scholarly journals Creating space for Indigenous healing practices in patient care plans

2020 ◽  
Author(s):  
Lindsey Logan ◽  
Jacinta McNairn ◽  
Shelley Wiart ◽  
Lynden Crowshoe ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Patient Care ◽  
Management Strategies ◽  
Patient Empowerment ◽  
Patient Centered Care ◽  
Free Text ◽  
Patient Centered ◽  
Indigenous Healing ◽  
Effect Change ◽  
Care Plans ◽  
Centered Care

Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a survey to the Canadian Rheumatology Association membership to assess awareness of Indigenous healing practices, and attitudes informing their acceptance in patient care plans. Results: We received responses from 77/514 members (15%), with most (73%) being unclear or unaware of what Indigenous healing practices were. Nearly all (93%) expressed interest in the concept of creating space for Indigenous healing practices in rheumatology care plans. The majority of support was for the use in preventive or symptom management strategies, and less as adjuncts to disease activity control. Themes identified through qualitative analysis of free-text responses included a desire for patient-centered care and support for reconciliation in medicine, but with a colonial construct of medicine, demonstration of an evidence bias, and hierarchy of medicines. Conclusions: Overall, respondents were open to the idea of inclusion of Indigenous healing practices in patient’s car plans, emphasizing importance for patient empowerment and patient-centered care. However, they cited concerns that provide the indication for further learning and reconciliation in medicine.

scholarly journals Global pandemic: consulting strategies in managing dental patients

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Melissa Loh ◽  
Declan Loh ◽  
William Y. C. Loh
Keyword(s):  
Patient Management ◽  
Management Strategies ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Dental Patients ◽  
Global Pandemic ◽  
Video Networking ◽  
Centered Care ◽  
Transmission Of Disease ◽  
Remote Consultations

AbstractDuring periods of pandemic disease, the practice of Dentistry must be altered incorporating the appropriate patient management strategies to reduce the transmission of disease. This article will outline the roles of remote consultations including virtual out-patient clinic appointments, telephone conversations and secure video networking systems to provide optimum patient-centered care.

A medical home: Changing the way patients and teams relate through patient-centered care plans.

2012 ◽  
Vol 30 (3) ◽  
pp. 190-198 ◽  
Author(s):  
Lora Schwartz Council ◽  
Dominic Geffken ◽  
Aimee Burke Valeras ◽  
A. John Orzano ◽  
Amanda Rechisky ◽  
...  
Keyword(s):  
Medical Home ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Care Plans ◽  
Centered Care ◽  
The Way

Focusing on Patient-centered Care: Developing and Implementing a Patient Advisory Group for the Improvement of Patient Care in Pituitary Adenoma

2015 ◽  
Vol 39 (6) ◽  
pp. 532
Author(s):  
Irena Druce ◽  
Emily Sharples ◽  
Filomena De Sousa ◽  
Erin J. Keely ◽  
Dora Liu ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Patient Care ◽  
Patient Centered Care ◽  
Advisory Group ◽  
Patient Centered ◽  
Centered Care

Patient-Centered Care or Patient-Centered Health?

2016 ◽  
Author(s):  
Mark D. Sullivan
Keyword(s):  
Chronic Care Model ◽  
Chronic Care ◽  
Patient Empowerment ◽  
Patient Centered Care ◽  
Management Program ◽  
Care Model ◽  
Patient Centered ◽  
Patient’S Perspective ◽  
Centered Care ◽  
Patient Centered Medicine

The history of proposals for patient-centered medicine begins with Michael Balint’s proposal for patient-centered medicine as an alternative to illness-centered medicine. This has been weakened in more recent calls for patient-centered care from clinicians, foundations, and professional organizations. It is argued that patient-centeredness consists of both taking the patient’s perspective and activating the patient. Taking the patient’s perspective involves communication skills and may involve developing a “shared mind” with the patient. Two programs for activating patients are contrasted, 1) the Expert Patient program based on the Chronic Disease Self-Management Program of Lorig and Holman and 2) the Patient-Centered Medical Home based on the Chronic Care Model developed by Wagner and colleagues. Patient empowerment involves activating patients on their own behalf and in service of their own goals. A truly patient-centered chronic care model aims not only for patient empowerment, but also for patient capability to pursue health and other vital goals.

