TEAM

CERULEAN
TEAM MEMBERS
 OGUNJOBI OLUWASEUN
 ABIOLA EMMANUEL
 ADESIYAN OLUWASEYIFUNMI
 OLUSOLA HANNAH
 ADESINA MARTIN
 ADEDUYITE OREOLUWA
FAMILY CENTERED
CARE
OUTLINE:
 INTRODUCTION
 HISTORY
 BENEFITS
 APPLICATION
 BARRIERS
 ADVANCEMENTS
 REFERENCE
INTRODUCTION
Family-centered care is a way of providing services that assures
the health and well-being of children and their families through
respectful family/professional *partnerships* . We can't talk about
Family Centered Care without using terms such as “partnership,”
“collaboration,” and this is to describe the process of care delivery.
Family Centered Care honors the strengths, cultures, traditions,
and expertise that families and professionals bring to this relationship.
It can be described as a partnership approach to health care decision-
making which helps in optimal care services experienced by families.
In Family-Centered Care services, the following general principles are
shared:
 Information Sharing
 Respect and Honoring Differences
 Partnership and collaboration
 Negotiation
 Care in context of Family and community
HISTORY:
In other to understand what Family-Centered Care is today, we need
to go down the memory lane and this requires a review of historical
developments. The concept of family-centered care was introduced to the
public more than 4 decades ago, stressing the importance of the family in
children's well being.
*In 1802,* the first hospital to care exclusively for children was the
L’Hopital Des Enfants-Malades in Paris and the Children’s Hospital of
Philadelphia, U.S.A in *1855*. *Midway through the twentieth century*,
with the increased recognition of child/family separation trauma in the
inpatient setting, hospital policies were altered to allow for rooming-in,
open visiting hours, sibling visits, and accompanying children to surgeries.
 *In 1975,* Family advocates were essential to the passage of the first
special education law. *In the mid 1980s,* With the backing of family
advocates, the MCHB and the US Surgeon General sponsored several national
conferences on children with special health care needs. *In 1987,* the Surgeon
General called for “coordinated, family-centered, community-based care for
children with special health care needs and their families”
*Starting in the 1990s*, the MCHB supported medical home learning
collaborative and the national grassroots family network, Family Voices,
leading to family-to-family health information centers in every state. *In
2001,* the Institute of Medicine named Patient Centered Care as crucial for
health care quality. *In 2003,* the America Academy of Pediatrics had
incorporated Family-Centered Care into multiple policy statements and
affirmed it as the standard of health care for all children.
BENEFITS:
There are several benefits of family centered care as it pertains to the
family which is the basic unit of a society. Below are some of the
importance of FCC;
 Reduces anxiety of both the patient (child) and the family members
 It helps the patient recover faster
 It improves the health of guardian of the patient.
 It makes the patients more confident when solving future health
emergency issues.
 It helps both the patient and the family develop a good coping system
and mechanism
APPLICATIONS:
 The in-patient setting: This is a setting in which the patient is admitted
in the hospital. Research does that 80-95% of families prefer teachings
and care discussion to happen in the ward. In 2003, the AAP
recommend that “conducting attending physician rounds (i.e., patient
presentations and rounds discussions) in the patients’ rooms with the
family present should be standard practice”
 Ambulatory/ out-patient setting: Unlike the in- patient setting, family
centered care in ambulatory setting has no intervention like the
bedside rounds in the in patient setting. However, the FCC is a basic
care method in the ambulatory setting.
BARRIERS:
 Understanding FCC
 Limited Resources
 Health care professional/patient dependency.
 Time
 Medical Patterns

 Understanding Family-Centered Care:

Some health care providers consider FCC as giving more responsibility to
the families for care and decision making rather than mostly understanding and
making joint decisions because they do not have a basic understanding of FCC. It
does not always address the context of the community and the system of care.
 Families express a desire for partnership and joint decision-making
and not increased responsibility and autonomy to help speed up the
patient's recovery. However, families also may not understand what they
can and should expect in a partnership. Parents consistently rate high
levels of satisfaction with a sense of partnership in a variety of child health
care settings. Many parents may not know they can expect care,
information, and decision-making on shared terms. Racial/ethnic
differences and language differences may also cause problems
 Limited healthcare resources:
There aren’t enough staff and there is no proper plan for the parents
and healthcare providers to work with. There's also the problem of
Inadequate medical equipment's which could cause delay in the treatment
of patients.
 Health professional/patient dependency:
In terms of healthcare team’s group dependency: if everyone plays their
parts well, the nurse teaches well and the patients acquires information about
their conditions and its side effects, and their family also understands the cycle
will be completed, technically. A physician should have a disease knowledge as
well. He can’t do it all alone and only by administrating medications.” : They
all are a team for treating one patient. If one person doesn’t do their work in
time, others can’t do their work in time; so the patient will not receive the
treatment in time”.
 Time constraints for providing care:
Regarding the allocation of time to provide care for patients, If the healthcare
professionals have more time or spends more time on the families, they can definitely
learn better and provide better assistance for their patients and get them to better
understand the reason why something is being done. For example, why you need to
use this drugs or this certain type of treatment.
 Medical Patterns:
Regarding patronizing attitude of healthcare team, the behavior of nurse or
anyone that is addressed is important. Some doctors or nurses do not listen well
enough to their patients or pay much attention to them . Nurses rely on the doctor’s
order, and don’t ask the patients to explain their conditions. They must not decide
before listening to the patients and understanding their problems. They must not
decide based on their wrong perception. They should ask the families for advice on
the various treatment options and go with the best. It would be better. Most patients
do not get any or enough information and that hinders effective FCC.
ADVANCEMENTS:
The advance of inpatient care demonstrates that transformation to a fully
family-centered system of care can begin with small changes. However, system-
level changes must occur to enable providers and families to engage in
information-sharing and decision-making, creating the partnership that leads to
improved outcomes. We recommend:
 FCC principles are best learned through daily exposure and practice.
Language should be respectful, care plans should be made jointly, and clinical
decisions should consider the context of the family and community. These
recommendations particularly apply to practitioners/PTs/OTs. As the current
generation of trainees is taught the principles of FCC, learns the skills and
ethics required and the system will be more quickly impacted as this
generation moves into practice and positions of leadership.
 Specific FCC practices, such as family presence at bedside rounds or
procedures, should be implemented and evaluated as part of quality
improvement projects. Such practices should be linked with
measurable, controlled outcomes.
 Institutions should be familiar with all FCC principles and integrate
families in high-level planning and design before the FCC label is
applied to any health care initiative or process. FCC is a continuum
of provider partnership and behavior.
 Increase in external resources for care reform and system changes,
specifically targeting FCC, should be offered. Ongoing education of
legislators, policymakers, and funding agencies should raise
awareness of the short- and long-term value of FCC as the standard
for clinical care and within health care systems. Providers can team
with family advocacy groups to advance the importance of FCC
education and research.
It is our intent that this represents the beginning of a focused
discussion, increased awareness, and support for FCC initiatives across
the health sector.
REFERENCE: