A Guide to Implementing Best Practices in Person ... - cancerview.ca

Navigation: A Guide to Implementing Person-Centred Care September 2012Relational continuityA therapeutic relationshipbetween a patientand at least one provider,who developsaccumulated knowledgeof the patient as a person,and bridges past,to current and futurecare.(Haggerty et al., 2003)- Initiating and maintaining an ongoing relationshipwith the cancer patient- Being easily accessible through the cancercontinuum- Mapping on the cancer trajectory how theprofessional navigator is involved and untilwhen- Being part of an oncology team- Being trusted by health providers and team(s)membersSupportive and therapeutic relationshipsEngaging in caring and therapeutic relationshipswith individual patients and their familiesRelationships are supportive and sensitive tochanging physical and psychosocial-spiritualresponsesTo establish a therapeutic relationship withpatients/families by being a consistent linkbetween the patient, the health team, thehospital, and community services throughoutthe cancer continuum To build a therapeutic relationship throughthe use of communication skills and engagingin conversations that explore fears and concernsrelated to living with cancer diseaseprogression , mortality, dying and sexualhealth issues Making referrals to other health professionalsas appropriate Serves as a key contact for patients andfamilies at different phases of the patientjourney*Note: Domains of practice from Canadian Association of Nurses in Oncology (CANO)Dimension 2: Patient and family empowermentThe patient perceives the care providers as supportive partners in careConcepts Key Functions Domains of Practice* Core CompetenciesActive copingProcess of taking active steps totry to remove or circumvent thestressor or to ameliorate its effects.(Carver et al., 1989)- Assisting the patient/family to activelyobtain information, support, and referralthey needed- Enhancing or reinforcing the patient/family’ssenses of autonomy (selfcare),and self-determination through educationand support to maintain their senseof control and quality of life- Enhancing recognition of patient/family’sinner resources- Reinforcing active coping- Facilitating problem solving- Facilitating decision making- Setting and prioritizing goalsTeaching and coachingPreparing individuals with cancer and theirfamilies for the many different aspects ofthe cancer experienceProviding education, psychosocial-spiritualsupport and counseling across the continuumof careDecision-making and advocacyIn collaboration with other interprofessionalteam members, facilitates selfdeterminationand informed decisionmakingfor individual and family. Advocateon behalf of the patient/family by communicatingand documenting their preferredapproach to careTo provide individualized information andeducation, based on their need, educationlevel and situation using evidence basedstrategies to help patients and familiescope Assess individuals readiness to learn,learning styles, preferred depth of , androle in, decision-making Be aware of different aspects of the cancerexperience and provide relevant“just in time” education as well as reinforcingeducation given by others Possess sufficient knowledge to discuss indepth aspects of treatment options andside effects, disease process, and managementwithin various clinical and socialcontexts Possess negotiation and collaborationskills to enable appropriate advocacy onbehalf of patient\family Help patient mobilize their own resourcesand explore new ones Mobilize resources and services withincancer organizations and communities toaddress needs84