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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
 

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