'Collaborative Practice in Health Care Essay\r'

' cooperative practice in wellness c be occurs when a segment of the wellness caution team consults with some other member to add forbearing care. collaborationism most often occurs amidst doctors and nannys. â€Å"collaboration is defined as a blood of interdependence; the ability to course in concert involves trust and respect not exclusively of each other scarce of the work and perspectives each contributes to the care of the longanimous” (Phipps and Schaag, 1995, p. 19). rough-and-ready cooperative practice amongst all health care team members leads to continuity of care, skipper interdependence, quality care and longanimous triumph and decreased costs. Ongoing collaboration between health care members results in plebeian respect, trust and an appreciation of what each item-by-item brings to the overall goal in translation care to the client. The following vignette go out provide the foundation for the discussion of cooperative care, differentiating between nursing diagnosing and collaborative lines, and potential barricades to successful collaboration.\r\nJG is a 74 year old married Latino male diagnosed with colon tailcer. He had a history of prosthesis placement of his odd wing lower leg; he is ambulatory. He is a diabetic on viva voce medications. He worked as a arouse laborer. He lives with his wife she does not talk English she is a septmaker. He has a son who lives nearby and a nephew who periodically higgles him. JG mass understand some English. He does concord some difficulty expressing his health perplexitys to the staff because of his limited vocabulary. His son or nephew brings JG to his clinic appointments. He hurtle ons weekly chemotherapy at the out longanimous oncology clinic. The daytime I cared for JG he arrived at the clinic go with by his nephew. This was week seven of his discussion. His tog was dirty, he smelled of stool, his fingernails were dirty, hair uncombed, he appeared to be d ehydrated. He reported bowel movements of octad stools per day with complaints of occasional abdominal cramping. He denied nausea or loss of appetite. He stated that he was very timeworn and was not able to do more than at home.\r\nHis main concern was the relative frequency of his bowel movements. He reports having to go to the rump two to three times during the dark and has episodes of soiling the bed. He reports that sometimes he does not feel the urge to go. JG was exhausting adult diapers. He expressed concern that it was getting expensive for him to get. The nephew confirmed that JG toileting has created a problem in the home. His nephew verbalized that JG had medication for diarrhea but ran out of it and he did not have the money to purchase the medication. When questioned why he was using a wheel hot seat he stated that his foot combat injury to walk the distance from the lobby to the discussion room. He mentioned that it was probably due to an unhealthy toe nail. He in like military personnelner asked how he could obtain a wheel chair for his personal use at home. bodily measurement revealed that he had a necrotic country on the ball of his left foot with surrounding redness, lost 12 pounds in six weeks, poor throw together turgor, active bowel sounds, and his blood nip was slightly lower than baseline.\r\nIn the ambulatory chemotherapy setting, the clients do not always render their medical student every time they turn around treatment. The give suck must ascertain when to join with the doc on issues regarding the uncomplainings stipulation, response to treatment, or toxicities that may be life organism. It is ingrained that the nurse is capable to communicate effectively her-(Be careful with gender bias, nurses come in both genders.) observations to the physician.\r\nCollaborative problems are detected from the nurse’s assessment of the patient. The nurse’s monitoring of the patient status is to evaluate ph ysiological complications that may threaten the patient’s integrity. Management of collaborative problems will include implementing physician convinced(p) and nurse prescribed actions to curtail escalation of the problem and preventing patient harm. From the nurse’s assessment, she in like manner formulates a nursing diagnosis. The nursing diagnoses are stated in the form of the problem, the aetiology and the symptoms that the nurse observes. Nursing diagnosis can include a current or potential problem, an at endangerment problem, or a wellness diagnosis. Nursing diagnosis provides the framework from which the nurse begins to devise a plan of care and nursing interventions.\r\nIn the case of JG, there were two collaborative problems identified. Two problems I cooperated with physician, these were:\r\n1. JG is experiencing toxicity from the chemotherapy. in that location is potential for electrolyte imbalance, circulatory collapse.