This is an example or instance that contains some of
the critical attributes of patient participation, but
which differs substantially in one of the criteria
(Walker & Avant, 1995).
Borderline case of the concept of patient participation:
Klara is a patient in a rehabilitation ward with
discharge to home imminent. Because of a temporary
remaining disability, Klara will need homecare help
daily. A discharge planning conference is scheduled
and her primary nurse prepares Klara. They discuss
Klara’s need for help and questions to be asked.
The conference starts with the nurse encouraging
Klara to describe her wishes regarding anticipated
needs. Klara uses her list of notes and starts with a
description of her current health status and the
nurse helps to fill in the blanks. Information regarding
the resources the care system could offer is accurately
presented by the coordinator for homecare in
the municipality. Specific questions from Klara
about, for example, how many and when homecare
aids would come, receive unspecific answers. The
nurse decides when Klara needs homecare without
taking her wishes into account. Klara grows quiet
and is subjected to pressure to accept. Finally, Klara
accepts because the nurse appears to know what is
best..