While John is under a great deal of stress, he is in the hands of seasoned professionals who all share the same goal, getting John better. St. Luke’s, a medical center geared towards helping veterans, has provided John a knowledgeable health care provider team to help meet his needs. John’s interprofessional team is being put together by John’s primary care physician, Dr. Jackson, and his licensed clinical social worker, Tessa. The team is kept small due to John’s reservations about opening up to people. The rest of his team will consist of a veterans affairs representative to help John seek any veterans benefits he is entitled to, as well as a mental health case manager. Lastly, a CNA assigned to help John integrate into life in a home with others while he tries to get a handle on his depression and Alzheimer’s. Every member in …show more content…
this process that is helping John has a unique way of helping him within their interprofessional practice.
The team assigned to John is important in the process of his recovery since every individual involved in the process will impact the life of John. For example, Dr. Jackson is in charge of making sure everyone on his team is going to give John the proper care that will help John in the long run. Tessa is unique in helping John because she provides essential resources to John ranging from healthcare services to shelters. Tessa assist John in many tasks that are not necessarily her job duty, but she do so because her passion to help John. Tessa also directed John to the U.S department of Veteran Affairs. John wasn’t informed of all the different benefits he could receive from being a veteran until he met Tessa. The veteran affair representatives are important because they provide John with mental health care services and counseling. The veteran affairs break many rules by allowing John to see the mental health care physician
more than he is suppose to. The CNA that was assigned to John also holds a valuable place within her position of helping John. The CNA provides John with medication that help cope with his depression and Alzheimer’s. Although, the CNA provides medication to John for depression but she also engage in meditation with John, which helps with his depression. Having individuals that can help John know about the cost and process of the health care he need will help run the process smoothly. This will help John have less stress about what he should do since there will be people who are professional guiding him towards the right direction. The team can meet up with John weekly so they can discuss the process and the progress of John. Being able to have several people John can rely on will definitely impact John for the better. Since Tessa plays a vital role in John's life, it is important that she stays in touch with everything that is going on with him to ensure that he stays on the right track. Every month, she makes sure to schedule meetings with John to get an update how he is doing and what he needs. John's interprofessional team is being put together by John's primary care physician, Tessa thinks it would be best to speak to the team about getting John involved with veteran support groups so that he can heal and deal with the trauma from his past. Tessa also thinks that it would be important to communicate with the interprofessional team every two weeks to see how John is progressing emotionally and mentally since they see him more often than she does. This way she refrains from overwhelming him, and to allow room to foster his own initiative.
A- Value seeing health care situations “through patients’ eyes”. The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur, which happened as a resident in a long-term care facility. Comorbidities include Alzheimer's disease and type II diabetes. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this woman many times prior to this hospitalization.
I am a busy primary care physician, and several months ago had a challenging patient struggling with alcohol addiction and abuse. Such addictions manifested in the repeated use of the emergency room and hospital. I struggled with coordinating his care across primary care, addiction behavior health, emergency room and hospital services, and as such referred him to the Health Home team.
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
To stay on the JMU cheer team or to quit was a very hard decision that I had to make this past month. Knowing I had leadership responsibilities as a third year veteran on the team made this decision extremely difficult for me. I had to consider all the parties involved which consisted of myself, my teammates, and my coaches. Several factors fell into play when deciding what was best not only myself but for my team as well. The first and most important factor I had to consider was my physical health as I have back problems that requires annual back procedures in order to be able to cheer. A relatively new factor in my decision making progress was the hiring of the new JMU cheer coach, which was extremely difficult for the upperclassmen to adjust to. My last few personal factors that played a role in my decision consisted of getting a job and focusing more on my school work. Next I had to consider what was best for the cheer team. I knew as an upperclassmen I needed to support the cheer program to help keep it strong and consistent during the coaching transition. This was hard to do when several other upper classmen were quitting the team due to this change. I also knew I had a responsibility to teach the incoming freshman new skills the same way the juniors and seniors taught me when I was a freshman. Not only did my team need me but I also took into consideration the contract I signed when making the team my freshman year. After taking everything into consideration
On January 30, 2018, the Office of Inspector General’s Office (OIG) received a hotline report alleging Dr. Katrina Alexander committed abuse, fraud, mismanagement and waste against the VA by purposely lying and manipulating scheduling to receive un-deserved overtime pay, misleading providers, clerks and patients about availability in her schedule. Further, the Psychologist doubled billed for groups, misused the billing codes for psychological testing getting her higher Relative Value Units (RVU), possibly overcharging patients, then allowing her to appear as working more than any other provider. The claimant alleges that this is causing significant access issues for the Mental Health Center (MHC). Additionally, leadership at the facility permitted the Psychologist sole control of her schedule (only Mental Health provider in MHC with this permission) that led to her ability to mask the improper activity, and no action taken by the Texas Veterans Health Care System’s leadership to rectify the alleged improper activity.
