Week 5 Discussion
Week 5 Discussion Assignment
Week 5 Discussion Assignment
As an Advanced nurse practitioners Inter professional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to inter professional practice that must be addressed among health care practitioners. The Inter professional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance inter professional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011). This week your Discussion will focus on inter professional practice. This Discussion is an opportunity for you to examine your perspective and experiences with inter professional collaborative practice and to apply your knowledge to managing patient care. To prepare: Identify a professional nursing organization and review their position on inter professional practice Review the following case study: Case Study: Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks. The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, \”I am dissatisfied with the care you received from the nurse practitioner.\” The internist places the patient back on originally prescribed medications and medical cannabis. By Day 3 Post an explanation of your understanding of inter professional practice. Also, explain the position on inter professional practice for a professional nursing organization that you are a member of or of which you plan to become a member. Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care. Please utilize the resource and information from the file I upload Week 5 Discussion Assignment
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Explain your understanding of inter-professional practice
Healthcare organizations across the world, the US included, aim at providing high-quality services to patients. Patient satisfaction is one of the driving factors that propel healthcare facilities to pursue` quality service provision (Batbaatar et al., 2017). Additionally, reducing or completely eliminating medical related errors as well as adverse events have seen facilities utilize all possible resources to ensure they do not occur. Further, practices that improve patient outcomes with minimal negative outcomes have been adopted. One such practice is the inclusion of interprofessional collaborative practices (Morgan, Pullon,& McKinlay, 2015). This practice is widely adopted in different healthcare facilities offering diverse services. No one professional is capable of attending to a patient solely; thus, a practitioner needs to collaborate with others in the field for the best possible patient outcomes. Further, besides the collaboration between practitioners, patient contribution and participation is necessary for comprehensive care to be provided. Patient involvement in has been shown to result in better outcomes. One such benefit is that it allows the patient to be informed on their illness, treatment options, and with this information, a patient can make autonomous decisions that would result in their improved health status (Sacchi et al., 2015). Hence, an interprofessional practice can be defined as the collaboration process where healthcare practitioners work together with other professionals who are not in the same field of practice as they are and also with the patients and their kin in improving the care quality offered to the patient (Morgan et al. 2015).
Explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member.
At my place of work (oncology clinic), a lot of importance is given to interprofessional practice. Cancer is one of the leading causes of death in the world with no known cure. The nature of the disease calls for research and experimental treatment regimens to be adopted in an attempt to improve patients’ lives. When treating cancer, the patient often wants to be given numerous alternatives in managing the illness. Some patients are willing to try out new treatment regimens while others seek for non-traditional methods of cancer management. In some cases, some patients will willingly undergo surgery while some will opt for other alternatives that have a possibility of shrinking tumors such as radiotherapy, herbal options, and mind meditation, among others. Week 5 Discussion Assignment
In line with respecting patient autonomy, the oncology clinic will often give the patient all the information they need as regards the different treatment options. With this information, a patient can make a decision which the oncologist embarks on implementing. It’s at this point that interprofessional collaboration comes into play depending on the choices made by the patient and their kin. The different professionals that make up the treatment management team rely on frequent, clear, and interactive communication. This is because communication is key in ensuring that each team member is at par with regards to the patient’s progress, the current treatment plan, and the wishes of the patient. That said the team working collaboratively discusses a patient’s progress using diverse channels including real-time conferencing, shared patient electronic records, and face-to-face meetings. Additionally, all decisions made by the care team are run through the patient to ensure that the patient is always informed on the next steps to be taken as well as to give the patient a progress report on their health status.
Explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.
Regarding Ms. Tuckerno’s case, lack of communication on what makes for ideal care can cause negative effects on the patient. The internist used her expertise to prescribe the medication as she did. However, the NP was of a different opinion and discontinued some of the drugs effectively changing the patient’s treatment plan. In a fortnight, the patient was re-prescribed the prescriptions. The cessation of medication and subsequent reintroduction can result in the patient building resistance to the drugs thus rendering them ineffective once re-introduced. This will require alternative, stronger doses of the medication which could have adverse negative effects on the patient’s health outcomes (Shah, 2015).
A collaborative approach to caring for Ms. Tuckerno is critical if the healthcare professionals want to avoid lawsuits following adverse negative outcomes from their prescription choices. With collaboration, the NP and internist, as well as the patient, will come up with a care plan that will offer the best outcomes for the patient (Bareil et al., 2015). Further, a collaborative approach will ensure that the patient is not confused as regards how and when to take her medication. When the patient follows an agreed-upon treatment plan, she will be in a better position to report any side effects and the care team will have an easier time resolving the side effects issues. Finally, collaboration between the NP and internist will allow for the two to share information, skills, and knowledge. Doing so will improve on decision making, easier monitoring of the patient, as well as the opportunity to carry out farther focused research, all of which will improve patient outcomes Week 5 Discussion Assignment
Bareil, C., Duhamel, F., Lalonde, L., Goudreau, J., Hudon, É., Lussier, M. T., … & Lalonde, G. (2015). Facilitating implementation of interprofessional collaborative practices into primary care: A trilogy of driving forces. Journal of Healthcare Management, 60(4), 287-300.
Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M. M., & Amenta, P. (2017). Determinants of patient satisfaction: a systematic review. Perspectives in public health, 137(2), 89-101.
Morgan, S., Pullon, S., & McKinlay, E. (2015). Observation of interprofessional collaborative practice in primary care teams: an integrative literature review. International journal of nursing studies, 52(7), 1217-1230.
Sacchi, L., Lanzola, G., Viani, N., & Quaglini, S. (2015). Personalization and patient involvement in decision support systems: current trends. Yearbook of medical informatics, 24(01), 106-118.
Shah, P. (2015). Symptomatic management in multiple sclerosis. Annals of Indian Academy of Neurology, 18(Suppl 1), S35.
Week 5 Discussion Assignment