scholarly journals French Health professionals’ attitudes about patient empowerment in the cancer care pathway

2019 ◽  
Vol 7 (4) ◽  
pp. 41
Author(s):  
Elise Verot ◽  
Véronique Régnier-Denois ◽  
Dominique Feld ◽  
Romain Rivoirard ◽  
Franck Chauvin
Keyword(s):  
Nursing Care ◽  
Health Professionals ◽  
Cancer Care ◽  
Care Pathway ◽  
Patient Empowerment ◽  
Patient Centered Care ◽  
Care Providers ◽  
Patient Centered ◽  
Centered Care ◽  
New Form

Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the perspective of changes in practices in the cancer care pathway.Methods: 19 individual, semi-structured interviews with health professionals working in cancer care facilities were analyzed in a qualitative study, using the Theoretical Domain Framework linked to the COM-B model.Results: The organization of care is governed by three factors. First of all, the cancer care system focuses on the strictly curative aspect of this disease. All devices lead to management centered on the pathology, and not on the patient as a whole. Secondly, the fact that the patient suffers from cancer modifies the attitudes and representations of caregivers towards the patient. Cancer introduces a relational bias in each of the stakeholders. Thirdly, the current organization of nursing care maintains paternalistic and prescriptive care in the cancer care pathway. Only new nursing jobs (coordinating nurses or pivot nurses) suggest the possibility of switching to patient-centered care. The analysis from TDF linked to the COM-B model shows that the strategy of implementing a new tool to measure the level of patient engagement, in routine nursing care, must focus on the reflective opportunity and motivation of the stakeholders.Conclusions: Caregivers should be acculturated to patient empowerment. TDF linked to the COM-B model can make it possible to think about how to prepare and adapt this change in practice at several sites of cancer treatment. Training adapted to the context to familiarize current caregivers with this new form of care is currently being implemented. To succeed, acculturating current health care providers to this new form of care, while offering them a tool to objectively assess the level of patient empowerment would undoubtedly foster their involvement in supporting patient empowerment, while allowing them to evaluate the time required to integrate this type of care.

scholarly journals Health Communication Cards as a Tool for Behaviour Change

ISRN Obesity ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Carrie L. Matteson ◽  
Thomas D. N. Merth ◽  
Diane T. Finegood
Keyword(s):  
Health Communication ◽  
Behaviour Change ◽  
Clinical Care ◽  
Patient Centered Care ◽  
Care Plan ◽  
Systems Science ◽  
Communication Tool ◽  
Patient Centered ◽  
Care Plans ◽  
Centered Care

Individuals seeking healthcare treatment in the context of obesity often experience difficulty engaging in discussions around their health and face challenges finding consensus with practitioners on care plans that best suit their lives. The complex set of biological, social, and environmental variables that have contributed to the higher prevalence of obesity are well illustrated in the foresight obesity system map. Effectively understanding and addressing key variables for each individual has proven to be difficult, with clinicians facing barriers and limited resources to help address patients’ unique needs. However, productive discussions inspired by patient centered care may be particularly effective in promoting behaviour change. Tools based on systems science that facilitate patient centered care and help identify behaviour change priorities have not been developed to help treat adult obesity. This project created and pilot tested a card based clinical communication tool designed to help facilitate conversations with individuals engaged in health behaviour change. The health communication cards were designed to help direct conversation between patients and healthcare providers toward issues relevant to the individual. Use of the cards to facilitate patient driven conversations in clinical care may help to streamline conversations, set realistic care plan goals, and improve long term rates of compliance.

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