A Multidisciplinary Approach To Patient Care

1968 words - 8 pages

The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique and complex the nurse must tailor a plan with the patient which will include “…assessments, consultations, treatments, lifestyle changes, disease education…” in order for the patient have the most appropriate evidence-based care and make informed decisions when it is necessary (Oliver, 2006, p. 28). The aim for the nurse caring for the S.P. is to help prepare the patient for an upcoming procedure and focus care to the patient by gathering necessary information about her while. Collaboration with the patient, family members, rehabilitation, medical and surgical team about the treatment plans can help us provide proper patient’s care by utilizing actions and interventions within the scope and standards of the nursing practice.
This Preusser (2008) case study involves a 75 year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular fracture of the hip at the femoral neck (p. 183). Assessment data includes her height is 5’3”, weight is 118 lbs, blood pressure of 128/60, heart rate of 98, respiration of 14, temperature of 37.2 Celsius, oxygen saturation of 94% on 2 liters of oxygen via nasal cannula. She has a medical history of severe RA, had an upper gastrointestinal bleed in 1993, and had coronary artery disease with a coronary artery bypass graft (CABG) 9 months ago. She lives alone but has three children whom live close to her. She is a widow and her father died of cancer at 62 years old and mother died from heart failure at 79 years old. She has a 50-pack-year smoking history but denies alcohol use. Ever since her CABG she has engaged in “very mild exercises at home.” Her medications are Rabeprazole (Aciphex) 20mg/day, Prednisone (Deltasone) 5 mg/day PO and Methotrexate (Amethopterin) 2.5 mg/week.
Through use of the Universal Intellectual Standards of Quality Thinking (UISQT) the nurse should use the standards, relevance and significance, to organize and categorize the patient's information and separate the important assessment data that will help to tailor an appropriate plan for the patient (Wilkinson, 2011, p. 70). These skills are important because through relevance one can separate what information is relevant to the patient's problem and through significance one...

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