Difference between revisions of "Barriers"

Revision as of 10:12, 23 November 2016

Patient Barriers are unmet patient needs that if left unaddressed, could impact healthcare interventions effectiveness, delay or prevent patient recovery and/or well-being. Recovery is not only from an Acute Care hospital stay, it is getting blood pressure or blood sugar to a safe level.

Health

• Mental Health – patient's Depression, Anxiety, Stress, grief, trauma, dementia, or other cognitive impairments are impacting a care plan
• Functional Limitation – patient's functional limitation are impacting a care plan

Behavior

• Lifestyle - addictions, stress, other behavioral risk factors
• Nutrition – patient understands though is not following good nutrition, addressing an eating disorder or ensuring one good meal is consumed each day.
• Self-Care – patient understand though is not following the care plan, taking prescribe medicines, keeping physician appointments

Social

• Care Options Understanding – patient doesn't fully understand diagnosis, prognosis and treatment options. Patient doesn't understand the potential financial, risk, functional, time and life goals impacts.
• Caregiver – does not have a caregiver to offer emotional, physical and administrative support, be there with the patient at physician appointments or in the hospital
• Language - patient requires interpreter
• Patient Activation – does the patient or caregiver understand the conditions, how to take care of them (i.e., self-administer glucose) and when to alert a clinical professional
• Responsibilities - patient has job, family or care giver responsibilities that prevents them from taking care of themselves
• Spiritual – ability to do activities that help achieve purpose & meaning. It could be going to church or helping their grandchild with homework.
• Support Network - socially or physically isolated, not in touch with or willing to burden family members

Environmental

• Access – ability to get same day appointments with physician, coverage after regular hours to prevent ER visits, access to limited services such Psychiatry
• Housing – homelessness, temporary housing, lack of A/C, safety issues, wheel chair accessible, equipment available and technical support
• Logistics – transportation to physician offices, outpatient treatments or therapies.* Medication – is the list of medications optimal, do they understand how to take them and are they taking them.

Socioeconomic

• Financial – financial constraints, debt,
• Health Insurance - lack of a health insurance, possible eligibility for Medicaid, disability or medication assistance
• Income security - unemployed, no source of regular income to support housing, nutrition and care plan
• Job skills or employ ability

Care Management

• Care Coordination – make physician appointments, reminders, follow-ups (i.e., after medication changes), help navigate through the process for surgeries or procedures.
• Condition Monitoring – how is the patient monitoring blood pressure, weight, pain, wounds, understand what is being done with the information, who and how to contact with a concern.