Care Preference
A care preference is a statement expressed by the patient, custodian or caretaker responsible for the patient in order to influence how their care is delivered.
A preference expresses a personal choice and may be driven by cultural, religious and moral principles. As such it is a principal component of patient centered care and autonomy. Care preferences serve as modifiers of the Care Plan which influence how the plan is personalized for the individual.
A care preference may be specified prospectively to influence future care planning and treatment or it may be expressed and recorded at arbitrary decision points during interventions.
A preference expresses a request to fulfill a patient's choice or desire. The choice may be a strong and absolute statement such as an end of life directive. The request could also be a desire to be fulfilled if possible given care team capabilities and resources.
The following examples illustrates major categories of preferences in order to test usability and completeness of the model.
- Treatment preferences
- e.g. Choice to use certain medications
- e.g. patient refuses based on his or her risk assessment of side effects
- e.g. patient requests lower dose due to how they feel after taking a medication cocktail
- e.g. Choice of surgical procedures
- e.g. patient does not want invasive procedures performed
- e.g. Oncology therapy
- e.g. an informed patient selects a given therapy based on a list of considered alternatives
- e.g. Choice to use certain medications
- End of life preferences
- Patient does not want to live in a vegetative state
- e.g. No respirators should be applied
- e.g. Patient rejects tube feeding
- e.g. No resuscitation should be applied
- Patient does not want to live in a vegetative state
- Cultural and religious preferences
- e.g. Kosher or halal food only
- e.g. Disallow blood transfusion
- e.g. Vegetarian diet
- Personal taste preferences
- Patient satisfaction
- Diet preferences (vegetarian)
- Personal reason
- Affordability of care (for this there may be an associated Care Barrier which could potentially be addressed by a care manager finding programs for which the patient is qualified)
- Communication preferences
- e.g. Always talk with the daughter
- Eliminate frustration so daughter does not have to repeat every time
- Bad relationship with son so avoid this communication
- e.g. Preferred email and phone
- e.g. Always talk with the daughter
Class:
preference : Code | |
effectiveDate : DateTime | |
expressedBy : Role | |
strength : Level | |
comment : Note | |
media: URL[0..*] | |
activationCriteria: Criterion[0..*] |