UNIT TWO: APPLY HUMANISTIC CARE TO CLIENTS

2.1 Concepts and Principles of CRC

2.1.1 Compassionate, respectful and caring (CRC):

means serving patients, being ethical, living the

professional oath, and being a model for young

professionals and students.

 It‘s a movement that requires champions who

identify with their profession and take pride by

helping people.

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2.1.2 Principles of compassionate care

The universal principles of compassion will help us

know one another in a more meaningful way where

we discover one another respectfully.

They create the conditions that allow a person who is

suffering to experience the healing power of

compassion.

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What are the principles of compassionate care?
Attention: is the focus of healthcare provider.
• Being aware will allow the healthcare provider to focus
on what is wrong with a patient; or what matters most
to the patient.
Acknowledgement: is the principle of what the
healthcare professional says.
• Examination or reflection on the patient buoyant; they
let someone know that you appreciate them as a
unique individual.
Affection: is how healthcare providers affect or touch
people.
• Human contact has the ability to touch someone‘s life.
• It is the quality of your connection, mainly through
kindness and humor.
• Affection brings joy and healing.
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Acceptance: is the principle of being with
mystery-how you stand at the edge of your
understanding or at the beginning of a new
experience, and regard what is beyond with
equanimity.
• It is the quality of your presence in the face of
the unknown, in the silence.
• Like the sun in the north at midnight,
acceptance welcomes the mysteries of life
and is at peace with whom we are and where
we are, right now.
• It is the spirit of Shalom.

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2.1.3. Principles of Respectful Care:
[Link] principles of respectful care guide actions
and responsibility of care providers in ensuring
dignified care for their service users.
• Dignified care has seven core principles.

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 These principles of respectful care are:
Core Principle 1: Recognize Diversity and the Uniqueness of Individual:
Respect and dignity may have different meaning to different people
based on their culture, background, values and beliefs
Diversity of clients/ patients / in terms of ethnicity, religion, belief,
culture, language, age, gender, disability , mental status , and social
conditions shall be taken into account when we assess , examine ,
diagnosing , plan and manage any health condition.
Health care providers must fully appreciate the need to ensure that
services are provided in a way that respects individuality as well as
the ways in which personality impacts on user‘s perceptions of the
services that are provided.
Health care providers themselves shall understand the impact of
their own personal values. beliefs could impact the practice of care

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Core principle 2: Uphold the responsibility to shape
care and support services around each individual
Health care providers must play a key role in
translating the understanding and knowledge
regarding diversity and uniqueness of patients in
to clear practices of care planning and provision.
When providing care and treatment, health care
providers should understand the implications of
the individual‘s mental capacity, knowledge, and
experience, their involvement and level of
participation in care planning and treatment.

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Core principle 3: Communicating with individuals in ways
that are meaningful to them
Communication plays a key role in understanding
individual needs and preferences.
This is fundamental to care provision to ensure dignity
and respect.
Verbal, non-verbal and body language are important
elements of communication and these are affected by
individual’s culture, disability and language
Maintaining confidentiality and transparency is also
fundamental for good communication.
It is essential that care providers understand these
factors and provide opportunities for the service user to
express their wishes and concerns to their care providers.

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Core principle 4: Recognize and respect how an
individual’s dignity may be affected When supported
with their personal care
While every care provider aims to provide dignified
care there are many occasions which Unintentional
compromises to dignity can happen due to lack of
awareness and understanding.
It is vital that all professionals providing care
understand and support the need for an individual to
receive personal care in a sensitive manner and
protect their privacy at all times.
When treating or talking to patients remember their
need of, and right to, privacy.
 Often a hallway or curtained bed space just isn’t
private enough.
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If a patient’s bedside curtain or door is
closed, please ask the patient or staff
attending the patient if it is ok to enter.
In general, in ensuring dignified care it is
important that individuals are enabled to be
independent and not made uncomfortable
when receiving

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Core principle 5: Recognize that an individual’s
surroundings and environments are important
to their sense of respect
Ensuring a friendly and supportive
environment is a key enabler for individuals to
feel respected and maintaining their dignity.
A welcoming atmosphere, respect for
personal space and privacy and the right
environment for effective communications are
all integral to caring with dignity.
A simple welcome to a patient can do a lot to
make them feel comfortable and relaxed.
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Core principle 6: Value workplace cultures that
actively promote the Respect for everybody
In addition to providing the right environment
for an individual it is also important to ensure
a positive workplace environment for health
care providers which would enable them to
provide dignified care.
A respectful workplace, a place where
everyone can do his or her best, and where
health care providers are free to report
workplace concerns without fear of
retaliation(revenge) or reprisal.

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Core principle 7: Recognize the need to challenge
care that may reduce the dignity of the individual
Respect is everyone‘s responsibility and this
should be integral to all practices in a care setting
If health facilities develop cultures that are open
and reflective of practice that is undertaken
during service delivery then this will be addressed.
Opportunities to learn from mistakes and
improving performance area strong lever for
improving the quality of care.

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A culture of maintaining integrity and following
professional conduct enables health care providers
to speak up when they come across substandard
quality of care.
The facility managers and leaders at all levels have
a significant role to play in ensuring this.
Encouraging everyone including staff, patient/client,
and their families can provide ample learning
opportunities and scope for improving practice.

