Jennifer Smith is a 43-year-old woman who is receiving chemotherapy infusion treatments for breast cancer. Jennifer is arriving for her third infusion treatment at a large cancer center. Her

Jennifer Smith is a 43-year-old woman who is receiving chemotherapy infusion treatments for breast cancer. Jennifer is arriving for her third infusion treatment at a large cancer center. Her sister, Jill, who has come with Jennifer to her two previous treatment sessions, is accompanying her. As they arrive at the entrance to the medical center, they leave their car with the free valet service and decide to take a stroll through the garden just outside the entrance. Jennifer wants to check on some flowers that were close to blooming when they were here 2 weeks ago. She remembers that the flowers were near the waterfall, so they follow the garden path toward the gentle sounds of falling water. Jennifer notes that the flowers are now in bloom and that the colors of the garden are vivid and beautiful. It is now nearing the time of the treatment session, so Jennifer and Jill enter the lobby of the treatment center. The lobby is full of sunlight, and has warm wooden floors and nature-inspired wall colors. There is a fireplace at one end of the lobby and comfortable sofas and chairs around it. Jennifer checks in at a reception desk and knows that her physician, nurses, and laboratory technicians who will be caring for her during this visit will now be automatically notified that she has arrived. As they enter the infusion treatment area, Jennifer and Jill are greeted by Jennifer’s primary nurse who asks Jennifer about her preferences today regarding the type of infusion space in which she will spend the next few hours getting her treatment. Jennifer can select either a private room or a treatment nook. She will be able to choose whether she wants to be seated by windows, where she will have direct sunlight and views of the outdoors, or in a more subdued light-filtered area. If she selects a nook, she also will be able to arrange a set of privacy panels to enclose her space or open it up, allowing her to control how much she can see and talk with others. The infusion treatment nook has a comfortable oversized reclining chair with temperature controls. Jennifer chooses a nook with a view of the outside garden that also has panels she can use to close out the light if she wants to sleep at some point during today’s treatment. Before going to the treatment nook, Jennifer and Jill stop at the infusion-treatment patient library that contains lendable books and DVDs as well as patient-education pamphlets and materials. They select a DVD and two iPads loaded with games Jennifer and Jill like to play during the treatment sessions. Jennifer’s nook also has Internet access, which is a relief to her because she has a pressing issue at work that she would like to check on while she is here today. The nook also has television and options for listening to music. Jennifer’s nook has a digital artwork wall that will display different types of artwork (landscape, whimsical, modern, nature) according to her preferences. She chooses whimsical artwork today. As the nurse comes in to begin the infusion treatment, Jill goes to the patient and family area and gets some freshly made coffee and a fruit snack for them both and returns to sit in the comfortable chair provided for family members in each nook. There is a locked cabinet in the nook in which Jennifer and Jill can safely store their purses or other valuables during the visit. At the completion of the treatment, the nurse shares with Jennifer and Jill that there will be a piano recital in the lobby of the hospital beginning soon if they wish to attend. ? Jennifer decides instead to walk through the garden again, this time to stroll through the outdoor labyrinth. She states, “It helps me keep a balance through all of this.” Chapter Questions: Is there a primary patient and family centered care challenge in this scenario? If so, what is it? If not, then what elements in this scenario are patient and family centered? If not, what do you think the challenges could be if the patient and family centered elements were missing? Is the challenge with the patient, the family, or a health team member? Explain why. Who is responsible for creating the challenge? Who is responsible for making the necessary changes to address the challenge? What opportunities are available for successfully addressing this challenge? What resources (human, financial, time, other) will be needed? What barriers might prevent a successful outcome? What do you believe a successful patient and family centered care outcome looks like?

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