By Dr. Bob Sege, 4/4/2023, https://positiveexperience.org/category/blog/
HOPE (Healthy Outcomes from Positive Experiences) supports providers collaborating with families to identify goals of care. The HOPE framework calls out individual sources of strength and stamina, and avoids viewing children and families as simply people with deficits that need professional treatment. Family support requires marrying the family’s goals and the provider’s goals. Sometimes goals align naturally, and, other times there is misalignment, preventing effective partnership to improve children’s health and well-being. Below is an example of identifying goals with a mother and four year-year-old child.
Imagine you are a pediatric nurse practitioner and just learned about HOPE (Healthy Outcomes from Positive Experiences). You are all excited about bringing the HOPE framework into your next visit! A family comes into your exam room for their child’s four-year-old visit, and also bring along the two and a half year-old little sister.
Once everyone gets settled, you are ready to start talking about relationships, environment, engagement, and emotional growth. Before you start, the patient’s mother asks how many shots her child will need to get today. She goes on to say that she knows he needs shots for school, but that her child is afraid and he did not want to come to clinic today.
It seems that the goals of today’s visit are very different for you as a provider and the child’s mother. Some goals are the same: you and the child’s mother (but maybe not the child) understand that one of the goals of today’s visit is for the child to get his immunizations. However, beyond that are your goals really aligned? If not, what is your next step?
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