Multidisciplinary team review
A multidisciplinary team review could improve informational continuity, management continuity and relational continuity during patient’s transition (Haggerty et al. 2003). The Australian commission on safety and quality in healthcare (ACSQHC 2010) recommends a multidisciplinary team approach and the involvement with patient and family member in decision-making. Individuals’ health-seeking behaviours and care preferences are influenced by their culture (Napier et al. 2014). Many older Greeks migrants believe that family plays the essential role caring their family (Hurley et al. 2013). As Amara does not speak English, a multidisciplinary team should be involved and communicate with Jim and his family in their
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primary language during his transitional care. Jim’s mental competency is required to make valid and informed decisions. If Jim is mentally incompetent, according to guardianship and administration Board of Australia (Tasmanian Goverment 2017), an enduring guardian, may be appointed on behalf of him to make decisions. In other situations, Jim and his family members should be involved at every stage of decision-making of the discharge planning (NICE 2015), as shared decision making is a key component of being responsive to patient’s needs and improved patient’s experience (Barry & Edgman-Levitan 2012). In addition, due to Jim’s previously family responsibilities and stress, a complex support to his family members may help him to transit his care back to the community.
The collaboration of multidisciplinary team approach could provide patient with holistic assessment, and address the continuity of care (Haggerty et al. 2003). As Jim is still on intravenous antibiotics on the medical ward, the medical officer may consider to change it to oral antibiotics for simplifying medication management. Moreover, Jim’s BMI 30.4, being a passive smoker, genetic predisposition and high-fat Greek diet (Ferro-Luzzi, James & Kafatos 2002), could increase the risk of cardiovascular diseases, dietitian and physiotherapist’s input may need to discuss with Jim on modifying his diet and exercising on weight loss and weight control. Jim can also be on new medication to reduce the cardiovascular risk. Patients usually show confusion on the changes of their medication prior to discharge (Ziaeian et al. 2012). Thus, medication education from Jim’s nurse and pharmacist would be required to assist him to understand the indications and side effects of his prescribed medication. A discharge coordinator would make referrals for Jim after his consent, the involvement of social worker can provide Jim and his family with further information regarding relevant local community
services.
Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health. This shows the significance that health care workers can have on patient care.
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not to become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach to patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team.
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
This is a reflective essay based on my attendance at a multidisciplinary team (MDT) meeting whilst on my two-week placement at a local mental health day hospital. The aim of this essay is to discuss the importance of the multidisciplinary team within the mental health environment and discuss factors that can influence the success or failure of multidisciplinary teams.
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
The World Health Organization (2010) defines interprofessional collaboration in health care as occurring “when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” (p. 7) and IPE as occurring “when two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” (p. 7). Interprofessional collaboration is contingent on IPE; education promotes collaborative patient-centered care by strengthening communication skills and teamwork. This paper discusses the importance of interprofessional collaboration in healthcare by examining
Listening and communication with all parties involved in the care of a patient is the first step in providing the care our patients need. This is not only speaking with professionals involved, but with the patient and their families. When we open up the line of communication it allows the
Communication and collaboration are an integral part of interprofessional health care teams. There could be possible barriers to communication and collaboration that could affect the entire team’s success. Personal values and expectation, personality differences, culture and ethnicity, and gender could affect how some individuals respond according to a patient’s care or needs(O’Daniel, 2008). For example, if someone comes from a background where they refrain from being assertive or challenging opinions openly, it could be difficult for that person to speak up if they think differently from the other team members. The differences in language and jargon can also be an obstacle to teams especially if members are not familiar with a specific type
Meleis’ transitions theory can be applied to any patient who has been admitted to the hospital and is discharged home or discharge to a skilled facility . This theory helps us understand that every patient is unique in the way he or she handle transition. For example a newly diabetic show readiness to go home demonstrate how he can monitor his blood sugar with confidence. On the other hand, a patient who is an elderly newly diabetic, can’t read, live alone after been admitted to the hospital and treated for CVA and elevated blood sugar .This patient might not be ready for discharge home because it might be difficult for him to adjust in the community. The nurse caring for patients at discharge must ensure that patient are discharged safe home. They also need to do follow up call to ensure that patient follow up with their primary care physician. In addition, from Afaf theory, one can learn that environment and family support can adversely impact the patient transition from one setting to the next setting. For example, a patient who is discharged from hospital to home, with no family support, forgetful and noncompliant with medical regimen .This patient might stay home and never follow up with PCP. However, if the family support was present, the patient could have motivated to go for his follow up apt and be more
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
It is important that all communication between health professionals should be documented clearly without terminology or abbreviations that is only used within a single group of health professionals, writing must be legible to prevent mistakes being made which could result in need for legal action (UWE Conference,2017). The implications of working in partnership with other health professional teams in a multidisciplinary aspect including the service user in decision-making ensures collaborative working remains beneficial to all
The study used the theory appropriately because it recognized the different cultural groupings in a care unit at a particular time while acknowledging the deficits t6hat the nurses have ibn caring for this diverse cultures. “Australia has a culturally diverse health population, which expects to receive quality services that are culturally sensitive. At any one point in time, there may be as many as 20 different cultural groupings in a care unit, and some with no spoken English. A culturally competent nurse recognizes that cultural differences
Being a regular, dull pencil isn't all that cracked up to be, but at least it's better than being broken. Sometimes I dream of the horrors that would come from being a regular, dull, broken pencil, thus being separated from my one true love, Jeff, and forgotten about instantaneously. Those dreams are like chainsaws on my yellow skin. To be separated from Jeff, the writer, the artist, would be the death of me. I would just be a broken piece of wood waiting to be used for somebody's campfire. The thing is, would Jeff be the one using me for his campfire?
It is well known that the team work is far better than performing a task individually. Such kind of practice plays a very important role in software engineering. A lot of things can be achieved together with the combination of diversified people, as they input different tactics and skills so that the main objective of a certain mission can be accomplished appropriately. Even though teaming up and working for a project is essential and helpful; there exist some issues that could bring interruptions and conflicts in the team.
Many of the talents and skills they regularly use on a daily basis will transfer to the project tasks that they may to be assigned.