以个人为中心的照顾详解.ppt

以个人为中心的照顾 Whole - person Care Four whole care: Holistic person, Holistic family care, continuity of care, and multidisciplinary care 在生物医学方面全面服务，跨学科 By bio-psycho-social model，多维服务 humanity-oriented and life-respecting Integrative medicine is a new term that emphasizes the combination of both conventional and alternative approaches to address the biological, psychological, social and spiritual aspects of health and illness. It emphasizes respect for the human capacity for healing, the importance of the relationship between the practitioner and the patient, a collaborative approach to patient care among practitioners, and the practice of conventional, complementary, and alternative health care that is evidence-based. Holistic Medicine is defined by the Canadian Holistic Medical Association as follows： Holistic medicine is a system of health care which fosters a cooperative relationship among all those involved, leading towards optimal attainment of the physical, mental emotional, social and spiritual aspects of health.It emphasizes the need to look at the whole person, including analysis of physical, nutritional, environmental, emotional, social, spiritual and lifestyle values. It encompasses all stated modalities of diagnosis and treatment including drugs and surgery if no safe alternative exists. Holistic medicine focuses on education and responsibility for personal efforts to achieve balance and well being. 以个人为中心的照顾目录 以病人为中心照顾的指导原则 以病人为中心的应诊过程及服务内容 以病人为中心的服务模式和应诊任务 慢性病管理框架与COOP/WONCA功能状态量表 病人管理与教育 第一节 以病人为中心照顾的指导原则 一、对病人角色的理解 病人角色：《社会制度》 病人可从其常态的社会角色中解脱出来 病人对自己陷入疾病状态没有责任 病人应具有力图使自己痊愈的愿望 病人应寻求技术上可靠的帮助 病人角色期望出现变化的8方面原因： 因病因人而异 因当时对某病的医疗条件和可能性而异 因对某种社会人群健康状况的看法而异 因相互的关系不同而不同 因对某病的健康信念不同而态度不同 因患者的社会价值不同而看法不同 因病程长短有利害关系而看法不同 因有关人员离患者住所远近不同而期望不同 二、以病人为中心照顾的指导原则 1. 关注病人胜于关注疾病 病人 疾病 6. 尊重病人的权利 第二节 以病人为中心的应诊过程及服务内容 一、全面收集病人的“三维”资料 全面了解、理解病人 ----medical anthropology 医学人类学 （一）病人背景 个人背景 家庭背景 社区背景 社会背景 （二）病人的问题 “疾病” ——