Interprofessional Collaborative Care for Improving Medication Adherence Problem A minor with asthma experiences difficulty adhering to controlling medication. Noncompliance is common, as Zullig et al. (2013) state that on average 50% of medications for chronic conditions are not taken as prescribed (p. 2611). Patient was recently hospitalized for an asthma attack that could not be controlled with rescue medications; while in the hospital, he indicated that he was not taking his prescription. He does not refill prescriptions and does not attend follow-up appointments. His family has low socioeconomic status; his mother often works and patient shows evidence of financial insecurity when communicating with his pharmacist. Zullig et al. (2013) indicate that medication costs that are “prohibitively expensive …show more content…
This patient’s condition continually worsens, to the degree of needing emergency care, because he does not take his medication. Solutions Ideal interprofessional collaboration with the patient’s team involves forming a unified plan to educate him and his mother on the importance of adherence. The care team needs to communicate with the patient’s mother to solve financial barriers in obtaining medications. Additionally, the team needs to explain to the patient and his family the importance of attending appointments, to allow the care team to monitor his condition, adherence, and treatment. Lack of support in patient healthcare teams inhibits compliance. The team must ensure the patient and family understand risks associated with untreated asthma; they need to encourage the patient and hold him responsible for taking his medication. Patient must become involved during appointments, as he currently feels ignored. If he is given the care and attention he needs, he will see the importance of taking his medications to prevent
The patient is a 45 year old male who was in a car accident that
Teamwork and collaboration in healthcare delivery are “top of the mind” issues and government reports have called for improved collaboration among healthcare professionals as a key strategy in healthcare renewal (Canadian Health Services Research Foundation, 2006, p. 10). The term team defines a collection of individuals who are interdependent in their tasks, who share responsibility for outcomes and who manage their relationships across organizational borders (Canadian Health Services Research Foundation, 2006, p. 8). Moreover, the Canadian Nurses Association (CNA) believes that interprofessional collaborative models for health service delivery are critical for improving access to client-centred health care in Canada (CNA, n.d. p. 1). This paper will discuss a care scenario, Canadian Interprofessional Health Collaborative (CIHC) framework, TeamSTEPPS framework analysis, strategies to promote collaborative leadership and interprofessional communication with outcomes, strengths and limitations of
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.
This definition provides a goal for teams to strive for and outlines the important outcomes of high quality interprofessional collaboration. Highlighted in this definition is the need for participation and on-going collaboration and communication among caregivers who are focused on provision of seamless care. According to the WHO Study Group on Interprofessional Education and Collaborative Practice, (2008), collaboration is “an active and on-going partnership, often between people from diverse backgrounds, who work together
...n improve adherence to medication” (Toole, 2013). School-based interventions through an asthma program clearly show to be the most practical, cost-effective way to reach out to children with asthma and manage their condition.
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.
I believe this can only benefit the hospital and patient care, and have a new way that the patient is cared for. Treating the whole family, instead of just the patient is what the future is all about. Implementation of this type of care requires creating a partnership between the patient, physicians, nurses, and patient’s families. This can only improve performance improvement, and treat the patient the way we would want to be treated. My goal is to decrease the patients and families anxiety throughout their hospital experience, and keep the whole family informed of the patients treatment plan.
Pedersen, Soren. “Early Pharmacologic Intervention of Asthma: How Early and What Treatment.” Pedersen and Szefler 213-251.
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
Intro- Collaboration with the interdisciplinary team plays a big part in the care of a patient.
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
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,
Due to the dramatic increase in health care cost, health care experts advocates a team based care model in which health providers communicate and work together to meet the needs of patients, especially those with chronic conditions. Traditionally, patients visit multiple specialists, pharmacists, primary care doctors for different health issues. This norm has resulted in creating a complicated communication gap between health providers, as primary caregivers often are clueless to the other conditions or complications the patients have, confusing patients’ ability to follow clinical decisions, hence increasing hospitalization rates. In order to better serve patients’ needs, reduce hospitalization rates and ultimately reduce healthcare cost,
If a patient is confused or thinking of altering their medication regimen the nurse and/or physician should be informed