PFC 101 Notes.docx - PFC 101 Introduction to Patient...

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PFC 101: Introduction to Patient Centered Care Please share 2-3 paragraphs [double-spaced] of .... I specifically learned ________, and I can specifically apply this in my work setting by _________. Submit your completed certificate as a pdf attachment. Objectives After completing this course, you will be able to: 1. Describe the partnership model of patient-provider relationships. 2. Explain why the partnership model can improve health. 3. Discuss how social conditions, faith, culture, and trust affect the patient-provider relationship. 4. Identify at least four skills to improve clinical interactions with patients. Excerpts You might explain the medical necessity of the colostomy, so that she understands why you think it’s in her best interest. You might describe what would happen if Mary Smith didn’t have the surgery. Other times, the provider might rely on his or her authority as a medical expert to tell the patient they must follow the treatment. Or, the provider might try to find an alternative treatment option that is less scary to her. For example, parents make decisions for their small children because they’re not yet old enough to make choices on their own. Oftentimes, children are expected to follow their parents’ orders without questions, even if they don’t understand them. An executive, on the other hand, has the power to make the decision, even though the advisor might have more information. This is similar to the hairstylist-customer relationship, in which the hairstylist has technical skills that the customer does not, but follows the customer’s instructions. You might compare these power dynamics to the clinical encounter, where the patient is sick and afraid, and the provider is expert and has the ability and authority to provide treatment. how these models shaped his clinical style in his book Being Mortal . Here’s a quick summary: The paternalistic model is the traditional model, in which the physician or provider is viewed as an expert authority on health care, including the values of that health care — things such as extending life, curing disease, and reducing pain. The provider plays the role of a parent or guardian, and the patient assents to the provider’s authority. The informative model is on the opposite end of the spectrum. In this model, the provider is a technical expert who simply provides information to the patient, and the patient holds the decision-making power about his or her care. It’s similar to the hairstylist-customer relationship. This model assumes that patients know what their values and interests are, and they just need facts about their medical care to decide what to do. In the interpretive and deliberative models, the patient may not know what matters most to him or her in a given situation. The provider serves in the role of a counselor, advisor, friend, or teacher. In the interpretive model , the provider’s role is to elicit the patient’s values. In the deliberative model , the provider takes a slightly more assertive role, helping the patient understand his or her values in the

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