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Methadone treatment case study vignettes
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Reflective essay on interprofessional teams
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The interprofessional team model is a group comprised of various healthcare disciplines working together towards common goals to meet the needs of the patient population. The World Health Organization (WHO) defines interprofessional collaboration in healthcare as occurring “when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, and communities to deliver the highest quality of care across settings” (WHO, 2010, p.13). In my final practicum at I have experienced interprofessional collaboration, while involved with the methadone program at Rosthern Hospital. Nurses have an important role in the methadone program, and the involvement of nurses in the program …show more content…
The methadone program at Rosthern Hospital is a very active and intense program. Boast over 20 patients that are regular methadone users, the involvement of the physicians, pharmacists, nurses, and addiction counselors are key (Melle, 2016). Dr. Melle is the coordinator of the methadone program at Rosthern Hospital. His roles include, patient recruitment, patient care management, follow up care, and most importantly prescription and dosage of the methadone (Melle, 2016). Pharmacist’s role in methadone treatment is providing the methadone to the hospital, as well as in Warman pharmacy they monitor and dispense some methadone to some of the patients in the methadone program. Addiction counselors are an outside resource that the staff at Rosthern hospital can utilize. There are not social workers or counselors at Rosthern, but Dr. Melle and the nurses prefer if their patients are regularly seeing an addiction counselor while in the methadone program. Finally, the nurses role in the methadone program is early treatment and monitoring of patients during detox, the continued monitoring or patients when methadone doses change, dispensing methadone and monitoring our patients in the recovery program, and observation of patient’s success during the program. Together the interprofessional team has successfully treated dozens of patients, and the methadone program address the needs of both the patients and the addiction issues that are plaguing the surrounding communities (Melle,
Interprofessional teams in health care are considered to be one of the best approaches to improve patient outcomes. Interprofessional teams provide the means to integrate patient care with input from many different professional disciplines (Rose, 2011). Nurses are an important part of the interprofessional team, since they are often the team member that is closest to the patient (Miers & Pollard, 2009). I recently participated in a team that developed a work flow for daily readmission rounds. The team was interprofessional, the hospitalist, who was an APRN led the team. There was the case manager and the primary nurse who were both RN’s. The team also consisted of a resident, pharmacist, nutritionist, physical therapist, and social worker.
Tanner, G., Bordon, N., Conroy, S., & Best, D. (2011). Comparing methadone and suboxone in
...mental changes of transforming health care organizations to support interprofessional collaboration and interprofessional education will create a highly functional nursing workforce that is capable of working with other health care professionals to ensure successful health outcomes (Chan et al., 2010). Thus, Administrators and policymakers may use the research of this interprofessional framework to address the crucial need to implement the interprofessional collaboration recommendations to improve the knowledge and skills of interprofessional collaborative teams to coordinate patient-center care. Consequently, there must be collaborative trust and support among all stakeholders in order for interprofessional collaborative practice to advance and have an optimal impact on the quality of patient centered care, healthcare professionals and health care organizations.
rofessionals from different disciplines collaborating to provide care to patients. Effectively coordinated and collaborative inter-professional teams are essential to the care and treatment of patients (Rowlands & Callen, 2013; Doyle, 2008; Ruhstaller, Roe, Thürlimann & Nicoll, 2006; Simpson & Patton, 2012, p. 300). Communication is a process of conferring information between individuals through use of speech, writing or various other means, and is critical to the success of a multidisciplinary team (MDT) (Higgs, McAllister & Sefton, 2012, p. 5; Rowlands & Callen, 2013; Sargeant, Loney & Murphy, 2008). An MDT must use multiple strategies to enhance communication and ensure their success (Doyle, 2008). An effective MDT generates opportunities that benefit healthcare, which is the reason for the recent dominance of inter-professional care in health practice (Simpson & Patton, 2012, p. 300; Rowlands & Callen, 2013). Many barriers prevent effective communication within inter-professional teams. Lack of communication within MDTs presents challenges to their success, leading to numerous consequences, including the failure of the MDT (London Deanery, 2012; Sargeant et al, 2008). Communication between professionals is the key factor underpinning the potential success or failure of inter-professional teams, the outcome of the functioning of MDTs will either benefit or impair care of patients.
