Client Centered Care – This course is designed to understand the concept of community health nursing: nurses’ roles and interventions in family health, school health, occupational health, environmental health, elderly health care, gender issues, disaster management, and principles and terminology of epidemiology. The aim of the course is to acquire knowledge and skills in community health nursing.

Client Centered Care
Client care starts with the client perspective and is designed to meet his or her distinctive needs.
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Client centered care is an approach in which clients are viewed as whole persons; it is not merely about delivering services where the client is located. Client centered care involves advocacy, empowerment and respecting the client’s autonomy, voice, self-determination, and participation in decision-making.

Attributes Of Client-Centered Care:
In order to provide client-centered care, the nurse has certain attributes and will demonstrate in her action as the followings:
1. Appreciate that each person is a unique product of heredity, environment, culture and spirituality. This indicates that the nurse interacts with clients on an individual basis, even though their health care needsmay appear to be similar.
2. Believe that person strive for their highest potential, Nurses’ function is to assist persons to achieve growth in relation to their health needs.
3. Respects the worth of each individual recognizes that even the sickest or poorest of persons have strengths that can be mobilized to meet their needs and achieve their potentials.
4. Recognize our own humanity. Nurses are human too with unique strengths and needs. To care effectively for other, nurses must have self-awareness to recognize both what they can offer others and what their own personal limitation.
5. Be genuine.
6. Encourage the client to retain control.
7. Recognize that person have basic needs and are motivated to fulfill these needs.
8. Realize all behavior has meaning. Nurses appreciate that a person’s action communicates messages about his or her feelings, beliefs or physical function. The nurse respect the meaning of a person’s behavior and avoids such as wrong, bad or worried even through behavioral manifestation may be perplexing or difficult.

Ways to Develop Client Centered Care:
There is no one way to approach a client and no single interpersonal strategy that works equally well with every client. Nurses who carry or believe in client centered care bring about knowledge and skills to each client involuntary.
Novice nurses or nursing students can develop client centered care and holistic (Physiological, Psychological & Spiritual) nursing through the following guidelines:
1. Study and analyze the concepts.
2. Determine if one use a bio-psycho-social-spiritual model to guide our clinical practice.
3. Determine whether there are areas of fragmentation in our personal life.
4. Explore the steps that increase our commitment to our holistic development process.
5. Integrate the standards of holistic into clinical practice. These standards include-
- Client centered care include family and significant others.
- Nurses-focused concepts (committed to personal development).
- Cultural care.
- Health education and mutual decision making.
- Health promotion.
- Spiritual care.
- Care of the environment.
- Use of nursing process.
- Use of research to guide clinical practice.
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