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1. NURS FPX 8008 Assessment 4
The Patient Perspective of Person-Centered Collaborative Care
Capella University
8008
Instructor Name
Due Date
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NURS FPX 8008 Assessment 4

2. Introduction
This assessment explores the patient's perspective on the strengths and weaknesses of the Person-Centered
Collaborative Care (PCCC) model for managing chronic pain. Adopting the patient's viewpoint is crucial for
evaluating the genuine efficacy of this care approach. The PCCC model is designed to prioritize patient
preferences, values, and goals, ensuring care delivery aligns with the patient's lifestyle and maximizes their
quality of life (Levitan & Schoenbaum, 2021). This analysis evaluates the implementation of this model
within a specific clinical context to understand its micro-level impacts on patients.
Context
The evaluation is set within Lakeview Medical Institution, where patients receive treatment through a
multidisciplinary pain management program. This program integrates supplemental medication
management, physical therapy, and counseling psychology, representing a holistic approach to chronic pain
that addresses both physical and psychological dimensions (Staudt, 2022; Connell et al., 2022). This blog
post aims to articulate the benefits and challenges of the PCCC model from the direct perspective of patients
engaged in this interdisciplinary treatment plan.
Benefits of the PCC Approach
The Person-Centered Care (PCC) approach aims to alleviate the multifaceted burden of chronic pain by
treating the whole person, not just the symptoms. As discussed in NURS FPX 8008 Assessment 4, viewing
this model from the patient's perspective underscores its relevance and power, particularly within a
multidisciplinary framework. The collaborative team—comprising physicians, nurses, physical therapists,
psychologists, the patient, and their family—works in concert to address the complex physiological and
cognitive aspects of chronic pain (Staudt, 2022).
Three Key Benefits Identified:
1.Reduced Hospital Length of Stay (LOS): The PCC model emphasizes customizing care plans
based on individual patient needs and preferences. This active engagement in decision-making
empowers providers to suggest the most appropriate, evidence-based interventions (Hickmann et
al., 2022). For instance, effectively managing pain frequency and intensity through coordinated
pharmaceutical care and physical therapy can accelerate progress, leading to improved health
outcomes and a reduced need for inpatient care.
2.Enhanced Patient Satisfaction: The foundation of PCC is effective communication and shared
decision-making. The multidisciplinary team's communication skills facilitate a strong therapeutic
alliance, fostering a sense of patient ownership over their health journey. This autonomy and
involvement in one’s own care plan significantly increase patient satisfaction and engagement with
treatment protocols.
3.Improved Medication Adherence: The coordinated nature of PCCC ensures consistency and
education across all providers. When nurses, physicians, and pharmacists deliver congruent
messages about a medication regimen, patient understanding and compliance improve (Berardinelli
et al., 2024). This coordinated education, tailored to the patient’s level of understanding, is
essential for enhancing long-term health and well-being.
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3. Challenges Encountered by Patients in Active Participation
Despite its benefits, patients often face significant barriers to actively participating in the PCCC model.
Low Health Literacy: A primary obstacle is limited health literacy, which can discourage patients
from engaging fully in their treatment (Shahid et al., 2022). An inability to understand complex
medical terminology, treatment rationales, or care plans constrains a patient’s ability to express
concerns, ask informed questions, and participate meaningfully in shared decision-making.
Complexities of Team-Based Care: Navigating a multidisciplinary team can be daunting for
patients. They must learn to interact with multiple specialists, each with different communication
styles and roles. This complexity can be overwhelming, leading to confusion and a sense of
disempowerment rather than collaboration. Logistical and financial constraints, such as the cost of
multiple appointments or time off work, further impede consistent participation (Cullati et al.,
2019).
Resistance and Communication Gaps: Some patients may be resistant to a collaborative model,
preferring a more traditional, paternalistic approach to care. Furthermore, inconsistencies or poor
communication among the healthcare team itself can create conflicting information for the patient,
undermining trust and the effectiveness of the care plan.
