality in Health

Care In

Nigeria (SQHC)

Medical professionals

Slide10

MDCN (Medical and dental council of Nigeria)

Hippocratic

Oath

The Hippocratic Oath is an oath historically taken by doctors swearing to practice medicine ethically. It is widely believed to have been written by Hippocrates, often regarded as the father of western medicine, in Ionic Greek (late 5th century BC),[1] or by one of his students,[2] and is usually included in the Hippocratic Corpus. Classical scholar Ludwig Edelstein proposed that the oath was written by Pythagoreans, a theory that has been questioned due to the lack of evidence for a school of Pythagorean medicine.[3] Although mostly of historic and traditional value, the oath is considered a rite of passage for practitioners of medicine in some countries, although nowadays the modernized version of the text varies among the countries.

The Hippocratic Oath (

orkos

) is one of the most widely known of Greek medical texts. It requires a new physician to swear upon a number of healing gods that he will uphold a number of professional ethical standards.

Little is known about who wrote it or first used it, but it appears to be more strongly influenced by followers of Pythagoras than Hippocrates and is often estimated to have been written in the 4th century B.C.E

Over the centuries, it has been rewritten often in order to suit the values of different cultures influenced by Greek medicine. Contrary to popular belief, the Hippocratic Oath is not required by most modern medical schools

.

Slide11

HIPPOCRATIC OATH: MODERN VERSION

I swear to fulfill, to the best of my ability and judgment, this covenant:

I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

I will apply, for

the benefit of the sick

, all measures [that] are required,

avoiding those twin traps of overtreatment and therapeutic nihilism

.

I will remember that there is

art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

I will

not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.

I will

respect the privacy of my patients

, for their problems are not disclosed to me that the world may know. Most especially must I

tread with care in matters of life and death

. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I

must not play at God

.

I will remember that I do not treat a fever chart, a cancerous growth,

but a sick human being, whose illness may affect the person's family and economic stability.

My responsibility includes these related problems, if I am to care adequately for the sick.

I will prevent disease whenever I can, for prevention is preferable to cure.

I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.

If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

—Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University, and used in many medical schools today

.

Slide12

Hippocrates oath original

Slide13

Nice (National Institute for Health and Care Excellence) UK

NICE has standards, produces guidelines based on evidence based medicine

Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals

nice@nice.org

n

ice.org.uk

Slide14

International Conference on Patient Centered Care (America)

Patient- centered care has now made it to center stage in discussions of quality.

Enshrined by the Institute of Medicine

Quality Chasm report

1-6 key elements of high quality care

The Values and Value of Patient- Centered care. Ronald M Epstein, MD and Richard L. Street,

Jr

, PhD

Slide15

Promoting Patient Centered Care

SQHN Workshop

25

th

June 2015

Today SQHN

Society for Quality in Health

Care In Nigeria

Slide16

Dignity and respect

I

nformation

sharing

Participation

Collaboration

Partnership

Slide17

Evidence based outcomes of patient and family engagement

Improved

Earlier discharges

Patient safety/quality

Patient satisfaction

Patient/staff relationships

Positive perceptions of workplace by staff

Psychological adjustment of patients

Slide18

Reduced

Length of stay

Medical errors

Readmissions

Staff vacancy and

turnover

Change in your prescriptions and treatment

Slide19

What we do in Paelon

Slide20

Patient rights

Right to health care without regard to sex, culture, social status, education or religious background

Right to have considerate and respectful care

Right to know the physician who has primary responsibility for coordinating your care and also names and professional relationship of other caregiver(s) involved in your care

Right to receive information about your illness, course of treatment and prospects of recovery in terms that you can understand

Right to obtain information about any proposed procedure you may need in order to give consent(except in emergency situation)

Right to participate actively in decision regarding your medical care

Right to confidential treatment and confidential protection of your medical records

Right to reasonable response on any request you may make for services received

Right to refuse or accept to participate in research projects

Right to know hospital rules and policy pertaining to you

Right to know that vital error(s) made during care delivery will be reported to you expediently

Right to explanation on your financial or medical bill

Right to know the drug name, function and side effects of drugs you are given

Right to have a choice of physician subject to availability

Slide21

Provider rights

Right to request patients to register at front desk before seeking medical care

Right to request patients to cooperate with hospital caregivers

Right to request patients to treat all hospital staff with respect and dignity

Right to request patients to adhere with the agreed treatment

Right to request patients to follow the health worker’s instructions diligently

Right to request patients to take the necessary preventive measures in case of infectious disease per doctor’s instructions

Right to request patients to be aware that health workers will endeavor to always act in their best interests, however, being human, are susceptible to infrequent errors

Right to request patients to be aware that ALL procedures and treatment modalities carry varying levels of risk for which health workers are not liable

Right to request patients to make payment for the treatment wherever applicable to the hospital promptly

Right to request patients to respect the competence of health workers to make professional decisions on patients care

Right to request patients to be punctual to attend the clinic/hospital for treatment at the given time

Right to request patients to disclose all necessary information about himself/herself including all the treatment he/she has received before

Right to request patients to inform the hospital of change of profile information (name/address/emergency contact/phone numbers etc.)

Right to request patients to keep the hospital management informed, if change of doctors/hospital is desirable/

desired

Slide22

Questions?

Slide23

Thank

You