This presentation is by Dr.Zinobia Madan at the Putting Patients First Conference on 20th Oct,10. Topic "Patient Empowerment - An evolving idea towards reforming current healthcare". HELP is the world's largest the worlds largest free patient education library - www.healthlibrary.com

1. PATIENT EMPOWERMENT – AN
EVOLVING IDEA TOWARDS
REFORMING CURRENT
HEALTHCARE
DR ZINOBIA MADAN
PhD, MAMS, FIMSA, FICN
FOUNDER & MANAGING DIRECTOR
CLINOMA HEALTHCARE

2. PATIENT EMPOWERMENT
 A CONCEPT RECENTLY EMERGED IN THE HEALTH
SCENE
 EMBRACES THE IDEA THAT EVERYONE HAS THE
RIGHT TO MAKE THEIR OWN
CHOICES ABOUT THEIR HEALTH
CARE

3. PATIENT EMPOWERMENT – A NEW
EMERGING CONCEPT ….
 PATIENT TAKING AN ACTIVE ROLE IN HIS /
HER OWN DISEASE MANAGEMENT
 UNTIL PAST FEW YEARS, PATIENT’S
PARTICIPATION WAS UNHEARD OF
 TODAY, MANY PATIENTS REALIZE THAT THIS
LEVEL OF PARTICIPATION IS VITAL TO
MAINTAINING HEALTH IN LIGHT OF MEDICAL
CHALLENGES

4. PATIENT EMPOWERMENT
 MODEL BASED ON ASSUMPTION THAT TO BE TRULY
HEALTHY, PATIENTS MUST BRING ABOUT CHANGES IN
THEIR PERSONAL BEHAVIOUR, SOCIAL SITUATIONS &
ENVIRONMENT THAT INFLUENCES THEIR LIVES
 MODEL HAS EVOLVED OUT OF THE REALIZATION THAT
PATIENTS CANNOT BE FORCED TO FOLLOW A LIFESTYLE
DICTATED BY OTHERS

5. PATIENT EMPOWERMENT—A PATIENT-
CENTRED APPROACH TO IMPROVE CARE
 KEY TENETS OF PATIENT
EMPOWERMENT :
 PATIENTS HAVE RIGHT TO MAKE THEIR
OWN CHOICES AND THE ABILITY TO ACT
ON THEM
 THE EMPOWERMENT MODEL IS THUS ONE
OF MUTUAL RESPECT
 THE RESPECT DERIVES FROM VALUING OF
HUMAN LIFE AND BUILDING OF A GOOD
CLINICIAN-PATIENT RELATIONSHIP

6. WAYS OF PATIENT EMPOWERMENT …..
 CAN BE ACHIEVED THROUGH TRAINING AND SUPPORT
 OPTIONS AVAILABLE - PROVIDING INFORMATION SHEETS,
MULTIMEDIA PROGRAMS, INFORMATION TECHNOLOGY AND
SKILL BUILDING TECHNIQUES SUCH AS A DIABETES SELF-
MANAGEMENT PROGRAMME
 LOW HEALTH LITERACY MAY ADVERSELY IMPACT ON
PATIENT EMPOWERMENT

7. WAYS OF PATIENT EMPOWERMENT …..
 IMPORTANT STEP IN PATIENT EMPOWERMENT IS TO SOLICIT
PATIENTS’ VIEWS AND LISTEN TO WHAT THEY SAY
 MULTIPLE STUDIES DEMONSTRATED THAT PATIENTS WHO
ARE INVOLVED WITH MANAGEMENT DECISIONS HAVE
BETTER OUTCOMES THAN THOSE WHO ARE NOT INVOLVED

8. EMPOWERMENT THROUGH INFORMATION
 MEANS SEEKING INFORMATION FIRST
 THEN ACTING ON THE INFORMATION
PATIENTS FIND MOST PERTINENT TO THEM
 INFORMED PATIENT IS BETTER EQUIPPED
TO ASK QUESTIONS TO HIS/HER DOCTOR
AND CONTRIBUTE TO TREATMENT
 PATIENT HAS EVERY RIGHT TO EVERY
SOURCE OF INFORMATION
 FOR THE TREATING DOCTOR, THE PATIENT
IS ONE ANOTHER PATIENT

