NUR1 220 Lecture Notes - Dignity, Document Collaboration

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Practice Recommendations:
Client Centred Care
Values and Beliefs of Client Centred Care:
- The client is the one who decides if and who will participate in
his/her care.
- Respect
- Human dignity
- Clients are experts for their own lives
- Clients as leaders
- Clients’ Goals coordinate care of the health care team
- Continuity and Consistency of Care and Caregiver
- Timelines
- Responsiveness and universal access
o Responsiveness to their wishes, values, priorities,
perspectives, and concerns
Core Processes of Client Centred Care:
- Identifying concerns/needs
- Making decisions
- Caring and service
- Evaluating outcomes
Nursing actions:
1. Identifying concerns/needs
o Initiate discussion or strategies to understand the
client’s perspective regarding his/her health and quality
of life.
Questions:
What is this situation like for you?
What are the most important goals to you?
What are your goals?
What does quality of life mean for you?
How involved do you want to be?
What would you like to know about?
What gives you the strength to carry on?
What has worked for you before?
Who in your family or friends would help you?
How will you know what you will be able to
manage on your own?
o DETERMINE HOPES - Seek to clarify the hopes, wishes,
preferences, strengths, needs, and concerns of the client,
from his/her perspective (GOALS):
Questions:
What do you hope happens?
What do you see down the road?
What are your concerns?
What do you need/expect from your health care
team?
o CLARIFY WISHES Clarify the client’s wishes and follow
his/her lead in determining the involvement of others in
their health care:
Questions:
What do you want to involve in your care?
Who else should be involved in this
meeting/project?
What is important to you?
Who would you like to make decisions for you, if
you were unable to make them yourself?
o Represent the CLIENT’S/COMMUNITY’S PERSPECTIVE
on health, goals in life, as well as their concerns when
making recommendations to others
o Follow the client’s lead when providing information or
teaching that the client wants with respect to his/her
health/illness situation.
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Document Summary

The client is the one who decides if and who will participate in his/her care. Clients are experts for their own lives. Clients" goals coordinate care of the health care team. Continuity and consistency of care and caregiver. Responsiveness and universal access: responsiveness to their wishes, values, priorities, perspectives, and concerns. Initiate discussion or strategies to understand the client"s perspective regarding his/her health and quality of life. How will you know what you will be able to manage on your own: determine hopes - seek to clarify the hopes, wishes, preferences, strengths, needs, and concerns of the client, from his/her perspective (goals): What do you need/expect from your health care team: clarify wishes clarify the client"s wishes and follow his/her lead in determining the involvement of others in their health care: Must be taught in a way that is relevant to the client. To find out what the client thinks = spend time figuring out what their perspectives are.

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