Delivering Client Centered Care

 

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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

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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. 

 

Refer to the required reading: COVID-19 and the Need for Health Care Reform (King, 2020)  NEJM. 

Identify 1 flaw in the US healthcare system that was made evident during the pandemic, and 1 innovation during the pandemic that improved healthcare.

** Add two (2) additional references to make a total of three references

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic Resources:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

1.Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. 

Use 3 sources 

2. Post an explanation of how you anticipate enacting personal and professional commitment for advocacy to positively impact your patients, communities, and the profession. Be specific. Then, explain how your role as a DNP-prepared nurse contributes to advocacy for positive social change. 

Use 3 sources 

Centers for Disease Control and Prevention. (2021). Social determinants of health: Know what affects health.Links to an external site.https://www.cdc.gov/socialdeterminants/index.htm

• Read, C. Y., Pino Betancourt, D. M., & Morrison, C. (2016). Social change: A framework for inclusive leadership: Development in nursing education.Links to an external site. Journal of Nursing Education, 55(3), 164–167. https://doi.org/10.3928/01484834-20160216-08
• Walden University. (2022).Social determinants of health: Understanding vision health equity.Links to an external site. https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/resource/social-determinants-of-health-understanding-vision-health-equity

Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the 
DSM-5-TR to use. (Major Depressive Disorder)

1- Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

2- Explain the risk assessment you would use to inform your treatment decision  making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

3- Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

4- Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

please follow the instructions, develop: older adult and major depressive disorder… no plagiarism, valid references plus Introduction