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Empowerment
objective - for
laypeople to
know how to do
self-assessment
on Patient
Empowerment
and to do
continual
improvement.
When do you
say a patient
is
empowered?
In my first 2 PEP TALKs in this module on Patient
Empowerment, I have discussed what is Patient
Empowerment and what are the strategies to be
empowered as a patient.
In this PEP TALK, I will answer the question when
do you say a patient is empowered.
I will discuss how a patient can do a self-
assessment on Patient Empowerment and how to
do continual improvement until utmost
empowerment is attained.
When do you
say a patient
is
empowered?
When is a patient said to be empowered?
Here are the general answers:
A patient is said to be empowered if he/she gains
full control over decisions and actions affecting his
/ her personal health.
When do you
say a patient
is
empowered?
When is a patient said to be empowered?
Here are the general answers:
A patient is said to be empowered if he/she knows
and exercises his/her rights as a patient in getting
the highest attainable standards of health through
the quality and safe services to be provided from
the health care professionals and institutions that
he/she seeks or consults.
When do you
say a patient
is
empowered?
When is a patient said to be empowered?
Here are the general answers:
A patient is said to be empowered if he/she knows
how to participate actively and fully with
attending health care professionals in the decision-
making regarding his/her health concerns and
issues.
When do you
say a patient
is
empowered?
When is a patient said to be empowered?
Here are the general answers:
A patient is said to be empowered if he/she has
cultivated competencies in managing his own
health within his/her capacity and capability and
within his/her environmental and cultural context.
When do you
say a patient
is
empowered?
When is a patient said to be empowered?
To have more quantifiable or measurable answers
to the question, when is a patient said to be
empowered, I came out with a rating scale.
Note: this is my own creation – this constitutes my
Thoughts, Perceptions, Opinions and
Recommendations.
I am open to suggestions for improvement.
When do you
say a patient
is
empowered?
Self-assessment of My Level of
Patient Empowerment
A ROJoson Rating Scale
16 items
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I have control over decisions and actions affecting
my personal health.
0 – No control whatsoever
1 – minimal
2 – moderate
3 – great to greatest
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know my rights as a patient in deciding for my
health.
0 – don’t know any right
1 – Know one (1) to three (3) rights at least
2 – Know four (4) to five (5) rights at least
3 – Know more than five (5) rights
When do you
say a patient
is
empowered?
Rights of a Patient for Empowerment
Quality Health Care Services
• Patient-centered
• Equitable
• Safe
• Effective
• Efficient
• Timely
• Integrated
When do you
say a patient
is
empowered?
Rights of a Patient for Empowerment
Quality Health Care Services (particularly from a
hospital):
· Quality and safe health care in accordance with
generally approved medical principles
· Respect and dignity without discrimination
· Participation in care decisions
When do you
say a patient
is
empowered?
Rights of a Patient for Empowerment
Quality Health Care Services (particularly from a
hospital):
· Informed consent and informed refusal without
prejudice to continuing health care
· Second opinion from alternate health care
professionals of choice
· Privacy and confidentiality of personal
information subject to applicable laws
When do you
say a patient
is
empowered?
Rights of a Patient for Empowerment
Quality Health Care Services (particularly from a
hospital):
· Availment of benefits and privileges in
accordance with government regulations and to be
billed accurately
· Complaint about the care and services provided
without fear of reprisal
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I exercise and demand my rights as a patient in
deciding for my own health regardless of the
advice of my relatives and significant others.
0 – never
1 – sometimes
2 – most of the time
3 – all the time
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I exercise and demand my rights as a patient in
deciding for my own health regardless of the
advice of my physicians and other health care
professionals.
0 – never
1 – sometimes
2 – most of the time
3 – all the time
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I participate in the decision-making on my health
concerns and issues with my physicians and other
health care professionals that I consult.
0 – never
1 – sometimes
2 – most of the time
3 – all the time
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I have an intentional living written plan on how to
live full and contented.
0 – don’t have one
1 – have one but not being implemented
2 – have one but not being consistently and
regularly implemented and evaluated
3 – have one being implemented and evaluated
regularly
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I have a healthy lifestyle written plan to keep
myself healthy as much and as long as possible.
0 – don’t have one
1 – have one but not being implemented
2 – have one but not being consistently and
regularly implemented and evaluated
3 – have one being implemented and evaluated
regularly
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I have an advance health care directive
(instructions on how to manage me when I am
terminally ill).
