Post-Treatment Patient Interview for Patient-Centred Care Approach

This essay discusses a post-treatment interview with a patient at Stanford Hospital, focusing on patient-centred care approach. It covers the patient's history, symptoms, treatment, and the importance of involving patients in care planning.

Contents
INTRODUCTION.....................................................................................................................................2
BODY OF ESSAY......................................................................................................................................3
CONCLUSION.......................................................................................................................................11
REFERENCES........................................................................................................................................12
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INTRODUCTION
Quality services to the patient can be supplied by approaching a patient-centred care plan
(Hanna, 2010). Fulfilling patient’s needs according to their wishes is what a healthcare
stands for. Interviewing a patient for better understanding and feedback and delivery of
services is an important tool in nursing. As in present scenario, Mr Brown a 42-year-old male
is being interviewed about his disease and treatment and his view towards patient-oriented
treatment planning. He is suffering headaches on a routine basis and is been treated at
Stanford hospital. Mr Brown is interviewed and advised for short and long-term care plans
to take care of his condition and discharged from hospital after complete reassurance. This
essay is about the post-treatment interview of a patient regarding the care experience,
consisting of a description of disease, history and symptoms and also the treatment
received by the patient. It also includes the aspects of patient-oriented care as per the care
standards and a schematic presentation of the pre-discharge interview.
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BODY OF ESSAY
Patient-centred care is also known as person-oriented care and patient-centred approach.
Patient centred care is defined as planning, delivery and evaluation of healthcare that is
surrounded by a mutual understanding and relationship between client and the care giver.
The chief principle of patient centred care is treating each patient equally and with keen
importance. Maintaining person's dignity and respecting the opinion and belief of patient,
and also respect the preferences made by them (Kitson et al, 2013). To promote a client-
therapist relationship that is based on trust and support. A care giver should be able to
promote support, help and comfort to the patient both physically and mentally. Person-
orientation also refers to efficient conversation and interaction with the patients and
planning of care in accordance with their needs and wishes. Patient being the centre of care
every entity and professional approach should concern patient and his needs with priority
(Stewart, 2001). Patient supported care not only prefers indulgence of the patient into the
caring programme but also the involvement of their relatives, family and friends is
important to cover the social aspects. Working with an individual by keeping the patient in
most priority will be beneficial with teamwork or the inter-professional working
environment. Right to information is a basic right a patient possess so healthcare provider
should take care to inform every aspect of treatment and care planning to the patient. This
will ensure patient cooperation and maintain his dignity. Involving patient in laying the care
plan is very essential to achieve patient-centred care approach (Kulnik, 2016). Even the
healthcare professional should think about long-term and continuous flow of care for the
patient rather than short-term planning. Client-oriented care can be understood as the carer
has the ability to feel and understand what patient is going through and prepare a plan to
treat him and care for him according to that. This will not only ensure better service quality
but will also encourage client satisfaction to a greater extent (Zaretzky, 2013.).
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Patient’s history / General data sheet-
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Date 25 / 01/ 2018
Name Mr George Brown.
Age / Sex 42 / M
Address 3 Chapel house St. Patricks Street.
City Melbourne
DOB 06/03/1976
Contact no. ([phone]
Occupation HR manager at a MNC
Person to
contact in case
of emergency
Mrs Alexandra Brown
Chief Complain Patient complains of headaches covering front part of forehead and back,
since last 3 months.
HOPI Patient was apparently alright 3 months ago then he started to
experience throbbing headaches covering frontal and occipital areas of
head, these headaches use to aggravates while working and with stress
and relieved on resting and taking medication. Accompanied by these
headaches patient also feels lethargic and nauseous. Patient also
complains of cough since last 15 days that is dry in nature with no
expectoration.
Past medical
history
No relevant history
Family history No relevant history
Habits Chronic smoker since 3 years
Alcoholic since last 4 months.
Drug Allergy No known drug allergy
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Differential
Diagnosis
Migraine, Stress, Hypertension, Nervous breakdown, Mental deficit,
Depression
Provisional
Diagnosis
Nervous Breakdown
Patient’s Interview
This interview is to assess the health of patient and treatment delivered to him. By means of
this interview, we will be able to assess the opinion of the patient towards his condition and
towards the services granted to him. A patient-centred phenomenon is also to be
enlightened and look forth according to patient’s view and experience. As Mr Brown was
treated at Stanford hospital before his discharge, I was posted to interview him about the
services and conditions he is experienced. The consent of the patient is taken before
initiating the interview procedure. The questions asked are in accordance with care
standards (Vaismoradi, Salsali and Marck, 2011).