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 2.2 Understanding Patients’ concern
2.3.1 Patient-centered care: is an innovative
approach to the planning, delivery, and
evaluation of health care that is grounded in
mutually beneficial partnerships among health
care providers, patients, and families.
 Patient- and family-centered care applies to
patients of all ages, and it may be practiced in
any health care setting

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• Consider patients as human beings with complex
psychological, social and economic needs and
provide person-centered care with empathy.
• Effective communication with health care teams,
interactions with patients and other health
professionals over time and across settings.
• Respect for and facilitation of patients and
families, participation in decisions and care
Some definitions of associated terms
• Several terms are used interchangeably or
associated with “patient-centered care”; these are
described below.

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Consumer-centered care
• The term “consumer-centered care” is sometimes
preferred to “patient-centered care” to acknowledge
that care should focus on people who are actual or
potential users of healthcare services.
• For some, the term “patient” has passive overtones.
• In contrast, the term “consumer” is seen as a more
active term, encompassing the need to engage
people as partners in health service delivery.
• The term “consumer” also aligns with “client” and
“user” in business and management models of
service delivery

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Person-centered care
• The term “patient-centered care” is often used
interchangeably in primary care settings with
terms such as “person-centered care”, “person-
centeredness “,
• “Relationship-centered care” and “personalized
care”.
• This term appears more frequently in literature on
the care of older people, and focuses on
developing relationships and plans of care
collaboratively between staff and patients.
• This term values the needs of patients, carers
and staff, with emphasis on the reciprocal nature
of all relationships.
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Personalized care
• “Personalized care” is the integrated practice of medicine
and patient care based on one‘s unique biology, behavior
and environment.
•Personalized care uses genomics and other molecular-level
techniques in clinical care; as well as health information
technology, to integrate clinical care with the individualized
treatment of patients.
It is based on the factors such as:
Genetics
Lifestyle
Personal values
Treatment and support options
Community connections
Self-management skills

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Family-centered care
•This term emerged in the US in the 1980s
in response to the needs of families with
children who could not leave hospital.
•These families sought to work more
collaboratively with healthcare
professionals and successfully
advocated for changes to enable them
to care for their children in home and
community settings.

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 What is patient and family centered care?

• Patient- and family-centered care is an

approach to the planning, delivery, and
evaluation of health care that is grounded in
mutually beneficial partnerships among
health care professionals, patients, and
families.
• It redefines the relationships in health care by
placing an emphasis on collaborating with
people of all ages, at all levels of care, and in
all health care settings.

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• In patient- and family-centered care, patients
and families define their family and determine
how they will participate in care and decision-
making.
• A key goal is to promote the health and well-
being of individuals and families and to
maintain their control.
• Patient- and family-centered care leads to
better health outcomes, improved patient and
family experience of care, better clinician and
staff satisfaction, and wiser allocation of
resources

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 How do you provide patient centered care?

• They will acknowledge you for who you are

and will not discriminate based on your
background, beliefs or preferences.
1. Actively participate in your care.
2. Respect in a healthcare setting.
3. Good communication with patient-
centered care.
4. Providing a safe environment.

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What are the benefits of patient centered care?
• While the primary goal of any patient-
centered care plan is to improve individual
health outcomes,
healthcare providers also stand to benefit
through improved patient satisfaction scores,
higher staff productivity and morale,
reductions in the overall cost of care, and
more.

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2.3.2. Patient/client feelings and emotions
To be open to feelings, one must accept them.
There are a number of different feelings
ranging from being sad, angry or anxious and
joyful.
• Some examples of reactions to feelings is
sometimes to be critical, to run away from
them, to suppress them; but when one is
compassionate, it is easier to be open,
tolerant, accepting of different types of
feelings .

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• Therefore, an important aspect of compassion is to
learn how to tolerate and come to terms with,
become familiar with, and less frightened of, one‘s
feelings.
• At the same time, however, it is possible to change
one‘s feelings for people, different events or even
one‘s own person.
• Many otherwise competent and even brilliant
healthcare professionals give patients the feeling
they are an inconvenience and a bother.
• Patients should not be made to feel inferior and
misinformed

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 Patients ‘innate needs: It refers to a "timely and
receptive desire to actively engage in and address a
person‘s multi factorial suffering”.
oAlways, make sure patients are treated with courtesy
and respect.
o I know executives who pretended to be patients
inside their own institutions and were shocked by the
lack of focus and concern they received.
oTreating patients has become simply a job for many
healthcare professionals.
• They manifest boredom with their jobs by treating
patients indifferently.
• That's not professional and it's bad business!

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2.3.3 Respect is a basic moral principle and human right
that is accountable to the values of human dignity,
worthiness, uniqueness of persons and self-
determination.
• As a guiding principle for actions toward others,
respect is conveyed through the unconditional
acceptance, recognition and acknowledgment of the
above values in all persons.
• As a primary ethic of nursing, respect is the basis for
our attitudinal, cognitive and behavioral orientation
toward all persons
• The action meanings of the word respect are Pay
attention to, Honoring, Avoiding damage e.g. insulting,
injuring, not interfering with or interrupting, treating
with consideration, and Not offending
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Affection: Describes the extent to which
healthcare providers actively connects with
their patients’ emotions; as well as their
influence over the process.
• In relation to compassion, affect is
characterized by vulnerability and action,
requiring healthcare providers to enter the
Relational space and position themselves; to
be in the "patient's shoes” as clinical
information is being shared.

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Caring: Promotes compassion. Because
the action of caring has the potential to
alleviate individual suffering.
• Care is the action and activities directed
towards assisting, supporting or
Enabling another individual or group with
evident or anticipated needs to improve a
human Condition.

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THANK YOU!

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