0 – don’t have one
1 – have one but not being implemented
2 – have one but not being consistently and
regularly implemented and evaluated
3 – have one being implemented and evaluated
regularly
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know how to do cardiopulmonary resuscitation.
0 – don’t know
1 – have an idea but don’t know how to do it
2 – know how to do it but have not practiced /
done it
3 – have practiced / applied it
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know how to control bleeding from a wound in
the body surface.
0 – don’t know
1 – have an idea but don’t know how to do it
2 – know how to do it but have not practiced /
done it
3 – have practiced / applied it
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know how to do first aid for medical emergencies
on myself and others.
0 – don’t know at all
1 – know how to do first aid for one to 2 medical
emergencies
2 – know how to do first aid for 3 to 5 medical
emergencies
3 – know how to do first aid for more than 5
medical emergencies
When do you
say a patient
is
empowered?
List of some basic medical emergencies where
laypeople should know how to do first aid:
• Cardiopulmonary resuscitation
• Airway promotion
• Control of bleeding from a surface wound
• Splinting (for fractures)
• Poisoning
• Fainting
• High grade fever
• Others
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I have attended and completed a basic course
(either formal or tutorial or in combination) on
strategies in health maintenance and restoration
of health.
0 – have not attended a basic course whatsoever
1 – have attended sporadically
2 – have attended but not a complete course
3 – have completed a basic course
When do you
say a patient
is
empowered?
List of some topics in the basic course in health
maintenance and restoration for health for
laypeople:
• Patient’s Rights in Patient Empowerment
• Patient Management Process
• Realities, inclusive of peculiarities,
idiosyncrasies and limitations of medicine, in
administration and management of health care
• Individual Health Management
• Medical Emergencies and First-Aid
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know the diagnostic processes in the
management of a patient.
0 – don’t know at all
1 – know a little / minimum amount
2 – know some / moderate amount
3 – know fully
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know the treatment processes in the
management of a patient.
0 – don’t know at all
1 – know a little / minimum amount
2 – know some / moderate amount
3 – know fully
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I know the peculiarities, idiosyncrasies and
limitations of medicine and medical practice such
as inexactness and differing methods and
mindsets.
0 – don’t know at all
1 – know a little / minimum amount
2 – know some / moderate amount
3 – know fully
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
I am interested to attend and complete a Patient
Empowerment course to be offered by ROJoson.
0 – not interested at all because I don’t need
further improvement
1 – interested but will attend sporadically
2 –interested but will attend more than 50% of the
course but not the full course
3 – interested in the full course
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
After the accomplishing the rating scale, there are ranges of
scores that classify different levels of Patient Empowerment.
A sample key (note: this is subjective and needs validation):
Key:
Lowest level = 0-15
Low level = 16-32
Moderate level = 33-39
High level = 40-47
Highest level = 48
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
What is more important is to aim for a score of at
least 2 in each statement to have at least a
moderate level of Patient Empowerment.
The ultimate aim, with progressive development,
is a high level, if not a highest level, of Patient
Empowerment.
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
It must be emphasized that one does not have to
feel bad or ashamed if the high level of Patient
Empowerment is not there yet or has not been
achieved. Because in reality, it is not easy.
What is more than important is to know one’s gaps
or deficiencies after the self-assessment; then,
make a plan and a resolve to fill the gaps and to go
to a higher level of Patient Empowerment.
When do you
say a patient
is
empowered?
Self-assessment of My Level of Patient Empowerment
A ROJoson Rating Scale
It goes without saying, a self-assessment should be
repeated after the first and at planned intervals
(say 6 months to one year) until one has achieved
a high level, if not the highest level, of Patient
Empowerment.
When do you
say a patient
is
empowered?
Online Form:
Self-assessment of My Level of Patient
Empowerment
https://formfaca.de/sm/5LREYTStM
When do you
say a patient
is
empowered?
Empowerment
objective - for
laypeople to
know how to do
self-assessment
on Patient
Empowerment
and to do
continual
improvement.
When do you
say a patient
is
empowered?

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  • 1. Empowerment objective - for laypeople to know how to do self-assessment on Patient Empowerment and to do continual improvement. When do you say a patient is empowered?
