Form of interdisciplinary collaborative care

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Example of Interdisciplinary Collaborative Care

I recently witnessed a form of interdisciplinary collaborative care on my current assigned clinical site at a local hospital. The patient was a 65-year-old woman with diabetes, heart disease, and chronic kidney disease. She was admitted to the hospital with pneumonia.

The patient's care team consisted of a physician, a nurse practitioner, a registered nurse, a respiratory therapist, a physical therapist, and a social worker. The team met daily to discuss the patient's progress and to develop a plan of care.

Full Answer Section

      The nurse played a key role in coordinating the patient's care. She was responsible for communicating with the different members of the team and ensuring that the patient's care plan was implemented. She also kept the patient informed of her care plan and helped her to understand her treatment options. The patient's outcome was met. She was successfully treated for her pneumonia and was discharged from the hospital after a week. She was also able to return home without any complications. Nurse's Role in Ascertaining Care The nurse played a key role in ascertaining that the patient's care was provided in the following ways:

• Communicated with the different members of the team. The nurse was responsible for communicating with the physician, nurse practitioner, respiratory therapist, physical therapist, and social worker to ensure that the patient's care plan was implemented.
• Monitored the patient's progress. The nurse monitored the patient's vital signs, respiratory status, and overall condition to ensure that she was responding to treatment and that she was not experiencing any complications.
• Educated the patient and her family. The nurse educated the patient and her family about her care plan, her treatment options, and her self-care needs.

Was the Patient's Outcome Met? The patient's outcome was met. She was successfully treated for her pneumonia and was discharged from the hospital after a week. She was also able to return home without any complications. What Would a Novice Nurse-Leader Do Differently? As a novice nurse-leader, I would have done the following differently to achieve the patient's goals:

• I would have been more proactive in coordinating the patient's care. I would have met with the different members of the team at the beginning of the patient's stay to develop a comprehensive care plan. I would have also met with the team on a regular basis to discuss the patient's progress and to make any necessary adjustments to the care plan.
• I would have been more involved in the patient's education. I would have spent more time educating the patient and her family about her care plan, her treatment options, and her self-care needs. I would have also made sure that they had all of the resources they needed to be successful after discharge.
• I would have been more supportive of the patient and her family. I would have taken the time to listen to their concerns and to provide them with emotional support. I would have also made sure that they felt comfortable asking me questions and expressing their concerns.

Conclusion Interdisciplinary collaborative care is an important part of providing high-quality healthcare. By working together, different healthcare professionals can provide patients with the comprehensive care they need to achieve their health goals. As a novice nurse-leader, it is important to be proactive in coordinating care, to be involved in patient education, and to be supportive of patients and their families.