SPEA-H 411 Lecture Notes - Lecture 7: Sick Role, Social Distance, Culture Change

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Philosophy of care in transition: traditional treatment philosophy in health care, parson"s sick-role model, promotes an institutional orientation, four outcomes, rigid daily routines, social distance, depersonalization, blocking routines, philosophy of person-centered care, guided by 3 main principles, 1. Socioresidential component emphasizes amenities, privacy, and opportunities for individual interests to be balanced with social interaction and engagement: 2. Highly individualized clinical care that incorporates evidence-based practices: 3. Person-centered care: it creates a holistic environment, control is shared between the patient and caregivers (versus sick role, patient"s autonomy and decision making are enhanced, equal weight to promoting quality of care & life. Clinical set-up: nursing units, nursing station, location, furnishings: nurse call systems, medical records, pharmaceuticals room, a self-contained wing or section of a facility. Nursing units: nursing station, bathing rooms, dining rooms, lounges, linen closets, soiled-utility areas, odor control: enclosed soiled-utility, ventilation, waste elimination, sanitation.

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