PATIENT RIGHT AND RESPONSIBILITIES 18.1.24 ONLINE SESSION.pptx

patient right is very importance in all health care organization

1. PATIENT’S RIGHT AND RESPONSIBILITIES (PRR) Dr. Anjalatchi Muthukumaran Professor cum Vice principal And Nursing Superintendent ,ELMCH Era College of Nursing , Lucknow 226003

2. INTRODUCTION Patient rights and responsibilities are protected by several laws and regulations, including the Consumer Protection Act, 1986 While doctors and hospitals provide medical care to the best of their knowledge and ability, Patients also have certain Responsibilities. towards their own care. Simultaneously they have Rights to avail best and affordable quality care. This list of RIGHTS AND RESPONSIBILITIES will help to get the maximum benefit from treatment, both to the patient and caregivers. The list is provided in all hospitals. Translation in local languages can be found here

3. Importance Of Patient Rights And Responsibilities Patient Rights and Responsibilities NABH is not only a regulatory requirement but also an ethical foundation for delivering quality healthcare. By emphasizing these aspects, NABH strives to create a transparent, respectful, and safe environment for both patients and healthcare providers . Patient Rights :  Patients have the right to access appropriate healthcare services, be informed about their medical condition, and actively participate in decision-making regarding their treatment. Ensuring these rights is crucial to fostering trust between healthcare providers and patients . Patient Responsibilities:   While rights are fundamental, patients also have responsibilities that ensure the smooth functioning of healthcare services. Patients are expecting hospital protocols and staff. Understanding and adhering to patient rights and responsibilities helps bridge the gap between expectations and service delivery.

4. PATIENT RIGHTS IN HOSPITAL The right to receive medical advice and treatment which fully meets the currently accepted standards of care and quality and know the same. The right to make complaints/suggestions. The right to have information on expected cost of the treatment. The right to access to his/her clinical records.

5. Patient rights Informed consent : Patients have the right to give or withhold consent to any test, treatment, or procedure.  Confidentiality : Patients have the right to privacy and have their medical records kept confidential.  Emergency care : Patients have the right to receive emergency care without delay or payment.  Access to medical records : Patients have the right to request access to their medical records.  Access to information : Patients have the right to receive information about their condition, treatment options, and the costs involved.  Respect : Patients have the right to be treated with respect and dignity.  Participation in decisions : Patients have the right to participate in decisions about their care, including the option to include family members. 

6. Patient rights Continued Information Patients have the right to know their diagnosis, treatment options, and expected outcomes. They also have the right to request a written diagnosis.  Privacy Patients have the right to have their medical records kept confidential and only shared with authorized healthcare professionals.  Respect Patients have the right to be treated with dignity and respect by all healthcare providers.  Choice Patients have the right to make informed decisions about their care, including the right to refuse treatment.  Safety Patients have the right to be free from physical injury, abuse, and neglect. 

7. Patient Rights Under NABH NABH has outlined a detailed list of right of patients in hospital that healthcare providers must respect. These rights aim to provide a safe and dignified treatment experience. Below are some of the key rights guaranteed to patients under the NABH framework: Patient Right Explanation Right to Information Patients must be fully informed about their medical condition and treatment options. Right to Privacy and Confidentiality Every patient has the right to have their medical records and personal information kept confidential. Right to Consent Patients must give informed consent before any procedure is conducted. Right to Refuse Treatment Patients have the right to refuse any form of treatment after understanding the potential consequences. Right to Emergency Care Patients are entitled to immediate care in case of a life-threatening situation. Right to Respect and Dignity Patients deserve respectful treatment, regardless of race, religion, gender, or financial status. Right to Redressal Patients can express grievances or complaints about the quality of care and seek appropriate solutions.

8. PATIENT SAFETY MANAGEMENT

9. SAFETY OF PATIENT SERVICES

10. CONTINUED

11. MAINTAIN CONFIDENTIAL /PRIVACY

12. Patient Registration Form PATIENT REGISTRATION FORM Patient’s name Date of registration Gender    Male / female Date of Birth Guardian  (In case of minor patient) Relationship Address Mobile No: Landline No: Email ID Occupation Health Insurance available Yes / No Name of insurer Referring doctor FOR EMERGENCY SITUATION Name of person to be contacted Relationship Contact No -1 Contact No. - 2 I state that all information provided above is correct. I understand the information is being collected to register me and enable me to access the services of this hospital. Signature of patient / guardian Date / Time

13. GENERAL CONSENT FORM

14. Patient /Family Rights &Responsibilities As a patient Your Rights:  The right to have privacy dignity and religious & cultural belief respected.  The patient / family right to have protection from/against physical abuse or neglect.  The right to have information related to your medical condition kept confidential. The right to accept or refuse any medication, investigation or treatment, and to be informed of the likely consequences of doing so. The patient has right to reasonably informed participation in decisions involving his/her health care. The patient shall not be subjected to any procedure without his/her informed consent.  The right to receive medical advice and treatment which fully meets the currently accepted standards of care and quality and know the same. The right to make complaints/suggestions.  The right to have information on expected cost of the treatment. The right to access to his/her clinical records. The right to be given a clear description of your medical condition and plan of care. 

