Person Centered Care
HCA333: Introduction to Long Term Care (BTJ1227A)
Instructor Debra Storlie
Tinel C. Virgil
July 9, 2012
During the course of this paper I will summarize key points made by the author concerning patient-centered care. I will answer the following questions: Why is this form of care important? How does it affect outcomes? How can we overcome obstacles to the adoption of these culture-change practices? I will also discuss a several barriers/challenges to implementing person-centered care in nursing homes, and in addition to person-centered care practices mentioned in the article, I will identify two other examples of person-centered care practices.
Patient-centered care is a term that we hear many times now in hospitals but what does it mean in terms of nursing homes. Author Mary Jane Koren explains that the "ideal" facility would feature several key features. “Resident direction, this means, residents would be offered choices and encouraged to make their own decisions about things personally affecting them, such as what to wear or when to go to bed. A Home like Atmosphere the facility will be designed to be less institutional and more homelike. Meals would be prepared on the units, and residents would have access to refrigerators for snacks. Such institutional features as overhead public address systems would be eliminated. Close Relationships between residents, family members, staff, and the community should be close. The same nurse aides would always care for a resident (a practice known as "consistent assignment"), because this appears to increase mutual familiarity and caring.
Staff Empowerment is organized to support and empower all staff to respond to residents' needs and desires. Teamwork would be encouraged, and additional staff training provided to enhance efficiency and effectiveness. Collaborative Decision Making allows management to enable collaborative and decentralized decisions. Undoing the typical nursing home...