these mental health concerns and the psychosocial issues that often accompany them will continue to carry over into transition back into civilian life.” (Godfrey, pg. 1). 243) Mental health can cause great detriments to daily living and lead to horrible effects. Military women, such as Burton, are at high risk of developing poor mental health.
Robert G Thompson, MD and his Soldotna and Anchorage teams understand that finding the right health clinic for your unique needs is a difficult and often impossible task. Yet, as a patient, it is extremely important that you do not compromise when selecting a health care team to work with. There are many criteria to evaluate before settling on a health clinic, but the most important should be whether or not the clinic’s team is willing to work with you to provide the support and care you need to maintain optimum health for your mind and body.
A survey of OEF/OIF Veterans identified major rates of post-traumatic stress disorder (PTSD), depression, alcohol-related problems, social and family problems, and suicidal behavior. However the most alarming statistic is not about deployment rates or rates of diagnoses, the most alarming fact is that fewer than 10% of those diagnosed with PTSD or depression have received the recommended the mental health treatment upon re-integration into society. The dropout rate at the Veterans Association (VA) PTSD clinics is distressingly high as well when looking into VA records it was found that 68% of OEF/OIF Veterans dropped out of their prescribed counseling and programs prior to completion (Garcia et al., 2014). Because most of these men were deployed mul...
Health care is an integrated, multifaceted discipline that relies on ‘teamwork between different types of health workers with different skills and training’ (Alperstein, 2009: 7) in order to provide the most comprehensive health care. In this essay I will discuss the meaning of comprehensive care and multi-professional teams. I will then look at my role and the role of two other professions in a multi-professional team, while using Barr’s competencies. From this I will discuss my thoughts and feelings pertaining to the task and how this will aid me becoming an Integrated Health Professional.
Mona Counts is a Nurse Practitioner at her own primary care facility. Her clinic provides health care to over five thousand patients who live in the heart of Appalachia. Bob Wilkinson is a Pediatric Oncology Nurse. Bob takes care of very sick children and their families. Ardis Bush started as a Staff Nurse over 25 years ago and worked her way up to being Nurse Manager. These nurses establish a rapport with their patients and their patients’ families by talking to them like normal human beings, and not just as patients. These nurses relate and listen to their patients, which makes them feel comfortable. Both Mona and Ardis even make house visits to check up on patients and to see how they are doing.
“How can I make a difference?” that was the first thought when I learned about this assignment. When I was assigned a patient at the community health worker’s office I was nervous. I was given discharge papers and I was told I had 30 minutes left before seeing my patient in outpatient. By reading the documents I learned my patient was a 46 year old quadriplegic who was discharged from the Temple hospital for a DVT several weeks ago. I talked to Sherron, the
As expected, my professional identity will affect how I approach my work with Betty. As I operate via a wellness paradigm, my work with Betty will be multifaceted with a focus on physical, mental and spiritual health in favor of treatment based solely on her diagnosis. Moreover, I will focus a great deal of attention on the development of a positive counselor-client relationship as I believe that a supportive and nurturing environment is the basis for successful therapeutic outcomes.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
After reading the article in CQ Researcher related to veterans health care, answer the following questions:
This bill was introduced to “enforce the Secretary of Veteran Affairs to conduct annual evaluations of mental health care and suicide prevention programs of the Department of Veterans Affairs.” In essence, it was proposed because of the high suicide rates that occur with veterans and as a way to help those individuals with increase access to better quality health care and ultimately decrease the statistics of veteran suicide. The bill wants to propose three different acts if passed. First it would like to increase health care by programs, peer community groups, and online resources to help individuals going through mental trauma. Secondly, it wants to start a program to pay the college loans of students in psychiatry in order to easier recruit