15. SCOPE OF SERVICE AVAILABLE

16. HOSPITAL PRICE LIST TO BE SHOWN

17. List of insurance policy to be explain

18. Patient responsibilities Patients have a responsibility to provide accurate information about their health. Patients have a responsibility to follow hospital rules and regulations. Patients have a responsibility to be considerate of others' privacy, safety, and noise levels. Patients have a responsibility to be on time for appointments and to cancel or reschedule in advance.

19. Patient responsibilities continued Information : Patients should provide their doctor with all relevant health information.  Treatment : Patients should follow their treatment plan and the instructions of their doctor.  Conduct : Patients should be considerate of others and follow hospital rules.  Communication : Patients should communicate clearly with their caregivers.  Concerns : Patients should express concerns about their care and safety.  Patients can also participate in research studies and education programs if they choose. 

20. Patient Responsibilities Under NABH While patients have many rights, they must also recognize their responsibilities. These responsibilities play a pivotal role in ensuring that hospitals can provide timely, safe, and efficient care. Here’s a list of key patient responsibilities as outlined by NABH: Patient Responsibility Explanation Providing Accurate Information Patients must provide complete and accurate health information to doctors. Following Treatment Plans Patients must follow the medical advice given to them by healthcare professionals. Respecting Healthcare Providers Patients should treat hospital staff and other patients with respect and dignity. Adhering to Hospital Rules Every patient must comply with hospital policies regarding safety and discipline. Taking Care of Personal Belongings Patients are responsible for their personal property and valuables while admitted. Reporting Unsafe Conditions If a patient notices any unsafe conditions, they should promptly notify the staff. Financial Responsibilities Patients must ensure that they settle their bills promptly.

21. As per NABH guidelines According to the National Accreditation Board of Hospitals (NABH), patients are responsible for providing accurate information about their health, following treatment plans, and respecting the rights of others.  Patient Responsibilities Provide information Patients should provide complete and accurate information about their health, including any changes in their condition.  Follow treatment plans Patients should follow the treatment plan and instructions given by their healthcare providers.  Be respectful Patients should respect the dignity of their healthcare providers and other patients.  Be considerate Patients should be considerate of other patients and hospital staff, and follow hospital rules.  Be responsible Patients are responsible for their actions and the outcomes of their treatment choices.  Pay bills Patients should pay their bills promptly.  Notify staff Patients should notify staff if they notice any unsafe conditions.  Be responsible for property Patients are responsible for their personal property and valuables while admitted to the hospital. 

22. PATIENTS RIGHTS AND RESPONSIBILITES

23. SAMPLE FOR CHART AS SIGNAGE

24. PATIENT RIGHTS

25. Signage for different way to present

26. NORMAL HUMAN BODY AND ITS FUNCTION

27. Your Responsibilities: Give us as much information as you can about your present health, past illness allergies and any other relevant details. Follow the prescribed and agreed treatment plan and comply with the instruction given. Show consideration for rights of other patients and hospital by following the hospital rules concerning patient conduct. Keep appointments that you make, or else notify the hospital as early as possible if you are unable to do so. Do not ask us to provide incorrect information or certification. Do not litter the hospital. Please garbage bins. Keep toilet clean after use. Do not smoke or spill inside the hospital premises. Support the hospital in keeping environment clean. Wait patiently for your turn. Maintains silence. Do not bring children below 10 years as visitors.

28. MICROBIOME COMPOSITION OF HUMAN BODY

29. HEALTHY LIFE STYLE A healthy lifestyle is the cornerstone of a fulfilling and balanced life. It involves adopting habits that promote physical, mental, and emotional well-being. Maintaining a healthy lifestyle includes eating nutritious food, exercising regularly, getting sufficient sleep, and managing stress effectively.

30. Normal height and weight

31. NORMAL BLOOD INVESTIGATION VALUES

32. NORMAL SYSTEM REVIEW

33. HEALTH PROMOTION RESPONSIBILITIES A healthy lifestyle includes eating well, exercising regularly, getting enough sleep, and managing stress. It can also include limiting alcohol and smoking, and maintaining a healthy weight T ips for a healthy lifestyle: Measure and Watch Your Weight. ... Limit Unhealthy Foods and Eat Healthy Meals. ... Take Multivitamin Supplements. ... Drink Water and Stay Hydrated, and Limit Sugared Beverages. ... Exercise Regularly and Be Physically Active. ... Reduce Sitting and Screen Time. ... Get Enough Good Sleep. ... Go Easy on Alcohol and Stay Sober.

34. Vaccination for all

35. Immunization for childrens

36. Immunization for children and pregnancy

37. Some normal vital parameter to be maintain by all Normal intake and output is adult The average adult intake is 2500-3000mL. Per day. The average output is 2500-3000mL. Per day. The normal daily water intake depends on your age, activity level, and other factors.  Men : The Mayo Clinic recommends that men drink about 15.5 cups (3.7 liters) of fluids per day.  Women : The Mayo Clinic recommends that women drink about 11.5 cups (2.7 liters) of fluids per day.  Children : The best drinks for children are water and milk.  Pregnant women : Pregnant women may need to drink more fluids.  People who are physically active : People who are physically active for long periods may need to drink more fluids.  People who are ill : People who are ill or recovering from illness may need to drink more fluids. 

