Why is patient-centeredness essential as cornerstone

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Why is patient-centeredness essential as a cornerstone of health care, beyond simply being the "right thing to do"? Select 1 of the 4 topics (e.g., beneficence, instrumental value, disparity reduction, or improved value of care) and elaborate on its significance in striving for patient-centeredness.

As stated on the PowerPoint slide and by Epstein et al. (2010, p. 1490) patient-centered care "is not simply capitulating to patients' requests." Instead it is supposed to be care that is respectful of and attentive to individual patient's preferences, needs, and values. If we think of beneficence as acting in ways that benefit others and support their overall well-being (Cheraghi et al., 2023) then patient-centered care seem to go hand-in-hand. A patient-centered approach encourages open conversations between doctors and patients, through with they share information, discuss about what matters most to the patient, and make decisions together about care. The approach helps patients to receive the care they need and supports them in making tough lifestyle changes that can improve their health. At the same time, it focuses on building strong, caring relationships that help bridge differences in background, income, or life experiences between patients and healthcare providers (Epstein et al., 2010).

Of course, as it seems is often the case, when applied in real life situations providing centered-care while being mindful of the ethical principle of beneficence can be complicated. As a nurse I strive to promote patient well-being and sometimes that is at odds with their stated preferences. This is especially distressing when I believe their stated preferences are based on misunderstandings.

A number of the patients I work have substance abuse disorders which interfere with their abilities to tell us what their preferences, needs, and values would be were they not intoxicated or impacted by years of recreational drug use. There are also people who have mistaken beliefs about healthcare. I help a neighbor who is on hospice due to bladder cancer. He got a very bad UTI and refused to take the antibiotics he was prescribed and became more unwell and less rational by the day. At last he took one and finally took the whole series. When I asked him what changed his mind he told me that he thought the antibiotic was going to kill him but he felt so terrible he decided it was worth a chance taking it.

 

Reference no: EM133878162

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