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Staying with the trouble
Published in Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki A. Entwistle, Catherine Mills, The Routledge Handbook of Feminist Bioethics, 2022
Feminist posthumanism represents a new/emerging field in feminist scholarship that integrates insights from the nonhuman world and scientific inquiry in fields such as physics, chemistry, geology, biology, etc. Under the term “feminist posthumanist ethics,” we include contributions from the fields of feminist new materialism and feminist science and technologies studies (e.g. Barad 2007; Alaimo and Hekman 2008; Coole and Frost 2010). This section surveys the emerging concepts in these fields, which we suggest can inspire and support further development of the concept and application of person-centered care in clinical contexts. We first present key concepts in feminist posthumanist ethics, including a relational and indeterminate ontology, agentic matter and matter-as-mattering and intra-action. Then we show how these concepts can be used in clinical care contexts to navigate the person-in-becoming and improve the practice of person-centered care.
Person-centred care
Published in Sheila Broderick, Ruth Cochrane, Trauma and Birth, 2020
Sheila Broderick, Ruth Cochrane
A relationship based on equality within health care is known as person-centred care. Person-centred care is different from a more conventional model, which views the patient as a passive participant of medical care. Rather than the outdated model where a health professional makes recommendations to a patient, the person-centred care model includes the patient and their relatives in making joint decisions and agreements about their care regarding plans and treatments. Person-centred care is a partnership between the health care professionals, the patient and their relatives.
Introduction to dementia
Published in Joanne Brooke, Dementia in Prison, 2020
Person-centred care is a philosophy of care built around the needs of the individual and contingent upon knowing the person through an interpersonal relationship (Fazio et al., 2018). Kitwood (1988) applied the term person-centred care to distinguish a certain type of care approach for more medical and behavioural approaches to dementia. Kitwood focused on bringing together ideas and ways of working that emphasised communication and relationships and proposed that dementia could be best understood as an interplay between neurological impairment and psychosocial factors including health, individual psychology and the environment (Kitwood, 1988), with the rejection of a solely medical approach to dementia. Kitwood and Bredin (1992) identified that dementia does not progress in the same way for every person, and a person with dementia is in a state of relative well-being or ill-being, and there is a need for high quality personal care that affirms personhood as wonder implies recognition, respect and trust, and this is that basis for person-centred care.
Premium versus entry-level hearing aids: using group concept mapping to investigate the drivers of preference
Published in International Journal of Audiology, 2022
Hasan K. Saleh, Paula Folkeard, Maaike Van Eeckhoutte, Susan Scollie
Preference is a multidimensional concept representing the relative desirability of certain experiences or outcomes. It is influenced by an interaction of an individual’s cognition, experiences, and personal values (Brennan and Strombom 1998). In a healthcare setting, person-centered care is an approach that incorporates patients’ individual needs and preferences into the decision-making process prior to treatment (Ekman et al. 2011; Jaarsma et al. 2018; Leplege et al. 2007), and has become more common-practice (Woolf et al. 2005). Patient inclusion in the decision-making process has been reported to mitigate post-treatment regret and improve positive outcomes such as satisfaction (Mulley et al. 2012). Designing patient management and treatment plans around patient preference also improves compliance (Bratzke et al. 2015). Knowledge of patient preference can improve the efficacy and cost-effectiveness of care (Brennan and Strombom 1998), as well as identify the individual or group-level differences which can assist with clinical decision-making (Marshall et al. 2017).
A systematic review of disability, rehabilitation and lifestyle services in rural and remote Australia through the lens of the people-centred health care
Published in Disability and Rehabilitation, 2022
India Bohanna, Linton Harriss, Malcolm McDonald, Jennifer Cullen, Edward Strivens, Katrina Bird, Leisyle Blanco, Fintan Thompson, Hylda Wapau, Alan Wason, Ruth Barker
There is an important difference between person-centred (or patient-centred) care espoused and people-centred care. While person-centred care focuses on the care needs of an individual, people-centred care recognises that an individual exists within a family, a community, a society, and a health system, and attention is given to health needs at each of these levels [10]. The framework takes a holistic view of health that values culture, tradition and participation in community life. People-centred care focuses on access to a holistic range of services focused on maintenance of health and active participation in community life. It highlights the importance of access to services in situ and across the lifespan, with a focus on smoothing transitions between services and life stages. People-centred care encourages the development of innovative models of service delivery that strengthen community capacity, infrastructure and skills and provide employment [4].
Bringing Art to Life: Social and Activity Engagement through Art in Persons Living with Dementia
Published in Clinical Gerontologist, 2022
Candice D. Reel, Rebecca S. Allen, Bailey Lanai, M. Caroline Yuk, Daniel C. Potts
Adult day services are one way to help address the National Plan goals by optimizing the quality of care for community dwelling PWD and expanding support to caregivers by providing services such as social activities, recreation, meals, and some health-related services. There are more than 16 million Americans who provide unpaid care for AD and related dementias (Alzheimer’s Association, 2019). Adult day services also strive to provide person-centered care. Person-centered care considers the personhood of an individual by tailoring interventions to accommodate their specific needs. The main concepts of person-centered care include communication, self-management, dignity, compassion, engagement, and respect (Hartmann et al., 2017). There is robust support that interventions are more successful when they are tailored to an individual’s needs, background, capabilities, and preferences (Sauer, Fopma-Loy, Kinney, & Lokon, 2016; van der Ploeg et al., 2012).