38. Normal vital parameter of adult Normal vital signs for a healthy adult at rest include:  Temperature : 97.8°F to 99.1°F (36.5°C to 37.3°C) Blood pressure : 90/60 mmHg to 120/80 mmHg Pulse : 60 to 100 beats per minute Breathing : 12 to 18 breaths per minute

39. Normal pediatric unit vital chart Age  Normal blood pressure range (mm Hg)  Normal heart rate (beats per minute)  Normal respiratory rate (breaths per minute)  0 to 3 months  65–85/45–55  110–160  30–60 3 to 6 months  70–90/50–65  100–150  30–45  6 to 12 months  80–100/55–65  90–130  25–40  1 to 3 years  90–105/55–70  80–125  20–30  3 to 6 years  95–110/60–75  70–115  20–25  6 to 12 years  100–120/60–75  60–100  14–22  12 to 18 years  100–120/70–80  60–100  12–18  Normal pediatric vital signs chart

40. Normal BMI index

41. CONTINUED Well Balanced Diet Healthy eating Eat nourishing foods like fruits and vegetables, Limit processed foods and sugar, and Drink water.  Exercise  Regular exercise can help prevent chronic illnesses like heart disease and type 2 diabetes It can also help reduce stress and improve concentration

42. Stress management   Stress management is not just about avoiding stress, but also about how to respond to and control the stress Quit smoking  Stopping smoking can significantly reduce your risk of coronary heart disease, stroke, and a variety of cancers Maintain a healthy weight  Being at a healthy weight might lower the risk of some types of cancer

43. Exercise  Regular exercise can help prevent chronic illnesses like heart disease and type 2 diabetes It can also help reduce stress and improve concentration Sleep  Most adults need 7-9 hours of sleep per night Establish a consistent sleep schedule and create a relaxing bedtime routine Make your bedroom conducive to sleep by keeping it dark, quiet, and cool

44. DAILY ACTIVITIES AWAY FROM HOSPITAL

45. FRESH FRUIT AND VEGETABLES AS PER SEASONAL BASE

46. CONTINUED

47. VEGETABLES

48. SPIRITUAL HEALTH

49. MEDITATION AND ITS SIGNIFICANCE

50. Avoid alcohol/smoking/illegal drug

51. ROAD SAFETY RULES AND REGULATION

52. INDIVIDUAL HEALTH RECORD MAINTAIN BIRTH CERTIFICATE HEALTH RECORD FAMILY RATION CARD IMMUNIZATION RECORD IDENTIFICATION CARD ADHAAR CARD DRIVER LISCENCES VOTER ID HEALTH INSURANCE CARD

53. Legislation /rules /regulation

54. CONTINUED

55. Respect and Impartial Treatment   Be treated impartially, irrespective of who you are, what your beliefs are , your nationality, disability or mode of payment, provided the facility offers the required services and has the capacity to treat you Be considered with respect at all times, under all circumstances, while you are being treated

56. Role Of Healthcare Providers In Ensuring Compliance For hospitals to achieve and maintain NABH accreditation, they must integrate NABH patient rights and responsibilities into their everyday operations. This includes training staff on the importance of these standards and setting up systems to monitor compliance. Here are some strategies healthcare providers can use: Staff Training:  Ensuring that all healthcare professionals are trained in patient rights and responsibilities is crucial. Clear Communication Channels:  Hospitals should implement systems for clear and transparent communication, ensuring patients and their families are informed at every stage of their care. Feedback Systems:  Hospitals must provide accessible feedback channels where patients can share their experiences and complaints. Ethical Medical Practices:  Healthcare providers should always engage in ethical practices, ensuring that all decisions about patient care are made in the best interest of the patient.

57. Responsibilities of health care institution on PRR While the patient right and responsibilities NABH framework provides a comprehensive list of rights and responsibilities, enforcing these in real-world settings can be challenging. Here are some common challenges faced by healthcare institutions Lack of Awareness:  Many patients are unaware of their rights and responsibilities, which can lead to miscommunication and dissatisfaction with care. Resource Constraints:  Not all healthcare institutions, especially in rural areas, have the resources to fully implement NABH standards. Cultural Barriers:  Cultural differences can sometimes make it difficult for patients to voice concerns or fully understand their rights, particularly when it comes to consent and decision-making. Complex Medical Terminology:  Medical jargon can often make it hard for patients to understand their diagnosis, treatment options, and rights, limiting their ability to make informed decisions. Resistance to Change:  Some healthcare professionals may resist the additional documentation and procedural changes required to meet NABH accreditation standards.

58. Conclusion Patient Rights and Responsibilities NABH plays a central role in delivering quality healthcare, and NABH standards are designed to ensure these aspects are respected. The accreditation process not only emphasizes patient safety and dignity but also requires that patients participate actively in their healthcare journey by fulfilling their responsibilities.

59. THANK YOU SO MUCH ……..