This presentation is by Dr.Zinobia Madan at the Putting Patients First Conference on 20th Oct,10. Topic "Patient Empowerment - An evolving idea towards reforming current healthcare". HELP is the world's largest the worlds largest free patient education library - www.healthlibrary.com
1. PATIENT EMPOWERMENT – AN
EVOLVING IDEA TOWARDS
REFORMING CURRENT
HEALTHCARE
DR ZINOBIA MADAN
PhD, MAMS, FIMSA, FICN
FOUNDER & MANAGING DIRECTOR
CLINOMA HEALTHCARE
2. PATIENT EMPOWERMENT
A CONCEPT RECENTLY EMERGED IN THE HEALTH
SCENE
EMBRACES THE IDEA THAT EVERYONE HAS THE
RIGHT TO MAKE THEIR OWN
CHOICES ABOUT THEIR HEALTH
CARE
3. PATIENT EMPOWERMENT – A NEW
EMERGING CONCEPT ….
PATIENT TAKING AN ACTIVE ROLE IN HIS /
HER OWN DISEASE MANAGEMENT
UNTIL PAST FEW YEARS, PATIENT’S
PARTICIPATION WAS UNHEARD OF
TODAY, MANY PATIENTS REALIZE THAT THIS
LEVEL OF PARTICIPATION IS VITAL TO
MAINTAINING HEALTH IN LIGHT OF MEDICAL
CHALLENGES
4. PATIENT EMPOWERMENT
MODEL BASED ON ASSUMPTION THAT TO BE TRULY
HEALTHY, PATIENTS MUST BRING ABOUT CHANGES IN
THEIR PERSONAL BEHAVIOUR, SOCIAL SITUATIONS &
ENVIRONMENT THAT INFLUENCES THEIR LIVES
MODEL HAS EVOLVED OUT OF THE REALIZATION THAT
PATIENTS CANNOT BE FORCED TO FOLLOW A LIFESTYLE
DICTATED BY OTHERS
5. PATIENT EMPOWERMENT—A PATIENT-
CENTRED APPROACH TO IMPROVE CARE
KEY TENETS OF PATIENT
EMPOWERMENT :
PATIENTS HAVE RIGHT TO MAKE THEIR
OWN CHOICES AND THE ABILITY TO ACT
ON THEM
THE EMPOWERMENT MODEL IS THUS ONE
OF MUTUAL RESPECT
THE RESPECT DERIVES FROM VALUING OF
HUMAN LIFE AND BUILDING OF A GOOD
CLINICIAN-PATIENT RELATIONSHIP
6. WAYS OF PATIENT EMPOWERMENT …..
CAN BE ACHIEVED THROUGH TRAINING AND SUPPORT
OPTIONS AVAILABLE - PROVIDING INFORMATION SHEETS,
MULTIMEDIA PROGRAMS, INFORMATION TECHNOLOGY AND
SKILL BUILDING TECHNIQUES SUCH AS A DIABETES SELF-
MANAGEMENT PROGRAMME
LOW HEALTH LITERACY MAY ADVERSELY IMPACT ON
PATIENT EMPOWERMENT
7. WAYS OF PATIENT EMPOWERMENT …..
IMPORTANT STEP IN PATIENT EMPOWERMENT IS TO SOLICIT
PATIENTS’ VIEWS AND LISTEN TO WHAT THEY SAY
MULTIPLE STUDIES DEMONSTRATED THAT PATIENTS WHO
ARE INVOLVED WITH MANAGEMENT DECISIONS HAVE
BETTER OUTCOMES THAN THOSE WHO ARE NOT INVOLVED
8. EMPOWERMENT THROUGH INFORMATION
MEANS SEEKING INFORMATION FIRST
THEN ACTING ON THE INFORMATION
PATIENTS FIND MOST PERTINENT TO THEM
INFORMED PATIENT IS BETTER EQUIPPED
TO ASK QUESTIONS TO HIS/HER DOCTOR
AND CONTRIBUTE TO TREATMENT
PATIENT HAS EVERY RIGHT TO EVERY
SOURCE OF INFORMATION
FOR THE TREATING DOCTOR, THE PATIENT
IS ONE ANOTHER PATIENT
11. KEY ELEMENTS OF EMPOWERMENT :
KNOWLEDGE
BEHAVIOURAL SKILLS
SELF-RESPONSIBILITY
12. TRANSLATING THE PATIENT EMPOWERMENT
CONCEPT INTO DAILY PRACTICE……
PATIENT EMPOWERMENT MOVEMENT STARTED IN
EARLY 1970S, ADVOCATING THE RIGHTS OF THE
PATIENT
GOALS OF PATIENT EMPOWERMENT :
TO HELP PATIENTS BECOME ACTIVE PHYSICIAN –
PARTNERS CONTRIBUTING TO A WIDER
PERSPECTIVE IN THE
HEALTHCARE SYSTEM
13. WHAT IS EXPECTED OF AN EMPOWERED
PATIENT ?
TAKE RESPONSIBILITY :
REALIZING THAT YOU KNOW YOUR
BODY BETTER THAN ANYONE ELSE,
MAKE APPROPRIATE DECISIONS
ABOUT YOUR TREATMENT
SET GOALS :
SET A TREATMENT GOAL AND
WORK TOWARD THAT GOAL
14. WHAT IS EXPECTED OF AN EMPOWERED
PATIENT ?
