NRSG138 Lecture Notes - Lecture 5: Shared Decision-Making In Medicine, Moral Agency, Therapeutic Relationship
Person centred care
A philosophical approach in the provision of health care
Personhood
Person centredness
Person centred care
Personal attributes required to provide person centred care
● Open mindedness
● Profound sense of value for the individual
● Self awareness and reflectivity
● Personal responsibility for actions (moral agency)
● Motivation to do the role to the best of your ability
● Leadership
● Courage to question
Person Centred care
● An approach to care that respects and values every individual
● Person centred care means treating each person as an individual
● Protecting each person’s dignity
● Respecting a person’s rights and preferences
● Developing a therapeutic relationship between the care provider and care recipient
which is build on mutual trust and understanding
Established through:
● Creation of an environment that promotes self worth
● Recognition of the uniqueness of each human person
● Promotion of self care and independence
● Is based on respect and truthfulness
● Establishes mutual engagement
● Nurtures hope
CREATION OF AN ENVIRONMENT THAT PROMOTES SELF WORTH
● Workplace culture
● Skill mix
● Shared decision making systems
● Physical environment
Promotion of Confidence and Independence
● Learning about condition and health needs
○ Recognising and managing body responses
○ Completing health tasks
○ Becoming an expert
○ Changing behaviours to minimise disease impact
● Activating resources
○ Creating relationships with healthcare providers
○ Accessing navigating the healthcare system
○ Psychological resources
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Document Summary
A philosophical approach in the provision of health care. Personal attributes required to provide person centred care. Profound sense of value for the individual. Motivation to do the role to the best of your ability. An approach to care that respects and values every individual. Person centred care means treating each person as an individual. Developing a therapeutic relationship between the care provider and care recipient which is build on mutual trust and understanding. Creation of an environment that promotes self worth. Recognition of the uniqueness of each human person. Respect is integral to the 6 c"s of caring. Requires both health care professionals and people who are ill to be involved in care management. Requires development of resources within the multidisciplinary healthcare team. Staff interactions with people using health services promote increased personal control. Health services have a responsibility to respect people as partners in decisions affecting their health care.