9. Channeling web information to promote Patient
Empowerment

10. CAUTION !!!
PATIENTS USE INTERNET TO MAKE
SELF –DIAGNOSIS !!!

11. KEY ELEMENTS OF EMPOWERMENT :
 KNOWLEDGE
 BEHAVIOURAL SKILLS
 SELF-RESPONSIBILITY

12. TRANSLATING THE PATIENT EMPOWERMENT
CONCEPT INTO DAILY PRACTICE……
 PATIENT EMPOWERMENT MOVEMENT STARTED IN
EARLY 1970S, ADVOCATING THE RIGHTS OF THE
PATIENT
 GOALS OF PATIENT EMPOWERMENT :
TO HELP PATIENTS BECOME ACTIVE PHYSICIAN –
PARTNERS CONTRIBUTING TO A WIDER
PERSPECTIVE IN THE
HEALTHCARE SYSTEM

13. WHAT IS EXPECTED OF AN EMPOWERED
PATIENT ?
 TAKE RESPONSIBILITY :
REALIZING THAT YOU KNOW YOUR
BODY BETTER THAN ANYONE ELSE,
MAKE APPROPRIATE DECISIONS
ABOUT YOUR TREATMENT
 SET GOALS :
SET A TREATMENT GOAL AND
WORK TOWARD THAT GOAL

14. WHAT IS EXPECTED OF AN EMPOWERED
PATIENT ?
 COLLABORATE WITH OTHERS :
ACTIVELY PARTICIPATE WITH YOUR
HEALTHCARE TEAM TO HELP IN DIAGNOSIS
AND TREATMENT
 GATHER EVIDENCE :
INFORMATION FROM ALL RESOURCES
 STAY SAFE IN THE HEALTHCARE
ENVIRONMENT :
PROTECT YOURSELF FROM MEDICAL &
SURGICAL ERRORS, ADMINISTRATION OF
DRUGS AT INAPPROPRIATE DOSES /
INAPPROPRIATE DRUGS, ACQUIRED HIGH
RISK INFECTIONS IN HOSPITALS

15. PATIENTS ‘ RIGHTS :
 DIAGNOSIS & TREATMENT INFORMATION
 INFORMATION DECISIONS & INFORMED
CONSENT
 PRIVACY & CONFIDENTIALITY
 ACCESS TO MEDICAL RECORDS
 TO BE INFORMED ABOUT HOSPITAL
POLICY & COMPLAINT PROCESS

16. PATIENTS ‘ RIGHTS :
 TO BE INFORMED ABOUT ALL
TREATMENT OPTIONS INCLUDING RIGHT
TO REFUSE TREATMENT
 TO KNOW NAMES, CREDENTIALS &
EXPERIENCE LEVEL OF STAFF MEMBERS
 TO KNOW FINANCIAL INFORMATION IN IN
ADVANCE
 TO RECEIVE CONSIDERATE,
RESPECTFUL & EFFECTIVE CARE

17. PATIENT’S RESPONSIBILITIES :
 BE HONEST & COMPLETE ABOUT YOUR MEDICAL
HISTORY & FRANK ABOUT YOUR VICES
 VOICE ALL CONCERNS, DOUBTS & FEARS
 ASK QUESTIONS & TELL STAFF MEMBERS
WHEN YOU DO NOT UNDERSTAND WHAT
IS HAPPENING
 BE AN ACTIVE PARTICIPANT IN YOUR
MEDICAL CARE
 UNDERSTAND WHAT IS EXPECTED OF YOU
AS A PATIENT
 FOLLOW THE TREATMENT PLAN OR
COMMUNICATE IF YOU ARE NOT FOLLOWING IT

