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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Specialized Care Centers and Settings-I01:30

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Continuing Care01:25

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Restorative Care01:19

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Specialized Care Centers and Settings-II01:30

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Related Experiment Video

Updated: Jan 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Centering Care as Normal and Valuable.

Devan Stahl

    The Hastings Center Report
    |December 11, 2025
    PubMed
    Summary

    Most patients prefer involving doctors and caregivers in medical decisions, valuing care over sole patient autonomy. This approach acknowledges human dependency and the crucial labor of caregivers.

    Area of Science:

    • Bioethics
    • Medical Decision-Making
    • Disability Studies

    Background:

    • Current medical decision-making models often prioritize patient autonomy.
    • This can overlook the significant role of caregivers and the reality of human dependency.
    • Ableist tendencies can render caregivers invisible in healthcare discussions.

    Purpose of the Study:

    • To argue for reorienting medical decision-making models around the concept of care.
    • To analyze the empirical evidence supporting shared decision-making involving patients, physicians, and caregivers.
    • To explore the normative implications of a care-centered model in bioethics.

    Main Methods:

    • Commentary responding to existing literature on relational medical decision-making.
    • Analysis of empirical studies on patient preferences in treatment choices.
    Keywords:
    clinical ethicsdisability bioethicsempirical bioethicsjusticemedical decision‐making

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  • Application of disability bioethics principles to medical decision-making.

    • Main Results:

    • Empirical studies indicate most patients prefer physician-directed or collaborative decisions.
    • Patients frequently involve caregivers and consider the burden on family in treatment decisions.
    • A care-centered model better reflects actual decision-making practices and validates dependence.

    Conclusions:

    • Medical decision-making should be reoriented around care, not solely patient autonomy.
    • Acknowledging human dependency and the moral significance of caregiving is essential.
    • A care-centered model validates caregivers' labor and promotes more inclusive healthcare practices.