\r\n2. The necrotic area on his f oot was a refreshed development in his condition. There is potential complication for infection\r\nThe collaborative problems discussed with JG physician and nurse quickly resolved. JG did not receive his chemotherapy. He was disposed an injection of sandostatin LR to suffice minimize his diarrhea; a stat staple fiber metabolic panel was obtained; and he was given intravenous hydration with potassium. The doctor made a referral to JG podiatrist for the next day to assess the integrity of his left foot.\r\nListed are four, but not all, possible nursing diagnosis obtained from my assessment.\r\n1. Diarrhea related to chemotherapy manifested by hyperactive bowel sounds and eight loose stools.\r\n2. bowel incontinence related to loss of rectal sphincter control and chemotherapy manifested by fecal odor, fecal staining of clothing, urgency.\r\n3. Altered keep related to colon cancer manifested by diarrhea, abdominal cramping.\r\n4.Ineffective answerment of therapeutic viands rela ted to JG lack of knowledge of his affection manifested by his inability and unwillingness to manage his symptoms.\r\nConsidering JG comments regarding his finances, his overall physical appearance and the comments from his nephew, I decided to consult with the social prole. I entangle that a home visit or a thorough investigating of JG home situation was warranted.\r\nThe social worker was able to arrange for in home support, and helping the patient with insurance issues so he could obtain the needed supplies. I did not think to enlist the interlocking of the dietician. In retrospect, the dietician would have been a valuable resource to assess JG caloric intake and recommendations for optimal nutrition.\r\nI felt that the above incident demonstrated collaboration amongst health care providers. The physician in this case was receptive to the nurse’s observations with respect to her capabilities of accurate assessment of the patient’s condition and potential compl ications. This is not always the case, barriers to collaboration are also inherent in the health care industry. Barriers occur in patient situations where the physician is not sympathetic or does not trust the nurse’s evaluation of patient condition. The nurse may have feelings of inferiority, lack of confidence and does not fitly collaborate with the physician correct information.\r\nConflicts in the goals desired for the patient is often cited as a barrier to collaboration. I opine an incident of a male patient diagnosed with metastatic breast cancer. His appearance was that of an individualist who had been in a Nazi assiduity camp. The nurse wondered why the physician was treating this man aggressively. In her mind, this patient was not an sequester candidate to receive the particular treatment that was ordered. She feared the patient would not tolerate such an aggressive schedule and that it was pointless to put this poor man through treatment. The patient was diagn osed two years ago. He is free receiving treatments, he has gained weight and in October of inhabit year he hiked to the summit of Mt. Whitney.\r\n region conflict is another major barrier to collaboration. To deliver cost effective care, umpteen institutions utilize nurse practitioners and physician assistants. utilisation conflict arises when practitioners have opposing views or expectations (Blais, Hayes, Kozier, & Erb, 2002). Role conflict and can lead to litigation. According to Resnick, physicians hesitate to collaborate informally with Nurse Practitioners for fear of being held liable for the actions of the Nurse Practitioner (Resnick, 2004). attract definition of roles for practitioners is essential to prevent misunderstanding.\r\nIn conclusion, collaborative practice is the gold specimen that health care practioners should strive towards. The nurse is central in determining the patient issues that warrant collaboration and she must be able to effectively communica te her observations. Collaborative practice minimizes complications that could lead to tragic outcomes. The ultimate goal of collaborative practice is to provide the quality service that each patient under our care deserves.\r\nReferences\r\nBlais, K.K., Hayes, J. S., Kozier, B. & Erb, G. (2002). schoolmaster nursing practice:\r\nConcepts and perspectives (4th ed.). New tee shirt: Prentice Hall.\r\nPhillps, W.J., & Schaag, H.A. (1995). Persepctives for health and illness. In Phipps, W.J, Cassmeyer, V.L., Sands, J. E., Lehman, M.K(Eds.), Medical surgical nursing concepts and clinical practice, p. 19. St. Luis, MO: Mosby.\r\nResnick, B. (2004). Limiting litigation risk through collaborative practice. Geriatric Times,\r\n5(4), 33. Retrieved run into 21, 2004 from EBSCOhost database.\r\n'