  • 2. In my first 2 PEP TALKs in this module on Patient Empowerment, I have discussed what is Patient Empowerment and what are the strategies to be empowered as a patient. In this PEP TALK, I will answer the question when do you say a patient is empowered. I will discuss how a patient can do a self- assessment on Patient Empowerment and how to do continual improvement until utmost empowerment is attained. When do you say a patient is empowered?
  • 3. When is a patient said to be empowered? Here are the general answers: A patient is said to be empowered if he/she gains full control over decisions and actions affecting his / her personal health. When do you say a patient is empowered?
  • 4. When is a patient said to be empowered? Here are the general answers: A patient is said to be empowered if he/she knows and exercises his/her rights as a patient in getting the highest attainable standards of health through the quality and safe services to be provided from the health care professionals and institutions that he/she seeks or consults. When do you say a patient is empowered?
  • 5. When is a patient said to be empowered? Here are the general answers: A patient is said to be empowered if he/she knows how to participate actively and fully with attending health care professionals in the decision- making regarding his/her health concerns and issues. When do you say a patient is empowered?
  • 6. When is a patient said to be empowered? Here are the general answers: A patient is said to be empowered if he/she has cultivated competencies in managing his own health within his/her capacity and capability and within his/her environmental and cultural context. When do you say a patient is empowered?
  • 7. When is a patient said to be empowered? To have more quantifiable or measurable answers to the question, when is a patient said to be empowered, I came out with a rating scale. Note: this is my own creation – this constitutes my Thoughts, Perceptions, Opinions and Recommendations. I am open to suggestions for improvement. When do you say a patient is empowered?
  • 8. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale 16 items When do you say a patient is empowered?
  • 9. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I have control over decisions and actions affecting my personal health. 0 – No control whatsoever 1 – minimal 2 – moderate 3 – great to greatest When do you say a patient is empowered?
  • 10. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know my rights as a patient in deciding for my health. 0 – don’t know any right 1 – Know one (1) to three (3) rights at least 2 – Know four (4) to five (5) rights at least 3 – Know more than five (5) rights When do you say a patient is empowered?
  • 11. Rights of a Patient for Empowerment Quality Health Care Services • Patient-centered • Equitable • Safe • Effective • Efficient • Timely • Integrated When do you say a patient is empowered?
  • 12. Rights of a Patient for Empowerment Quality Health Care Services (particularly from a hospital): · Quality and safe health care in accordance with generally approved medical principles · Respect and dignity without discrimination · Participation in care decisions When do you say a patient is empowered?
  • 13. Rights of a Patient for Empowerment Quality Health Care Services (particularly from a hospital): · Informed consent and informed refusal without prejudice to continuing health care · Second opinion from alternate health care professionals of choice · Privacy and confidentiality of personal information subject to applicable laws When do you say a patient is empowered?
  • 14. Rights of a Patient for Empowerment Quality Health Care Services (particularly from a hospital): · Availment of benefits and privileges in accordance with government regulations and to be billed accurately · Complaint about the care and services provided without fear of reprisal When do you say a patient is empowered?
  • 15. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I exercise and demand my rights as a patient in deciding for my own health regardless of the advice of my relatives and significant others. 0 – never 1 – sometimes 2 – most of the time 3 – all the time When do you say a patient is empowered?
  • 16. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I exercise and demand my rights as a patient in deciding for my own health regardless of the advice of my physicians and other health care professionals. 0 – never 1 – sometimes 2 – most of the time 3 – all the time When do you say a patient is empowered?
  • 17. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I participate in the decision-making on my health concerns and issues with my physicians and other health care professionals that I consult. 0 – never 1 – sometimes 2 – most of the time 3 – all the time When do you say a patient is empowered?
  • 18. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I have an intentional living written plan on how to live full and contented. 0 – don’t have one 1 – have one but not being implemented 2 – have one but not being consistently and regularly implemented and evaluated 3 – have one being implemented and evaluated regularly When do you say a patient is empowered?
  • 19. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I have a healthy lifestyle written plan to keep myself healthy as much and as long as possible. 0 – don’t have one 1 – have one but not being implemented 2 – have one but not being consistently and regularly implemented and evaluated 3 – have one being implemented and evaluated regularly When do you say a patient is empowered?