CNA outlines seven basic principles which help facilitate in collaborating with other professionals, they are: client-centred care, evidence-informed decision-making for quality care, access, epidemiology, social justice and equity, ethics, and communication. Communication is a common theme that has repeatedly surfaced in my research. What makes communication an important aspect of interprofessional collaboration? Cottrell, Mellor, and Moran (2013), mentions how part of their findings with students who have participated in interprofessional education program was how their interactions and communicating with each other became valued. With knowing each other’s skills and profession, they were able to work well as a team to obtain the best care for the patient. By sharing expertise and perspectives provide a common goal which is, improving the patient’s
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
Substance addiction is becoming an epidemic. While some people can quit using a substance without any help, most people need help to their recovery. Narcotics anonymous is an important support group for our society. There are many different narcotic anonymous programs to join that have meetings throughout the week. The members of the support group all share one thing in common, they suffer from different types of chemical dependency. Members help each other because they have the same problems and worries that everyone in the room has. Though they may be struggling with different stages in their life, for the most part, they all relate to what each is going through. Just as AA, NA focuses on the 12-step program. The members of
This leads to the second school of thought on medically assisted treatment. There has been a great deal of debate about the medication used to treat Opiate addiction, methadone. Many feel that the drug methadone is simply trading one drug in for another, as the addiction to methadone is quick and almost more powerful than an opiate addiction (Nelson, 1994). The withdrawals effects are far more intense with methadone and for this reason it is a lifetime maintenance medication. Some suggest that more rehabilitative programs are needed that would address the social problems the users have to help them recover, instead of the methadone program that is viewed...
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
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
Addiction is a dependence on a substance where the individual who is affected feels defenseless and unable to stop the obsession to use a substance or prevent a particular behavior. Millions of Americans have addictions to drugs, alcohol, nicotine, and even to behaviors such as obsessive gambling. Pharmacotherapy is a treatment process in which a counselor can use a particular drug to counter act an addictive drug or behavior. Not all counselors agree with this type of treatment. However in order to provide a client with an ethical treatment and unbiased opinions they should be made aware of all scientific evidence of different treatment options. “Thus, attention to addiction pharmacotherapy is an ethical mandate no matter what prejudices a counselor may have” (Capuzzi & Stauffer, 2008, p. 196). Some particular pharmacotherapy’s a counselor may use for the treatment of addiction are Bupropion (Wellbutrin, Zyban), Disulfiram (Antabuse), Naltrexone (ReVia, Depade), Methadone (Dolophine), and Buprenorphine (Temgesic, Suboxone).
Reflecting upon interprofessional education (IPE), hands on experience is vital for health care students across the Faculty of Health Sciences so that they may continue to develop better communication skills, enhance performance and develop conflict resolution capability in a team situation. Looking back on the online “Stroke and Depression” IPE workshop that was conducted as interprofessional group work has allowed me to gain not only the knowledge about stroke and depression but also the knowledge, skills and attributes required for interprofessional (IP) collaboration practice. My IPE team consisted of one medical scientist, four speech pathologist, two psychology students and three nursing students including myself. This analytical
Ms. Roxie Riggs is a Caucasian female some sixty-five years of age presenting with narcotic addiction for an evaluation for possible medical addiction treatment. She is currently receiving treatment with buprenorphine; however, her practitioner moved away. Ms. Riggs was placed on methadone in 2001 (age 51), and stopped in 2005 (age 55). She has also been treated with naltrexone in the past, but not with naloxone. Ms. Riggs first began taking buprenorphine on January 1, 1994, and is still using the substance.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
Drug abuse has been a hot topic for our society due to how stimulants interfere with health, prosperity, and the lives of others in all nations. All drugs have the potential to be misapplied, whether obtained by prescription, over the counter, or illegally. Drug abuse is a despicable disease that affects many helpless people. Majority of those who are beset with this disease go untreated due to health insurance companies who neglect and discriminate this issue. As an outcome of missed opportunities of treatments, abusers become homeless, very ill, or even worst, death.