18. PATIENT EMPOWERMENT: HOW NOT TO FALL
VICTIM TO A HOSPITAL MISTAKE!
 KEEPING YOURSELF SAFE FROM HOSPITAL
MISTAKES
 GIVE YOUR NAME, DOB AND SURGERY
 FIND OUT WHAT PROCEDURE YOU ARE HAVING
AND ON WHICH SIDE?
 MARKING THE SURGICAL SITE
 BE VERY CLEAR ABOUT YOUR
PERSONAL DETAILS

19. BY EMPOWERING PATIENTS AS PARTNERS
WE TARGET TO IMPROVE HEALTHCARE
OUTCOMES ……
 EFFICIENT DOCTOR-PATIENT CONSULTATIONS
 LEADS TO BETTER PATIENT–PHYSICIAN
UNDERSTANDING
 RAPID DIAGNOSIS & NEGOTIATED TREATMENT
OPTIONS THAT ARE MORE LIKELY TO BE
ADHERED TO
 GREATER PATIENT SATISFACTION
 IMPROVED HEALTH OUTCOMES

20. NOVEL LIFESTYLE CLINIC – FOR PATIENT CARE

21. EMPOWERING PATIENTS AT CLINOMA
HEALTHCARE

22. EMPOWERING PATIENTS AT CLINOMA
HEALTHCARE
 PATIENTS WITH ALL COMMON LIFESTYLE DISEASES WHO
REQUIRE DIET, FITNESS & LIFESTYLE MODIFICATIONS
NEED TO BE EMPOWERED TO HANDLE THEIR DISEASE
EFFECTIVELY
 COMMON LIFESTYLE PROBLEMS AT CLINOMA HEALTHCARE :
DIABETES, OBESITY, HYPERTENSION,, ORTHO INCLUDING
BACK PAINS, SEVERAL GASTROINTESTINAL CONDITIONS,
INSOMNIA, PCOD, MENOPAUSE, UNDERWEIGHT, STRESS,
DEPRESSION & OTHERS
 THIS NOVEL APPROACH ENDEAVORS TO COMPLEMENT THE
DOCTOR'S PRESCRIPTION OF THE APPROPRIATE
MEDICATION

23. CONCLUSIONS
 MEDICAL KNOWLEDGE HAS LONG BEEN USED IN CLINICAL
PRACTICE FOR PROFESSIONALS
 ITS TIME TO SHIFT THE BALANCE OF POWER TO INCLUDE
PATIENTS AND THEIR CARERS
 PATIENTS ARE EXPERTS OF THEIR OWN BODY & ILLNESS AND
HEALTH CARE PROFESSIONALS ARE EXPERTS ON THE
MEDICAL CONDITIONS AND MANAGEMENT RESOURCES
 COMBINING BOTH AND SHARING THE EXPERTISE COULD
ACHIEVE THE INTENDED PLATFORM FOR MANAGING ILLNESS

24. CONCLUSIONS
 PATIENTS HAVE RIGHT TO BE PRIMARY DECISION MAKERS
ON THEIR MEDICAL CONDITIONS
 ALTHOUGH PHYSICIAN SHOULD BE INVOLVED IN DECISION-
MAKING , THE PATIENT ‘S DECISION IS FINAL
 PATIENTS MUST ACTIVELY SEARCH INFORMATION ON
THEIR HEALTH CONDITIONS AND TREATMENT PLANS

25. "The more we realize that our sense of
self-worth comes from within, that the
ability to feel fulfilled is already inside
us, the more autonomous we become,
and the more fully empowered we are."
-- Dean Ornish

26. “If you have health, you probably will be happy,
and if you have health and happiness, you have
all the wealth you need.”
~Elbert Hubbard

27. “GOD AND THE DOCTOR WE ALIKE ADORE
BUT ONLY WHEN IN DANGER, NOT BEFORE;
THE DANGER O'ER, BOTH ARE ALIKE REQUITED,
GOD IS FORGOTTEN, AND THE DOCTOR SLIGHTED.”
~ ROBERT OWEN

28. THANK YOU !!