Family and Decision-Making reflective scholarly discussion.

Please respond to the following two post 100 words, 1 reference

Marilyn Hernandez

Chapter 6: Family and Decision-Making reflective scholarly discussion.

Dr, Morancy and classmates,

Patient and Family-Centered Care (PFCC)- is working “with” patients and families, rather than just doing “to” or “for” them. PFCC is the coming together of health care providers, patients, and families in the care and decision-making of the patient. This is very much the status quo of my daily routine as a case manager. Due to the nature of the special need’s population that I manage they are dependent on family; this approach corresponds perfectly. Our case management team incorporates the family in the patients care and they are educated as well as the patient in becoming proactive in their health and wellness. I have experience PFCC firsthand with my father whose care I took over 5 years ago when he came to live with me due to his failing health. He has been hospitalized in the past 5 years various times for different reasons. With each one of his admissions, the family is involved and consulted during his discharge planning. During the last hospitalization, which was a little over a month ago, the family was approached by the hospitalist at which time we were asked how do you see him? Do you feel comfortable taking him home to continue treatment? What is his home routine like? We felt like we weren’t being dictated to and had a voice in the decision-making process. The core components of PFCC are: 1) Dignity and Respect. Family opinions are respected and taken into consideration in the planning and delivery of care. 2) Information Sharing. Health care providers convey information with patients and families in order to have effective participation in the patients care and decision-making. 3) Participation. Patients and families are asked to participate in care and decision-making and are supported in doing so. 4) Collaboration. Patients, families, and health care practitioners work together in the development, implementation and evaluation of the patient’s care plan. Patient- and family-centered care (PFCC) leads to better health outcomes, improved patient and family experience of care, better clinician and staff satisfaction, and wiser allocation of resources. (ipfcc, 2020)

References

Patient- and Family-Centered Care. (n.d.). Retrieved February 10, 2020, from https://www.ipfcc.org/about/pfcc.html

Lewenson, S. B. & Truglio-Londrigan, M. (2015). Decision-Making in Nursing: Thoughtful Approaches to Leadership. (2nd ed.) ISBN:978- 1-4496-9150-9.

Yulier Rodriguez-Medina

Family an Decision Making/ Week 6 Discussion Board

Nurses in an acute care center or hospital setting, have the unique opportunity in this environment with protocols and standards of practice to promote and develop family-centered care. Since a patient arrives to an Emergency Room or urgent care ground the health care team focuses on a level of wellness perception and safety that may not be applicable to other areas of health care delivery, such as an outpatient clinic or school system. Hospitals are designed to accommodate a wide variety of routine, urgent, or emergent patient care needs and families as well. The clinical expertise of the staff and the medical-surgical equipment used in the acute care setting reflect these needs. as well as the quality and emphasis in the psychological support to patients and family according to the magnitude of the condition in the state of health or traumatic event or pain that has suffered

The nature of the hospital setting is to provide 24-hour care; thus the patient, family, and caregivers are faced with the physical, psychologic, and emotional sequelae of illness and hospitalization. This can include the response(s) to a change in daily routine; a lack of privacy and independence; or perhaps a response to a potential lifestyle change, medical crisis, critical illness, or long-term illness. The triad can be used to better treat patients considering environmental facts for conditions to not reoccur or worsen.

The public health nurse roles and responsibilities to eliminate health inequalities and achieve equity focuses on the importance of awareness of self and others; trust as a foundation of every human relationship; and humility in acknowledging what is not known about diverse cultures and populations. Many defined roles and responsibilities for public health nurses also apply to nurses in other specialties and settings. Additionally, nurses must recognize and understand the impact of social determinants of health on population outcomes, including genetics; social and physical environments; socioeconomic status; biologic and behavioral responses; access to care; availability of food and transportation; and others. Poverty, inequality, and social determinants of health not only contribute to global health issues but can also adversely impact morbidity, mortality, and health outcomes (Quinn & Kumar, 2014).

Public health education and promotion also focuses on building evidence regarding how to teach and what to teach so as to effectively reach different populations with messages that are pertinent to public health. In order to build effective bodies of knowledge in public health, public health education and health promotion must be focused not only health promotion for individuals and populations, but education for the current and future workforces, as well.

References

Last, J. M., Abramson, J. H., & Freidman, G. D. (Eds.). (2014). A dictionary of epidemiology (Vol. 4). New York: Oxford University Press.

Goeppinger, J. (2016). Community as client: Using the nursing process to promote health. Community health nursing.

Tones, K., Robinson, Y. K., & Tilford, S. (2017). Health education: effectiveness and efficiency. Springer.

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