Collaborative Practice in Health Care Essay

Collaborative practice in wellness treat occurs when a division of the health fretfulness team consults with a nonher member to provide affected role care. Collaboration most lots occurs between doctors and reserves. Collaboration is defined as a relationship of interdependence the ability to fashion together involves reliance and revere not only of all(prenominal) other but of the work and perspectives each contributes to the care of the forbearing (Phipps and Schaag, 1995, p. 19). Effective cooperative practice amongst only health care team members leads to continuity of care, professional interdependence, quality care and unhurried satisfaction and decreased costs. Ongoing collaboration between health care members results in mutual respect, trust and an appreciation of what each private brings to the overall goal in rendering care to the client. The following cartoon provide provide the foundation for the discussion of collaborative care, differentiating between treat diagnosing and collaborative lines, and possible barriers to successful collaboration.JG is a 74 course of instruction old married Hispanic male diagnosed with colon cancer. He had a history of prosthesis placement of his left lower leg he is ambulant. He is a diabetic on oral medications. He worked as a farm laborer. He lives with his wife she does not speak side of meat she is a homemaker. He has a son who lives nearby and a nephew who periodically reckons him. JG can understand some English. He does have some barrier expressing his health concerns to the staff because of his limited vocabulary. His son or nephew brings JG to his clinic appointments. He receives periodical chemotherapy at the outpatient oncology clinic. The day I cared for JG he arrived at the clinic accompanied by his nephew. This was week seven of his treatment. His clothing was dirty, he smelled of stool, his fingernails were dirty, hair uncombed, he appeared to be dehydrated. He reported bowel m ovements of eight stools per day with complaints of occasional ab cramping. He denied nausea or loss of appetite. He stated that he was very tired and was not subject to do much at home.His main concern was the frequency of his bowel movements. He reports having to go to the flush toilet dickens to three quantifys during the night and has episodes of soiling the bed. He reports that sometimes he does not feel theurge to go. JG was wearing adult diapers. He expressed concern that it was getting expensive for him to purchase. The nephew confirmed that JG toileting has created a task 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 employ a wheel extend he stated that his foot hurt to walk the outmatch from the lobby to the treatment room. He mentioned that it was probably due to an ingrown walk nail. He also asked how he could obtain a wheel chair for his personal use at home. Physical sound judgment revealed that he had a necrotic area on the ball of his left foot with border redness, lost 12 pounds in six weeks, poor skin turgor, overactive bowel sounds, and his blood pressure was slightly lower than baseline.In the ambulatory chemotherapy setting, the clients do not always see their physician every time they receive treatment. The defend must ascertain when to collaborate with the physician on issues regarding the patients status, response to treatment, or toxicities that may be life threatening. It is essential that the nurse is capable to communicate effectively her-(Be careful with gender bias, nurses come in both genders.) observations to the physician.Collaborative problems are detected from the nurses ratement of the patient. The nurses monitoring of the patient status is to evaluate physiologic complications that may threaten the patients integrity. Management of collaborative problems will include implementing phy sician prescribed and nurse prescribed actions to curtail escalation of the problem and preventing patient harm. From the nurses assessment, she also formulates a care for diagnosis. The treat diagnoses are stated in the form of the problem, the etiology and the symptoms that the nurse observes. treat diagnosis can include a current or potential problem, an at risk problem, or a wellness diagnosis. Nursing diagnosis provides the framework from which the nurse begins to devise a plan of care and treat interventions.In the case of JG, there were two collaborative problems identified. Twoproblems I collaborated with physician, these were1. JG is experiencing toxicity from the chemotherapy. There is potential for electrolyte imbalance, circulatory collapse.2. The necrotic area on his foot was a new development in his condition. There is potential complication for infectionThe collaborative problems discussed with JG physician and nurse quickly resolved. JG did not receive his chemot herapy. He was given an injection of sandostatin LR to help minimize his diarrhea a stat basic 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.Listed are four, but not all, possible nursing diagnosis obtained from my assessment.1. Diarrhea related to chemotherapy worldifested by hyperactive bowel sounds and eight loose stools.2. Bowel incontinence related to loss of rectal sphincter control and chemotherapy manifested by fecal odor, fecal staining of clothing, urgency.3. Altered victual related to colon cancer manifested by diarrhea, abdominal cramping.4.Ineffective management of remedial regimen related to JG lack of knowledge of his disease manifested by his softness and unwillingness to manage his symptoms.Considering JG comments regarding his finances, his overall physical appearance and the comments from his nephew, I unflinching to c onsult with the kindly worker. I felt that a home visit or a thorough investigation of JG home situation was warranted.The 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 participation of the dietician. In retrospect, the dietician would have been a valuable resource to assess JG caloric intake and recommendations for optimal nutrition.I felt that the above incident demonstrated collaboration amongst health care providers. The physician in this case was receptive to the nurses observations with respect to her capabilities of accurate assessment of the patients condition and potential complications. 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 good-hearted or does not trust the nurses evaluation of patient condition. The nurse may have feelin gs of inferiority, lack of confidence and does not fittingly collaborate with the physician correct information.Conflicts in the goals desired for the patient is often cited as a barrier to collaboration. I recall an incident of a male patient diagnosed with metastatic breast cancer. His appearance was that of an individual who had been in a Nazi concentration camp. The nurse wondered why the physician was treating this man aggressively. In her mind, this patient was not an appropriate candidate to receive the situation treatment that was ordered. She feared the patient would not tolerate such an aggressive docket and that it was pointless to put this poor man through treatment. The patient was diagnosed two years ago. He is still receiving treatments, he has gained weight and in October of survive year he hiked to the summit of Mt. Whitney. intention conflict is another study barrier to collaboration. To deliver cost effective care, many institutions utilize nurse practitioner s and physician assistants. Role 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 colloquially with Nurse Practitioners for fear of being held liable for the actions of the Nurse Practitioner (Resnick, 2004). nominate definition of rolesfor practitioners is essential to prevent misunderstanding.In conclusion, collaborative practice is the specie standard 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 communicate her observations. Collaborative practice minimizes complications that could lead to tragic outcomes. The final goal of collaborative practice is to provide the quality service that each patient under our care deserves.ReferencesBlais, K.K., Hayes, J. S., Kozier, B. & Erb, G. (2002). Professional nursing practiceConcepts and perspectives (4th ed.). overbold Jersey Prentice Hall.Phillps, 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.Resnick, B. (2004). Limiting litigation risk through collaborative practice. Geriatric Times,5(4), 33. Retrieved March 21, 2004 from EBSCOhost database.