  • 20. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I have an advance health care directive (instructions on how to manage me when I am terminally ill). 0 – don’t have one 1 – have one but not being implemented 2 – have one but not being consistently and regularly implemented and evaluated 3 – have one being implemented and evaluated regularly When do you say a patient is empowered?
  • 21. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know how to do cardiopulmonary resuscitation. 0 – don’t know 1 – have an idea but don’t know how to do it 2 – know how to do it but have not practiced / done it 3 – have practiced / applied it When do you say a patient is empowered?
  • 22. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know how to control bleeding from a wound in the body surface. 0 – don’t know 1 – have an idea but don’t know how to do it 2 – know how to do it but have not practiced / done it 3 – have practiced / applied it When do you say a patient is empowered?
  • 23. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know how to do first aid for medical emergencies on myself and others. 0 – don’t know at all 1 – know how to do first aid for one to 2 medical emergencies 2 – know how to do first aid for 3 to 5 medical emergencies 3 – know how to do first aid for more than 5 medical emergencies When do you say a patient is empowered?
  • 24. List of some basic medical emergencies where laypeople should know how to do first aid: • Cardiopulmonary resuscitation • Airway promotion • Control of bleeding from a surface wound • Splinting (for fractures) • Poisoning • Fainting • High grade fever • Others When do you say a patient is empowered?
  • 25. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I have attended and completed a basic course (either formal or tutorial or in combination) on strategies in health maintenance and restoration of health. 0 – have not attended a basic course whatsoever 1 – have attended sporadically 2 – have attended but not a complete course 3 – have completed a basic course When do you say a patient is empowered?
  • 26. List of some topics in the basic course in health maintenance and restoration for health for laypeople: • Patient’s Rights in Patient Empowerment • Patient Management Process • Realities, inclusive of peculiarities, idiosyncrasies and limitations of medicine, in administration and management of health care • Individual Health Management • Medical Emergencies and First-Aid When do you say a patient is empowered?
  • 27. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know the diagnostic processes in the management of a patient. 0 – don’t know at all 1 – know a little / minimum amount 2 – know some / moderate amount 3 – know fully When do you say a patient is empowered?
  • 28. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know the treatment processes in the management of a patient. 0 – don’t know at all 1 – know a little / minimum amount 2 – know some / moderate amount 3 – know fully When do you say a patient is empowered?
  • 29. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I know the peculiarities, idiosyncrasies and limitations of medicine and medical practice such as inexactness and differing methods and mindsets. 0 – don’t know at all 1 – know a little / minimum amount 2 – know some / moderate amount 3 – know fully When do you say a patient is empowered?
  • 30. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale I am interested to attend and complete a Patient Empowerment course to be offered by ROJoson. 0 – not interested at all because I don’t need further improvement 1 – interested but will attend sporadically 2 –interested but will attend more than 50% of the course but not the full course 3 – interested in the full course When do you say a patient is empowered?
  • 31. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale After the accomplishing the rating scale, there are ranges of scores that classify different levels of Patient Empowerment. A sample key (note: this is subjective and needs validation): Key: Lowest level = 0-15 Low level = 16-32 Moderate level = 33-39 High level = 40-47 Highest level = 48 When do you say a patient is empowered?
  • 32. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale What is more important is to aim for a score of at least 2 in each statement to have at least a moderate level of Patient Empowerment. The ultimate aim, with progressive development, is a high level, if not a highest level, of Patient Empowerment. When do you say a patient is empowered?
  • 33. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale It must be emphasized that one does not have to feel bad or ashamed if the high level of Patient Empowerment is not there yet or has not been achieved. Because in reality, it is not easy. What is more than important is to know one’s gaps or deficiencies after the self-assessment; then, make a plan and a resolve to fill the gaps and to go to a higher level of Patient Empowerment. When do you say a patient is empowered?
  • 34. Self-assessment of My Level of Patient Empowerment A ROJoson Rating Scale It goes without saying, a self-assessment should be repeated after the first and at planned intervals (say 6 months to one year) until one has achieved a high level, if not the highest level, of Patient Empowerment. When do you say a patient is empowered?
  • 35. Online Form: Self-assessment of My Level of Patient Empowerment https://formfaca.de/sm/5LREYTStM When do you say a patient is empowered?
  • 36. Empowerment objective - for laypeople to know how to do self-assessment on Patient Empowerment and to do continual improvement. When do you say a patient is empowered?