COLLABORATE WITH OTHERS :
ACTIVELY PARTICIPATE WITH YOUR
HEALTHCARE TEAM TO HELP IN DIAGNOSIS
AND TREATMENT
GATHER EVIDENCE :
INFORMATION FROM ALL RESOURCES
STAY SAFE IN THE HEALTHCARE
ENVIRONMENT :
PROTECT YOURSELF FROM MEDICAL &
SURGICAL ERRORS, ADMINISTRATION OF
DRUGS AT INAPPROPRIATE DOSES /
INAPPROPRIATE DRUGS, ACQUIRED HIGH
RISK INFECTIONS IN HOSPITALS
15. PATIENTS ‘ RIGHTS :
DIAGNOSIS & TREATMENT INFORMATION
INFORMATION DECISIONS & INFORMED
CONSENT
PRIVACY & CONFIDENTIALITY
ACCESS TO MEDICAL RECORDS
TO BE INFORMED ABOUT HOSPITAL
POLICY & COMPLAINT PROCESS
16. PATIENTS ‘ RIGHTS :
TO BE INFORMED ABOUT ALL
TREATMENT OPTIONS INCLUDING RIGHT
TO REFUSE TREATMENT
TO KNOW NAMES, CREDENTIALS &
EXPERIENCE LEVEL OF STAFF MEMBERS
TO KNOW FINANCIAL INFORMATION IN IN
ADVANCE
TO RECEIVE CONSIDERATE,
RESPECTFUL & EFFECTIVE CARE
17. PATIENT’S RESPONSIBILITIES :
BE HONEST & COMPLETE ABOUT YOUR MEDICAL
HISTORY & FRANK ABOUT YOUR VICES
VOICE ALL CONCERNS, DOUBTS & FEARS
ASK QUESTIONS & TELL STAFF MEMBERS
WHEN YOU DO NOT UNDERSTAND WHAT
IS HAPPENING
BE AN ACTIVE PARTICIPANT IN YOUR
MEDICAL CARE
UNDERSTAND WHAT IS EXPECTED OF YOU
AS A PATIENT
FOLLOW THE TREATMENT PLAN OR
COMMUNICATE IF YOU ARE NOT FOLLOWING IT
18. PATIENT EMPOWERMENT: HOW NOT TO FALL
VICTIM TO A HOSPITAL MISTAKE!
KEEPING YOURSELF SAFE FROM HOSPITAL
MISTAKES
GIVE YOUR NAME, DOB AND SURGERY
FIND OUT WHAT PROCEDURE YOU ARE HAVING
AND ON WHICH SIDE?
MARKING THE SURGICAL SITE
BE VERY CLEAR ABOUT YOUR
PERSONAL DETAILS
19. BY EMPOWERING PATIENTS AS PARTNERS
WE TARGET TO IMPROVE HEALTHCARE
OUTCOMES ……
EFFICIENT DOCTOR-PATIENT CONSULTATIONS
LEADS TO BETTER PATIENT–PHYSICIAN
UNDERSTANDING
RAPID DIAGNOSIS & NEGOTIATED TREATMENT
OPTIONS THAT ARE MORE LIKELY TO BE
ADHERED TO
GREATER PATIENT SATISFACTION
IMPROVED HEALTH OUTCOMES
22. EMPOWERING PATIENTS AT CLINOMA
HEALTHCARE
PATIENTS WITH ALL COMMON LIFESTYLE DISEASES WHO
REQUIRE DIET, FITNESS & LIFESTYLE MODIFICATIONS
NEED TO BE EMPOWERED TO HANDLE THEIR DISEASE
EFFECTIVELY
COMMON LIFESTYLE PROBLEMS AT CLINOMA HEALTHCARE :
DIABETES, OBESITY, HYPERTENSION,, ORTHO INCLUDING
BACK PAINS, SEVERAL GASTROINTESTINAL CONDITIONS,
INSOMNIA, PCOD, MENOPAUSE, UNDERWEIGHT, STRESS,
DEPRESSION & OTHERS
THIS NOVEL APPROACH ENDEAVORS TO COMPLEMENT THE
DOCTOR'S PRESCRIPTION OF THE APPROPRIATE
MEDICATION
23. CONCLUSIONS
MEDICAL KNOWLEDGE HAS LONG BEEN USED IN CLINICAL
PRACTICE FOR PROFESSIONALS
ITS TIME TO SHIFT THE BALANCE OF POWER TO INCLUDE
PATIENTS AND THEIR CARERS
PATIENTS ARE EXPERTS OF THEIR OWN BODY & ILLNESS AND
HEALTH CARE PROFESSIONALS ARE EXPERTS ON THE
MEDICAL CONDITIONS AND MANAGEMENT RESOURCES
COMBINING BOTH AND SHARING THE EXPERTISE COULD
ACHIEVE THE INTENDED PLATFORM FOR MANAGING ILLNESS
24. CONCLUSIONS
PATIENTS HAVE RIGHT TO BE PRIMARY DECISION MAKERS
ON THEIR MEDICAL CONDITIONS
ALTHOUGH PHYSICIAN SHOULD BE INVOLVED IN DECISION-
MAKING , THE PATIENT ‘S DECISION IS FINAL
PATIENTS MUST ACTIVELY SEARCH INFORMATION ON
THEIR HEALTH CONDITIONS AND TREATMENT PLANS
25. "The more we realize that our sense of
self-worth comes from within, that the
ability to feel fulfilled is already inside
us, the more autonomous we become,
and the more fully empowered we are."
-- Dean Ornish
26. “If you have health, you probably will be happy,
and if you have health and happiness, you have
all the wealth you need.”
~Elbert Hubbard
27. “GOD AND THE DOCTOR WE ALIKE ADORE
BUT ONLY WHEN IN DANGER, NOT BEFORE;
THE DANGER O'ER, BOTH ARE ALIKE REQUITED,
GOD IS FORGOTTEN, AND THE DOCTOR SLIGHTED.”
~ ROBERT OWEN