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Patient Story

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A 15-month-old boy is admitted with fever, rash, and conjunctivitis. Kawasaki disease is suspected and he is transferred to the inner city academic hospital from the community hospital. The mother of the boy is very concerned about the child and the diagnosis. Family Centered Rounds occur in the morning (Figures 3-1 to 3-4). During rounds, the health care team is introduced and a plan of care is initiated with input from the mother.

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FIGURE 3-1

Patient-and Family-Centered Care. The pediatric team is preparing to enter the room by pre-rounding prior to entering the room.

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FIGURE 3-2

The pediatric team includes nursing, residents, medical students, and attending staff. It is vital to patients and families to include all involved in the care of the child and family.

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FIGURE 3-3

In the patient room, all participants need to be engaged and participate in the discussion.

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FIGURE 3-4

The pediatric team conducting rounds in the patient’s room. The parents should be offered the choice to round inside of the patient room or outside of the patient room.

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Synonyms

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Family centered care; Family centered rounds.

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Definition

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An innovative approach to the planning, delivery, and evaluation of health care that is grounded in a mutually beneficial partnership among patients, families, and providers, all of whom recognizes the importance of the family in the patient’s life.1,2

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It is an approach to health care that shapes policies, programs, facility design, and staff day-to-day interactions. It leads to better health outcomes, wiser allocation of resources, and greater patient and family satisfaction.

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It should be noted that the term “Patient- and Family-Centered Care” has replaced “Family-Centered Care” to more explicitly capture the importance of engaging the family and the patient in a developmentally supportive manner, as essential members of the health care team.

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Core Principles of Patient and Family-Centered Care1,2

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  1. Listening to and respecting each child and his or her family, and honoring various types of backgrounds and family experiences. Patient and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.

  2. Ensuring flexibility in the practice of the team so that services can be tailored to the needs, beliefs, and cultural values of each child and family, thus facilitating choice for the child and family about approaches to care.

  3. Sharing complete, honest, and unbiased information with patients and their families on an ongoing basis, and in ways they ...

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