Delivering Client Centered Care

kaffy

Shared decision-making (SDM) is a vital component of contemporary healthcare, transforming the landscape of patient-centered care across the lifespan. A significant body of evidence, such as the peer-reviewed article titled “Shared decision-making in primary care: A systematic review and meta-analysis of its effects on patient outcomes” by Stacey J. Pereira et al. published in the Annals of Family Medicine in 2021, underscores the merits of SDM in promoting health and delivering client-centered care.

SDM epitomizes a collaborative process where patients and healthcare providers harmoniously engage in making healthcare decisions. This process revolves around the amalgamation of the best available clinical evidence with the unique values and preferences of the patient. The systematic review and meta-analysis examined 57 randomized controlled trials (RCTs), offering compelling insights into the affirmative influence of SDM on various patient outcomes. These encompassed heightened patient satisfaction, an improved quality of life, reduced decisional regret, greater adherence to treatment regimens, and superior clinical outcomes such as enhanced blood pressure control, glucose management, and cholesterol levels.

There are two overarching reasons that substantiate SDM as an essential and exemplary healthcare practice. Firstly, SDM is rooted in the principle of respecting the autonomy and right to self-determination of patients. It elevates the patient to an active, informed decision-maker in their care, ensuring that their voice is both heard and honored in the decision-making process. Secondly, SDM consistently demonstrates its prowess in enhancing patient outcomes. This patient-centered approach fosters an environment where patients feel valued and involved, leading to increased satisfaction, a better quality of life, and a notable reduction in decisional regret. Moreover, it fortifies patient adherence to treatment plans and significantly betters clinical outcomes.

In the realm of healthcare, SDM transcends being a mere process; it becomes a conduit for the realization of optimal care and health promotion. It effectively personalizes care delivery, ensuring that interventions align with each patient's unique needs, values, and preferences. Importantly, SDM nurtures trust and rapport between patients and healthcare providers, serving as the bedrock of effective communication. When patients feel heard and respected, it paves the way for open and honest dialogues, which, in turn, bolster healthcare decisions and ultimately lead to improved health outcomes. Additionally, SDM is instrumental in empowering patients to be active participants in their health journeys. It fosters a sense of ownership and responsibility for their well-being, thus propelling health promotion efforts to new heights.

In conclusion, the evidence gleaned from the systematic review and meta-analysis by Stacey J. Pereira et al. underscores the pivotal role of SDM in modern healthcare. By respecting patient autonomy and consistently yielding positive patient outcomes, SDM epitomizes a best practice that is integral to the delivery of client-centered care and the promotion of health across the life span. Its capacity to personalize care, foster trust, and empower patients underscores its status as a cornerstone of contemporary healthcare delivery.

Okafor Aboh

he/him/his

19 hours ago, at 10:45 PM

Top of Form

In healthcare allowing the patient to have the autonomy over their own healthcare decisions is an important part in delivering client center care and promoting health. It is important that all parties of the healthcare team work together to achieve the desired needs of the patient. An important “best practice technique” to perform to achieve this is to provide patient centered communication. This means that the patients care is centered around the clients values, health concerns, and beliefs. It is also important for the patient to have an effective trustworthy relationship with nurse or provider on their team so they can effectively establish any possible personal or behavioral related barriers that may interfere with the care of the client. 

Patient centered care reflects strictly on the specific needs of the individual patient and the best effective ways to provide them. Providing healthcare services that reflect and respect the needs of the patient results in positive outcomes for the clients health outside of the facility. Patient centered care requires the healthcare team to show respect towards the client, their needs, preferences, and values. When all parties are on the same page it makes an easier recovery process for the client and a smoother visit for the healthcare professionals. 

Part A Critically Appraising Quantitative EBP

you will complete a literature review for a quantitative article by filling out the correct column of the literature review table using the template found in the course content. Review the instructions, rubric, and example in this week's course content before completing the literature review table.

1) Discuss the fundamental meaning of quantitative research in Melnyk and Fineout-Overholt (Chapter 5 & 17).

2) Utilize the strength-of-evidence pyramid adapted from (Melnyk & Fineout-Overholt, pg 116,Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology. Quick Link :

3) Attach your quantitative article with the completed literature review table to your discussion post and cite your article within your discussion and include an APA reference style at the end of your post.

Part B

1) Discuss the fundamental meaning of qualitative research in Melnyk and Fineout-Overholt (Chapter 6 & 18).

2) Utilize the strength-of-evidence pyramid (Melnyk & Fineout-Overholt, pg 116, Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology.

3) Attach your qualitative article with the completed literature review table to your discussion post and cite your article in your discussion with an APA reference style at the end of your post.

Discuss the role of advanced nursing leadership in creating and building an organizational culture that supports innovation.

Expectations

Initial Post:

• Length: 150 – 250 Words
• apa format and at least one source with in the last five years 

please use easy to find US sources 

Episodic/Focused SOAP Note Template

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of
last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows:
General:
Head:
EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.
Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A

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Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

P.
  

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.