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