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Patient centered care (IBAMFIC 2014)

Published on Nov 21, 2015

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PRESENTATION OUTLINE

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patient

centered medicine 
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patient centered care

understand the patient as a unique human being
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PATIENT CENTERED CARE

diagnosis as a failure
Photo by Curtis Gregory Perry
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PATIENT CENTERED CARE

disease/illness
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disease centered model

Photo by KJGarbutt
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perspective

differences
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biography

differences
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relationship

differences
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alliance

differences
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doctor

differences
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see the illness through the patient's eyes

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1. explore

fife
Photo by mChuca
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Feelings

  • meanings
  • perspective
  • worried about...
  • emotional reaction
  • previous experiences
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ideas

  • what's happening?
  • why?
  • what will happen?
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Function

  • daily activities limitations
  • impairment
  • changes in lifestyle
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expectations

  • from the visit, the system
  • patient's role
  • social/emotional support
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2.understand

 
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understand

  • person itself
  • proximal context
  • distal context
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Untitled Slide

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3. common ground

about the nature and priorities
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3. common ground

  • goals of treatment
  • roles assumed by patient and clinician
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4. relationship

mutual investment fund
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coursing like a river underneath these discrete visits, is the ongoing relationship, manifesting dimensions more enduring than the qualities of any one visit, dimensions such as trust, caring, feeling, power and purpose (Stewart, 2004)

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compassion, caring, empathy, trust
POWER
healing, hope

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realism

time, organization, limits
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interview

  • FIFE
  • patient experience
  • common ground 
  • relationship
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EBM
uniforming
design

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Untitled Slide

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does it works?

  • healthy behaviors
  • health status
  • headache
  • DM, high blood pressure
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competence?

no differences 
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time?

  • 1. 7'48"
  • 2. 10'54"
  • 3. 8'30"
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be careful out there

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bibliografía aproximada

CC Baxter