Client-centred care (or patient-centred care or patient preference) is one of the core philosophies underpinning Occupational Therapy. In any modern healthcare practice, it also forms part of the Evidence Based Practice (EBP) equation:
Research + Clinician Expertise + Patient Preference = EBP
How much weight each part of the formula should contribute to the overall treatment ‘answer’ is not clear cut, and when an extreme weighting from one or another element is proposed, it causes ethical dilemmas. Ethical dilemmas cannot be solved alone, but through collaboration with colleagues and professional body standards (such as the RCOT).
I find myself almost never listening to Radio 1 anymore instead tuning in to BBC 6, BBC 2 and even 4… is this a reflection of becoming more interesting or more boring? Or that I need talk radio to keep me awake on the more frequent long car journeys I seem to do now? Either way, in the BBC 4 programme ‘Inside the Ethics Committee’ one episode discusses a woman who wants her leg amputated in order to forego any further knee surgeries. Read more
Money from us (from our taxes) is passed to the government, which is passed down to the NHS to fund it. But how does the NHS department should get which money? And which departments should exist and get funded by the NHS at all? How are private companies involved if the NHS is a public organisation? The system set up to decide how the NHS’ money is spent is complicated, and it’s easiest if you just watch this video to understand: