1. Interprofessional Colaboration
In the Medical Setting

2. Acute Care Hospital Setting
Sudden decline in medical and functional status
Goal is to stabilize patient
Typically address swallowing

3. Inpatient Hospital Setting Intense rehab services, often 6 days/wk
Average stay is 20 days
Goal of achieving highest possible quality of life
1:1 and group treatment
Co-treatment

4. Outpatient Building could be on-site or off-site
See a range of clients with varied etiologies
Typically referred by physician
Could see adults, peds, or a combination

5. Skilled Nursing Facilities (SNF)
Could be long-term or temporary
Varied caseload
Have become more ill than in the past

6. What is Interprofessional Collaboration?
Continuous interaction, coordinated efforts, and knowledge sharing among health care professionals
“Enhanced Collaboration”
Each professional’s contribution is valued equally

7. Why is interprofessional collaboration important?
We can better serve our patients
To ensure the right person is delivering the care

8. Who do we collaborate with?
Occupational Therapists (OT)
Physical Therapists (PT)
Respiratory Therapists (RT)
Dieticians
Nurses
CNAs
Physicians (PCP, Radiologists, GE, ENT)
Social Workers
Case Managers
Interpreters
Family and/or Caregivers

9. Occupational Therapists
Provide training in self-care and home management activities (ADLs).
Remediate upper-extremity weakness and/or abnormal muscle tone
Provide wheelchair assessment and management

10. OT cont. Management of feeding, eating, and swallowing conditions
Sensory integration therapy

11. How we collaborate? Positioning or accessibility needs
Feeding and swallowing
Cognition during ADLs
Sensory needs
Communication support

12. Physical Therapists Therapeutic exercise and functional training
“Manipulate" a joint or massage muscle
Help prevent the loss of mobility
Train patients in postsurgical orthopedic protocols

13. How we collaborate Diet/liquid recommendations
Cognition during gross motor tasks
Communication needs

14. Respiratory Therapists
Analyze breath, tissue, and blood specimens to determine levels of oxygen and other gases.
Manage ventilators and artificial airway devices for patients who can’t breathe normally on their own.

15. How we collaborate Signs of aspiration pneumonia
Explaining management of COPD
Tracheostomy care and treatment
Swallowing for patient on noninvasive ventilation
Identifying PVFM

16. Dieticians Provide medical nutrition therapy
Assess patients' nutritional needs, develop and implement nutrition programs, and evaluate and report the results.
May manage food service department

17. How we collaborate
Dieticians may encounter patients at risk for dysphagia
Problem-solving patient feeding issues

18. Nurses Perform physical exams and health histories
Administer medications, wound care, etc
Interpret patient information and make critical decisions
Direct and supervise care delivered by LPNs and CNAs

19. How we collaborate
Level of alertness Any change in patient status Medication needs Communication needs

20. CNAs Work under the direction of an LPN or RN Bathe and dress patient
Oral care
Feed patient
Toileting assistance
Assist with range-of-motion exercises
Turning and positioning bedridden patients regularly

21. How we collaborate Aspiration precautions during/after PO
Oral care needs
Communication needs
Cognition during ADLs

22. Doctors PCP: Contact for continuing care
Radiologist: specializes in the dx and tx of disease and injury by using medical imaging technologies
GE: Specializes in diseases of the digestive system
Otolaryngologist: medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck.

23. How we collaborate Radiologist present for MBSS
May get referrals from doctors
May recommend referrals to doctors

24. Social Workers and Case Managers
Help patients and their families understand a particular illness and work through emotions of a dx
Provide counseling about the decisions that need to be made
Help client to find resources and facilitates connection with services
Advocates on behalf of a client to obtain needed services

25. How we collaborate Counseling of difficult issues
Coordination of discharge planning, including client services and needs

26. Interpreters
A communicator liaison between non-English speaking patients and hospital staff.

27. How we collaborate During evaluation and treatment
Necessary that client understands POC and provides their consent

28. Family and/or Caregivers
Often present during hospital stay
Want increased contact with therapists and increased involvement in therapy activities.

29. How we collaborate Support cog or comm strategies
Diet/liquid recommendations and eventual preparation

30. Benefits and Challenges of Interprofessional Collaboration
Improved patient outcomes
Enhanced provider satisfaction
More effective utilization of resources
Challenges:
Billing during co-treatment
Ensuring you stay within your scope of practice