Recommendations for Improving PCC Collaboration
To overcome these challenges and strengthen the PCCC model, the following evidence-based strategies are
recommended:
1.Structured Patient Education: Implement comprehensive education sessions using teach-back
methods, plain language materials, and both online and offline resources (Bhattad & Pacifico, 2022).
This empowers patients with knowledge, builds confidence, and ensures they understand their care
plan, fostering true self-management.
2.Leverage Patient Portals: Encourage the use of integrated patient portals that allow individuals to
access their health records, review test results, schedule appointments, and communicate directly
with their care team (Carini et al., 2021). This enhances transparency, improves communication,
and promotes adherence.
3.Optimize EHRs for Interprofessional Collaboration: Ensure the Electronic Health Record (EHR)
system is fully utilized to facilitate seamless information sharing among all members of the care
team (Ali et al., 2023). This reduces miscommunication and ensures every provider is working from
the same, up-to-date information.
4.Interprofessional Communication Training: Provide regular training for all healthcare staff on
core communication skills, including active listening, empathy, and effective interprofessional
collaboration (Mata et al., 2021). Establishing regular multidisciplinary team meetings to discuss
patient cases is essential for creating a unified and coherent care approach.
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4. Future Insights for Leveraging PCC Holistic Models
To further deepen the impact of PCC, integrating established theoretical models can provide a robust
framework for practice.
Watson’s Theory of Human Caring: This theory emphasizes holistic care, transpersonal
relationships, and a caring moment between nurse and patient (Gunawan et al., 2022). Applying
Watson’s concepts would ensure that technological and procedural aspects of care are balanced with
empathy, trust, and genuine human connection, which is paramount in chronic pain management.
Fundamentals of Care (FoC) Framework: The FoC model focuses on the convergence of
physical, psychosocial, and relational needs to deliver truly holistic care (Belle et al., 2020).
Implementing this framework would ensure that basic, yet fundamental, care needs—such as
comfort, communication, and dignity—are consistently met, forming a solid foundation for all
specialized interventions.
Conclusion
From the patient's perspective, the Person-Centered Collaborative Care model represents a significant
advancement in the management of chronic pain. As explored in NURS FPX 8008 Assessment 4, its strength
lies in its holistic, respectful, and coordinated approach, which offers tangible benefits like reduced hospital
stays, higher satisfaction, and better treatment adherence. However, barriers such as low health literacy
and systemic complexities remain. By implementing targeted strategies to enhance patient education,
communication, and technological integration, healthcare organizations like Lakeview can optimize the PCCC
model. Ultimately, minimizing these barriers will fully realize the model's potential to empower patients and
improve long-term health outcomes.
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5. References
Ali, M., et al. (2023). The impact of electronic health records on patient care. Healthcare Informatics
Review.
Belle, A., et al. (2020). Implementing the Fundamentals of Care framework. Journal of Clinical
Nursing.
Berardinelli, L., et al. (2024). Nurse-led interventions and medication adherence. Journal of Nursing
Care Quality.
Bhattad, P. B., & Pacifico, L. (2022). Empowering patients through health literacy. Journal of Patient
Experience.
Carini, E., et al. (2021). The role of patient portals in modern healthcare. Digital Health.
Connell, J., et al. (2022). Holistic approaches to chronic pain management. Pain Management
Journal.
Cullati, S., et al. (2019). Barriers to patient participation in shared decision-making. Social Science
& Medicine.
Gunawan, J., et al. (2022). Applying Watson’s Theory of Human Caring in nursing
practice. International Journal for Human Caring.
Hickmann, E., et al. (2022). Patient empowerment in shared decision-making. Health Expectations.
Levitan, B., & Schoenbaum, S. C. (2021). Person-centered care: Principles and practice. Journal of
Ambulatory Care Management .
Leveridge, M. J. (2024). Patient readiness to engage in treatment. Journal of Health Psychology.
Mata, Á. N. S., et al. (2021). Training communication skills in healthcare. Patient Education and
Counseling.
Montori, V. M., et al. (2022). Minimally disruptive medicine and patient communication. BMJ
Evidence-Based Medicine.
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