scholarly journals Person-Centered Care Coordination Next Steps in a Long Journey

2021 ◽  
Author(s):  
Jacob Hofdijk ◽  
Felix Cillessen
Keyword(s):  
Age Groups ◽  
Care Plan ◽  
Integrated Network ◽  
Person Centered Care ◽  
The Social ◽  
Health And Social Care ◽  
Centered Care ◽  
Health And Disease ◽  
Excellent Care ◽  
Huge Challenge

Citizens of the Netherlands receive excellent care, when they need it, insurance based funded according to the solidarity principle. Maintaining this system is a huge challenge, as we live longer and the demand for care is growing. With an increasing percentage of multi-morbidity in all age groups the need for integrated network organized care is growing at equal pace. Gradually the need to shift focus to prevention is increasingly understood, but a challenging business model is still lacking. The involvement of citizens in maintaining their health requires a focus on managing the social determinants of health. The concept of the holistic problem list and the overarching care plan provides a unique way to combine both health and disease management. Our vision is to bring control to the patient and promote coordination of all active problems across the health and social care network.

Narratives in Clinical Practice: The essence of person centered care?

2013 ◽  
Vol 3 (2) ◽  
pp. 123-126
Author(s):  
James Appleyard
Keyword(s):  
Clinical Practice ◽  
Clinical Experience ◽  
Clinical Skills ◽  
Social Psychological ◽  
The Core ◽  
Physician Consultation ◽  
Narrative Skills ◽  
Person Centered Care ◽  
Centered Care ◽  
Health And Disease

From earliest times listening to a person’s story has been the essence of the patient-physician consultation. Evidence from the literature suggests that it is the core clinical skills of communication through questioning, delineating, interpreting, explaining and discerning meaning that provide a way of bringing together the very different perspectives of patients and health professionals.These narrative skills facilitate an awareness of both health and disease and take into consideration the biological, social psychological, spiritual and pathophysiological dimensions. In this context the science of objective measurements can be successfully integrated with the art of clinical experience and judgment.

Nutritional Considerations in Dysphagia to Prevent Malnutrition

2014 ◽  
Vol 23 (4) ◽  
pp. 157-165
Author(s):  
Melissa Kline ◽  
Deborah Hutcheson
Keyword(s):  
Oral Intake ◽  
Care Plan ◽  
Nutrition Status ◽  
Registered Dietitian ◽  
Therapeutic Approaches ◽  
Patient Centered ◽  
Speech Language Pathologist ◽  
The Social ◽  
Centered Care

As partners in patient care the speech-language pathologist (SLP) and the registered dietitian (RD) work together to treat patients with dysphagia and should be able to communicate and address the patient's nutrition status in their diagnostic and therapeutic approaches. Avoiding deterioration of nutrition status (malnutrition and dehydration) through early intervention and treatment is key to decreasing the associated costs and declines in quality of life. Gaining an understanding of the social and physiologic factors that impact oral intake and nutritional status throughout the lifespan assists the SLP to better collaborate with the RD to develop a patient-centered care plan to improve the quality of care and facilitate positive patient outcomes in this population.

scholarly journals Supporting Persons With Severe Dementia in Communicating Their Preferences

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Vanessa Burshnic ◽  
Michelle Bourgeois
Keyword(s):  
Care Plan ◽  
Preference Assessments ◽  
Severe Dementia ◽  
Person Centered Care ◽  
Government Mandates ◽  
Centered Care ◽  
Communication Challenges ◽  
External Supports ◽  
Validity Measure ◽  
Everyday Living

Abstract Government mandates require US nursing homes to provide preference-based, person-centered care. Persons with dementia (PWD) are less likely to have a role in preference assessments (PAs) used for care planning due to communication challenges associated with the disease. Thus, PWD are at risk of receiving de-personalized treatments. External supports (photograph and text cues) are known to improve communication in PWD. Yet these cues have never been studied with widely used PAs, such as the MDS 3.0 Section F and Preferences for Everyday Living Inventory (PELI). This study examined the effect of two PA conditions (externally supported; standard verbal) on preference consistency and response types (off-topic, clarification requests, elaboration) of residents with severe dementia (N=21) (BIMS < 7) when assessed twice, one-week apart. PA questions were derived from the MDS 3.0 Section F and PELI. As a social validity measure, naïve judges (N=10) listened to interviews and rated residents’ communication clarity and their confidence understanding residents’ preferences. Results showed that neither condition promoted significantly greater levels of consistency over time. Residents’ ‘clarification requests’ were significantly fewer with use of external supports. Other response types were not significantly different across conditions. Judges’ ratings were not significantly different across conditions; however, they rated residents’ communication as clear and understandable overall. This study addresses a gap in current research and holds important implications for helping providers meet government mandates and enhance care plan participation by residents with severe dementia and other communication challenges.

scholarly journals Continuity of Health, Citizen Empowerment as Key Driver

2020 ◽  
Author(s):  
Jacob Hofdijk ◽  
Felix Cillessen
Keyword(s):  
Significant Role ◽  
Social Determinants ◽  
Care Plan ◽  
Self Management ◽  
Person Centered Care ◽  
Citizen Empowerment ◽  
Centered Care ◽  
Key Driver

Self-management for prevention and care will play a significant role in the transition to apply person-centered care. Interoperability requirements, an overarching care plan, integration of social determinants, and the focus on prevention are important ingredients in the vision on its implementation.

Servicing the Senior Swallow: A Family-Centered Private Practice Model of Service Delivery

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Yvette M. McCoy
Keyword(s):  
Older Adults ◽  
Medical Model ◽  
Recovery Process ◽  
Swallowing Disorders ◽  
Current Evidence ◽  
Care Needs ◽  
Skilled Nursing ◽  
Person Centered Care ◽  
Centered Care ◽  
Traditional Medical Model

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

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