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The Right Start: How to access families from birth and support early intervention
I have had several admissions as a child due to a chronic GI condition and I think I may have forgotten what is what like or perhaps my perspective was different as a child. This recent experience involved a malady from a recent travel abroad and found me three days as an inpatient on a Medsurg floor. As I reflect upon my experience I realized a recurring theme that changed the whole experience from the moment I entered the ED to my discharge. Simply put people were kind.
Enter your email address below to receive our monthly e-newsletter! It can be challenging for care teams to get a good sense of what patients are going through in their lives. People have brief encounters with healthcare providers, but deal with health more than 5, waking hours per year.
Right Start - Nutrition International
How do clinical teams know what patients are going through, what matters to them as people, what they need and want to do, and what gets in their way? And how can they help? The simple answer is to ask and listen.
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Indeed, patient-centered care sounds simple: But clinicians are running harder than ever, making it difficult to accomplish this in everyday practice. In other words, even simple things are hard.
Newcomer youth thankful for opportunity
Solutions have to be easy. The line of continuity that runs through successful solutions is sensitivity to the fact that both patients and providers are busy and often overwhelmed. Of course, providers can ask about goals, barriers, and other patient perspectives in the course of talking with patients or caregivers. Khamvilay now vows to continue breastfeeding Loulli, although she says she may have to stop when her daughter reaches 18 months, still below the recommended two-year threshold, because she will have to return to her job as a secondary school teacher.
Somsanouk reminds her to continue breastfeeding, especially if Loulli still has the appetite for it, to ensure her optimal health and growth. For working mothers like Khamvilay, there are ways to go around this: For mothers like Aht, however, who toil in the farms every day in a remote village, this is a challenge.
A mother of a three-year-old and seven-month twin boys, she has to juggle working in the field all day, caring for her boys, and breastfeeding her twins. But because she does not have any form of maternity leave, most of the time she has to leave her boys at home with her mother-in-law, feeding the young twins with rice porridge, tenderised meat, and vegetables while she works.
Getting Engagement Right: Start with the Patient Perspective
Although she goes to the village health centre for post-natal care, family planning advice and regular tests, the distance and amount of time she spends on the journey is time lost from work. Going is also not a decision she solely makes: As a result, there is wide disparity in access to maternal and child health care in Laos, and women from poorer, rural villages often do not have these options.
For example, about half of the women in rural areas are able to visit health centres.