Difference between revisions of "Patient Barriers"
From PatientRecovery
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* Mental Health – Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments. Ensure they are getting proper care. | * Mental Health – Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments. Ensure they are getting proper care. | ||
[[Psychosocial Determinants|Psychosocial]] | [[Psychosocial Determinants|Psychosocial]] | ||
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* Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures. | * Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures. | ||
* Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts. | * Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts. | ||
* Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital | * Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital | ||
| + | * Lifestyle - addictions, stress, other behavioral risk factors | ||
* Nutrition – ensure the patient understands good nutrition, address an eating disorder or ensure one good meal is delivered each day. | * Nutrition – ensure the patient understands good nutrition, address an eating disorder or ensure one good meal is delivered each day. | ||
* Responsibilities - patient has job, family or care giver responsibilities that would prevent them from taking care of themselves | * Responsibilities - patient has job, family or care giver responsibilities that would prevent them from taking care of themselves | ||
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[[Patient Environment Determinants|Patient Environment]] | [[Patient Environment Determinants|Patient Environment]] | ||
| + | * Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry | ||
* Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support | * Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support | ||
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* Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them. | * Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them. | ||
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[[Socioeconomic Status Determinants|Socioeconomic Status]] | [[Socioeconomic Status Determinants|Socioeconomic Status]] | ||
* Financial – financial constraints, debt, | * Financial – financial constraints, debt, | ||
Revision as of 09:41, 5 March 2015
Patient Barriers are unmet patient needs that if left unaddressed, could delay or prevent patient recovery and/or well-being. Recovery is not only from an Acute Care hospital stay, it is getting blood pressure or blood sugar to a safe level. For the United States to lower the cost of healthcare, we will need to understand how to effectively identify and address the following potential unmet patient needs:
- Mental Health – Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments. Ensure they are getting proper care.
- Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures.
- Care Options Understanding – patient fully understands diagnosis, prognosis and treatment options. Patients understand the potential financial, risk, functional, time, life goals impacts.
- Caregiver – do they have someone that can offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
- Lifestyle - addictions, stress, other behavioral risk factors
- Nutrition – ensure the patient understands good nutrition, address an eating disorder or ensure one good meal is delivered each day.
- Responsibilities - patient has job, family or care giver responsibilities that would prevent them from taking care of themselves
- Self-Care – does the patient or caregiver understand the conditions, how to take care of them (i.e., self-administer glucose) and when to alert a clinical professional
- Spiritual – ability to do activities that help achieve purpose & meaning. It could be going to church or helping their grandchild with homework.
- Support Network - socially or physically isolated, not in touch with or willing to burden family members
- Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry
- Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support
- Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them.
- Financial – financial constraints, debt,
- Health Insurance - lack of a health insurance, possible eligibility for Medicaid, disability or medication assistance
- Income security - unemployed, no source of regular income to support housing, nutrition and care plan
- Condition Monitoring – how is the patient monitoring blood pressure, weight, pain, wounds, understand what is being done with the information, who and how to contact with a concern.
