a primary care physician that ensures continuity of care across multiple platforms. Moreover, the Patient-Centered Medical Home model allows for the introduction of holistic care and regular checkups that promote preventative care.
Another patient-centric model that is useful for some, but not all, cases is the bundled payment or episode of care model. More useful for patients with one-time needs, the bundled care model covers all procedures for a specific condition under one rubric. There are clear benefits for bundled care for one-off surgeries like hip replacements or cataract surgery, heart surgery, or for pregnancy and childbirth (Valence Health, n.d.). However, cost accounting can become complicated when ancillary services are needed or when… Continue Reading...
holistic care is that they simply do not recognize the symptoms of mental health issues that correlate with Parkinson’s disease (Dobkin et al., 2013).
Another barrier is distance and time. Elderly white male patients suffering from Parkinson’s do not always have the means to travel to receive care, both because of the distance between themselves and a health care facility and the time that is required to make that trip. Elderly patients can tire frequently and become exhausted just making small trips. The need for multiple rests throughout the day… Continue Reading...
and transform the entire health care industry. The more that various professionals from different fields work together to provide holistic care to patients, especially to underserved patients, the greater the impact can be on all stakeholders. Kroenke and Unutzer (2017) point out that mental health should be integrated into primary care in order to better serve patients, and that is a theory that I would like to be part of.
Other theories in the field of health psychology I want to explore further are the psychological theory of behavior modification and the transcultural approach to care. Through understanding all the psychological factors (which can be internal and external) that… Continue Reading...
for as long as possible, providing holistic care. Because the goal of medicine is to heal and treat, not to terminate life, physicians cannot ethically engage in physician-assisted suicide.
Premise 2: Physician-assisted suicide is not only morally acceptable when a person is suffering from a painful, incurable, terminal condition; it is also the compassionate and ethical choice.
Physician-assisted suicide can be considered an ethical part of medical care, so long as it is done under strict and specific conditions. Moreover, physician-assisted suicide respects patient autonomy, which is a fundamental tenet in bioethics (American Medical Association, 2018).… Continue Reading...
the integration of body, mind, and spirit can also take into account culture and ethnicity to provide holistic care. There is no one way to integrate body, mind, and spirit, but multiple modalities that each person can choose to use at different points to address their own needs. Some body-mind-spirit integration practices like yoga or tai chi can also be divorced from their religious and cultural contexts to provide all people with access to their benefits (Luskin, 2004). Although there is some evidence starting to emerge showing how these types of practices lead to measurable or at least observable outcomes in patients, it is important for healthcare… Continue Reading...
to respect patient autonomy, and duty to respect patient dignity (Pope, 2018). From the perspective of providing compassionate and holistic care, nurses need to honor a patient’s wishes even if those wishes are to terminate life and to help patients embrace mortality with a sense of peace and acceptance.
Scope of Practice
Within the general scope of practice, end of life care issues arise in all healthcare settings but primarily in hospice and palliative care environments, including nursing homes. A survey of nine nursing home residents and their relatives showed that residents generally defer to relatives and staff and few have formal advanced care planning directives (Bollig, Gjengedal &… Continue Reading...
