Forum Fireworks Tackle the Question: Who Is Qualified to Be a Patient Advocate?

Posted by:

(Originally published September 2011. Updated September 2019)

Fireworks erupted in the  APHA Forum recently.  I call them fireworks because those involved are so passionate about their work – no matter what their points of view. Fireworks are awe-inspiring and truly beautiful, even if they don’t accomplish much, which is exactly what transpired.

The questions and statements that caused that passion are worth sharing here, because they can help all of us clarify our roles in this growing profession of patient advocacy and navigation.

The initial question was ” I’d love to hear from advocates –like me– who do not have medical credentials –about how you position yourself in the market. Why should someone choose us when they can get an RN advocate?”

What the discussion evolved to was: Who is qualified to offer patient advocacy services?  Who is “good enough” or experienced enough or worthy of the title?  What roles do patient advocates and navigators play in their work with their clients?

And, like in any argume… I mean… fireworks display, there were some bright shining stars, some explosions, some oooo’s and aaahhh’s – and some duds.

I won’t recreate the discussion because, frankly, it stands by itself in points, counterpoints and personalities. But I will provide some commentary to share with everyone, whether or not you are a part of APHA’s Forum, because these are the truths I hold for this marvelous profession which exists to serve the patients and caregivers who desperately need us: Continue Reading →

8

Advocating – It’s Like Nailing Jello to a Tree

Posted by:

(No – that’s not Dad in the photo – but this gentleman is quite representative!)

Last week I shared notes from my father’s hospital bedside as he began his recovery from back surgery.  The majority of his hospital stay was safe and successful, although we continued to have big problems managing his pain throughout.

Dad was discharged to a skilled nursing center to convalesce and begin rehab.  He’s well on the road to recovery.  We have much to be thankful for.

As mentioned previously, my work does not typically include helping individual patients with their healthcare challenges.  I write and speak on advocacy topics, but one-on-one is not how I spend my typical day… So this hospital experience with Dad was quite the eye opener.

And what I learned is that being a successful patient advocate means learning how to nail jello to a tree.  (Just picture it….)  And it raised my esteem even further (if that was possible!) of all of you who work side-by-side with patients every day.

I do not know how anyone gets out of a hospital alive without having an advocate by his or her side.  OK, I don’t think it must always be a paid, private advocate who pitches in.  A family member, or someone who knows about the necessary safety measures will be able to catch most of the smaller problems.  But I learned that for those of us who are not experienced, it is impossible to anticipate the “saves” that professional advocates perform. And the magnitude of those “saves” is what is important.  They can be life-saving.

Some examples of the ones I caught:

Continue Reading →

2

Notes from the Hospital Bedside

Posted by:

Dad had back surgery Friday morning.

As many of you know, I don’t ordinarily work as a patient advocate. My work is about supporting patient advocates – so I look at these kinds of experiences as opportunities to learn, and to use some of the excellent advice I’ve learned from many of you over the years.

I’m relieved to say – I haven’t had much opportunity to make a difference!  Dad’s care has been quite good.  So, as his advocate, my last 72 hours have been…. well…. boring.

But there have been a few things I have observed, and a few things I’ve learned, to share with you. And two “saves” that may have been important – although – I prefer to hope they made no difference. More about that in a moment.

Continue Reading →

7

What Do Your Patient Clients Expect from You?

Posted by:

Ilene Corina is a long-time patient safety advocate who often sits by patients’ bedsides in hospitals to keep them safe during their hospital stays.

A recent blog post of hers asks the question: when a patient or caregiver hires a patient advocate, what do happens if, despite everyone’s best efforts, the outcomes are negative?

Of course, the answer depends on a number of factors, including the fact that not all advocate services are cut and dried and easy to define.

Further, I have to think that sometimes an advocate is hired with one set of expectations, as understood by the advocate and perhaps even recorded on paper.  However I think it’s entirely possible that even though the words say one thing, the patient’s hopes, and unspoken expectations may be something else.

That can be a danger zone for an advocate. Here are some examples:

Continue Reading →

1

Standing Up for Our Patients – Those Aretha Franklin Moments

Posted by:

This post asks the question:  At what points do we go to the wall for our patients?  And when we need to go there, what’s the best approach?

Scenario: You’ve accompanied your patient-client to a medical appointment and the receptionist is rude to your patient when you check in.  Do you say or do anything?  And if so – how?

Scenario:  As you sit by your patient’s hospital bedside, a nurse comes in to change a dressing already wearing gloves.  You ask her to wash her hands and put on new gloves and she cops an attitude.  Do you insist?  And if so, how?

Scenario:  Your client needs to make a very difficult medical decision and has asked for your help to weigh the pros and cons, and to uncover additional possibilities.  You’ve walked him through all the possibilities – including those the doctor provided, and others you learned about through some research you did on his behalf.  His choice is not the same as the doctor’s recommendation, but when he gets to the appointment with his doctor to share his decision, the doctor tells him he’s making the wrong decision. Clearly uncomfortable, your client begins to backpeddle, to default to what the doctor has recommended.  Do you speak up on your patient’s behalf?  And if so, where do you start?

Continue Reading →

3
Page 4 of 5 12345