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Hammerly

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Education

Published on February 5, 2008

Author: Tommaso

Source: authorstream.com

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Slide 1: Person-Centered Care THE Organizing Principle for Healthcare Milt Hammerly, MD IOM Principles - STEEEP: IOM Principles - STEEEP Safe Timely Effective Efficient Equitable Patient-Centered Slide 3: patient n. One who, or that which, is passively affected; a passive recipient.Malice is a passion so impetuous and precipitate that often involves the agent and the patient. --Gov. of Tongue. A person under medical or surgical treatment; -- correlative to physician or nurse.Like a physician, . . . seeing his patient in a pestilent fever. --Sir P. Sidney.In patient, a patient who receives lodging and food, as treatment, in a hospital or an infirmary.Out patient, one who receives advice and medicine, or treatment, from an infirmary.Source: Webster's Revised Unabridged Dictionary, © 1996, 1998 MICRA, Inc. Slide 4: patient adjective Synonyms:  accommodating, calm, composed, easy-going, enduring, even-tempered, forbearing, forgiving, gentle, imperturbable, indulgent, lenient, long-suffering, meek, mild, mild-tempered, persevering, persistent, philosophic, philosophical, quiet, resigned, self-possessed, serene, stoical, submissive, tolerant, tranquil, uncomplaining, understanding, unruffled, untiring noun Synonyms:  case, convalescent, emergency, inmate, invalid, outpatient, shut-in, sick person, subject, sufferer, victim Source:  Roget's New Millennium™ Thesaurus, First Edition (v 1.0.5)Copyright © 2004 by Lexico Publishing Group, LLC. All rights reserved. Slide 5: per·son n. A living human. The composite of characteristics that make up an individual personality; the self. The living body of a human. Physique and general appearance. Source: The American Heritage® Stedman's Medical DictionaryCopyright © 2002, 2001, 1995 by Houghton Mifflin Company. Published by Houghton Mifflin Company. Person Noun Synonyms:  being, bird, body, cat, chap, character, dude, fellow, guy, human, identity, individual, individuality, joker, lad, life, living soul, man, mortal, party, personage, personality, self, somebody, soul, specimen, spirit Source:  Roget's New Millennium™ Thesaurus, First Edition (v 1.0.5)Copyright © 2004 by Lexico Publishing Group, LLC. All rights reserved. Slide 6: (Person-Centered) Integrative Healthcare Philosophy Therapies Safety Science Slide 7: Unifying Taxonomy (based on presumed mechanisms of action) Comprehensive Personalized Collaborative in scope by design of necessity Patient triage (risk-stratification) Contextually ranked evidence (Person-Centered) Integrative Healthcare Biochemical Structural Movement Environment Mind-Body Energy Pharmacy Surgery CAM Biochemical CAM Structural Less Aggressive More Aggressive Less Risky More Risky Less Costly More Costly Less Passive More Passive Potential Mechanisms of Interactions (good or bad): Potential Mechanisms of Interactions(good or bad) Pharmacokinetic (A.U.C.) E Absorption Binding Permeability Brush border transport Circulation Precipitation Transit time E Metabolism-½ life Liver P-450 system Renal Other tissues Metabolite modulation Pharmacodynamic Receptor site competition Additive therapeutic effect Same mechanism/active ingredient Other mechanism/active ingredient Reduced therapeutic effect Opposite mechanism Other mechanism Additive toxicity Same mechanism/active ingredient Other mechanism/active ingredient Reduced toxicity Repletion/depletion Altered physiology/other Slide 9: When did it become illicit to elicit … … the mind-body response? “A mind is a terrible thing to waste.” (UNCF) Slide 10: Medical Care Mind-body Medicine Self- Care Healthcare (per Dr. Herbert Benson) Slide 11: Professional Care Coaching Self- Care Healthcare What supports the stool? What the stool supports ... Disintermediate whenever possible Empower however possible If needed Slide 12: Professional Care Coaching Self- Care Healthcare What supports the stool? What the stool supports ... … a person! Solid Ground Collaborative Coalition (stakeholders to include: employers, insurers, policymakers, providers, NGOs, manufacturers, vendors, etc.) Slide 13: Person Products Payers Purchasers Providers Policy (Products can include foods, programs, info, decision support tools, etc.) Slide 14: Person Products Payers Purchasers Providers Policy Actualization is the capstone Slide 15: Maslow’s Hierarchy Person-centered care strives to meet all of a person’s needs. Body Mind Spirit

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