On meeting Mr Brown I greeted him by saying – “hello! Mr Brown, I am Becky, I am a nurse
practitioner student and I am here to talk to you.” His response towards me was polite by
greeting me back. I started my interview by informing him about the aim of interview and
agendas to be discussed within the given time frame.
I told him we have 20 minutes together to talk and know how your health is. Let us start by
knowing about your daily routine and about you.
Q1) what do you do and where do you live?
Mr Brown- I live in a nearby colony and I work at MNC as an HR. First I was working in an
animations sector but later I joined management and started to work here.
Q2) what brought you here to the hospital?
Mr Brown- I am getting these headaches since last 3 months which cover area beside my
eyes and then move backwards, I start to feel very nauseous and dizzy when this happens,
my boss at work is getting very irritated from me because I am unable to pay attention at my
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work. He thinks I am faking these headaches to skip work pressure and he tells me he will
report me to higher authorities. I am unable to explain to him what I am going through and
what I feel these days
(While interviewing a patient his chief complain should be asked for and heard with
complete justification and respect, the nurse should make gestures like she is able to
understand the patient's condition and is there to help. This will help in gaining patient’s
trust and cooperation (Reynolds, 2009)).
[Student interrupts]- it must be really difficult to face such condition and explain to people
what you actually are going through, I completely understand your situation.
Q3) anything more you experience other than pain?
Mr Brown- nowadays I feel very lethargic and lazy, also I am experiencing indigestion and
heartburn from some days, I think I have a problem with my eyesight even and maybe that’s
the cause for my headaches too. Yes, I also have a cough which I am experiencing for more
than 20 days and I need to know do I need any medication for that.
(Try to access all the information from the patient to provide wide care plan and treatment).
Q4) ok! I get it you have problems with your headache, eyesight and cough, right? Which is
your major concern for now?
Mr Brown- well headache is the main issue that I am here rest things I am handling right but
these headaches are worsening every day.
(Asking the patient about other problems will help him to inbuilt a repo with you and
converse friendly and openly, while patient describes his condition nurse should add on by
assuring him the pain he felt was not good and we understand this one can use phrases like
“yes I understand it must be hard to deal with and I am here to help you overcome this”.)
Q5) ok so tell me all about your headache.
Mr Brown- for now, it is not very bad but yes it was very bad when I first came here last to
last week.
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[Student- amhhh]
It was two weeks ago when my boss got on to my nerves and started to make a fuss about
my condition, well he was right anyway I am the lead attorney at the office and I was not
able to complete my tasks and someone had to cover for me all the time.
(asking about patient chief complain in brief will help gain access to the history of present
illness and an open-ended questioning will welcome patient to answer precisely.)
[Student- ok I see].
It was right there then throbbing and hammering inside my head and I started to feel sick, I
just wanted to go home and rest in my bed.
Q6) I understand the feeling when we are sick and want to rest. Tell me more about when
you started to feel so?
Mr Brown- well I initially faced these 3 months ago and continued since then till I got here.
Now it feels anytime I see my boss I get these bad headaches and start feeling nauseated, I
don't know what exactly causes this so I inbuilt a habit of having a little cider to have sound
sleep and ignore pain.
[Student- ok! so you feel nauseous and throw up often?]
No, I just feel very quirky but I never throw up, I feel like vomiting but I don’t do it.
(Here, by emphasizing on elaboration of his symptoms we get to know that maybe his boss
is the precipitating factor, listening to the patient to the core and centring all the thoughts
he has is the ability of the health worker, and this helps in attaining a proper care for patient
(Weston, Brown and Stewart, 1989)).
Q7) what did you get to know when you reach here?
Mr brown- doctor stated that I am having a huge amount of stress and anxiety issues and
got me tested for that. They say I think a lot of work and am unable to take the workload.
Student- oh! That is not good. You should stay calm and look after yourself. Well, then what
did test reports reveal?
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(Relating to the patient and taking information about his disease and treatment is
necessary, by this method patient feels free to talk to us and have faith in us (Lyons, 2015)).
Yeah, the test revealed I am suffering from nervous breakdown and issues with stressed life.
Work and everything going on with life one after another maybe leads to this.
Student- oh! What else you are going through.
Mr Brown- yeah I got divorced 6 months back and I really wanted to work for my marriage
but my x-wife was not sure to spend her rest life with me so we had to part.
(Personal questions indirectly asked will reveal the mental and social issues affecting
patient’s health).
Student- I am sorry to know about it.
Q8) what treatment did you receive here for this problem?
Mr Brown- yes I went through various therapies which helped me recover from this (asking
the patient about the services and experiences help to relate them to the care plan). Firstly I
was attending some counselling session which helped me stay calm and focused and move
on with my personal life. (Student interrupts- yeah that must be very helpful.) Then I also
took part in some discussion groups and social activities which induced the positive
approach in me and help me recover.
Q9) did you receive any medicinal intervention for this?
Mr Brown- yes medicines helped me a lot even by reducing my stress and anxiety I think
doctors gave me medicine to control my mental breakdown and depression. It is of great
help.
Student- so how do you feel now?
Mr Brown- I feel much better then what I used to experience. I also have fewer incidences of
any stress issues and breakdowns since then and I am able to focus on my life and work.
Student- that is really a good sign, you should stay healthy and happy and you deserve it.
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Q9) ok! I would like to know what are you aware of long-term plans of care for your
condition?
Mr Brown- no, I am not aware of any such thing. I know just I have to continue my
medicines and some more counselling sessions.
Student- well I would like to acknowledge you about all possible care options. You can stay
in nursing care hospitals to be cared and looked after and avoid any such problems back in
future. You should also continue your medicines and yes! Definitely, the counselling will
help further. You should avoid any consumption of smoke or alcohol as you said earlier as
this will have adverse effects on your treatment and care, you should remain sober as much
you can. Even for this reason, you can opt for a nursing care support.
(Always during an interview one should advise tips and long-term care options for
betterment of the patient and make them aware of the risks and further problems).
Mr Brown- yes, I will think about these options and will try and follow these guidelines to
maintain my health.
Student- ok then! Thank you for your time Mr Brown, I am glad to talk to you and hope you
better health and well-being.
(Ending the conversation with wishes and best compliments always adds to client’s
satisfaction and support).
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CONCLUSION
To achieve proper delivery and a person-centred care healthcare should direct in direction
of considering a client as a patient whose needs are to be fulfilled on whole. Achieving a
person-oriented approach is possible when a patient is involved in the care planning and
cumulatively thought of by every health personnel working for him (Diamond et al, 1989).
As per the given scenario, it shall be concluded that interviewing a patient pre-treatment
and post-treatment will enhance the patient's trust and satisfaction and lead to the
fulfilment of patient-centred care (Oates, Weston and Jordan, 2000.) The interview covers
all the major parameters of nursing care and health and adds to the righteous treatment of
the patient.
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REFERENCES
1. Diamond, E.L., Jernigan, J.A., Moseley, R.A., Messina, V. and McKeown, R.A., 1989.
Decision-making ability and advance directive preferences in nursing home patients
and proxies. The Gerontologist, 29(5), pp.622-626.
2. Hanna, A., 2010. Patient-centred care. Ontario Medical Review, 1, p.27.
3. Kitson, A., Marshall, A., Bassett, K. and Zeitz, K., 2013. What are the core elements of
patient-centred care? A narrative review and synthesis of the literature from health
policy, medicine and nursing. Journal of advanced nursing, 69(1), pp.4-15.
4. Kulnik, S.T., 2016. Patient centred care.
5. Lyons, A., 2015. Patient-centred care. Good Practice, (11), p.22.
6. Oates, J., Weston, W.W. and Jordan, J., 2000. The impact of patient-centred care on
outcomes. FamPract, 49, pp.796-804
7. Reynolds, A., 2009. Patient-centered care. Radiologic Technology, 81(2), pp.133-147.
8. Stewart, M., 2001. Towards a global definition of patient centred care: the patient
should be the judge of patient centred care. BMJ: British Medical Journal, 322(7284),
p.444.
9. Vaismoradi, M., Salsali, M. and Marck, P., 2011. Patient safety: nursing students'
perspectives and the role of nursing education to provide safe care. International
Nursing Review, 58(4), pp.434-442.
10. Weston, W.W., Brown, J.B. and Stewart, M.A., 1989. Patient-centred interviewing
part I: understanding patients' experiences. Canadian Family Physician, 35, p.147.
11. Zaretzky, L., 2013. Patient-centred care. Canadian Pharmacists Journal/Revue des
Pharmaciens du Canada, 146(6), pp.308-308.
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