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Roles: PharmD, MD, DVM, Public Health Nurse
What about Ben? Let’s take a look at what we mean by collaborative practice or teamwork in patient care. We’ll observe a care planning meeting of a pharmacist, physician, veterinarian, and public health nurse. During a clinic visit with the physician, it was discovered that the patient had fallen again. This time, the patient stated that she had tripped over her dog. The physician asked the public health nurse to conduct a home evaluation. During the evaluation, the nurse decided to ask that the pharmacist and the veterinarian also visit the patient in herhome. The case starts at the first meeting of the group. They have never talked with one another previously. The Team Meeting The patient, Dora, is a 76-year-old woman with Type 2 diabetes with knee pain and a history of a recent fall. It is suspected that her dog, Ben, is contributing to the risk of falling, though he is also a source of emotional support for Dora. Roles: PharmD, MD, DVM, Public Health Nurse
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What about Ben? – Team Meeting
What was happening in the meeting? What went well in the case? What didn’t go so well? What are some professional issues you noticed? What are some interprofessional issues you noticed? What assumptions did the participants make about each other, about their professions, or about the patient? What steps can be taken to handle the issues? Good facilitation up front from the the nurse. Set ground rules, and mentioned being respectful. Appreciation of them coming to meeting. Body language: Amy – Nurse knocking on the table Blaming Brian: As the only real doctor here, I need to weigh in the strongest. Discounting behaviors… Nurse: remind them about patient centeredness.
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What about Ben? – Resolution
What happened in this part of the meeting What went well in the case? What didn’t go well? What interprofessional skills did you see? How did the facilitation help or hinder this case? Good facilitation up front from the the nurse. Set ground rules, and mentioned being respectful. Appreciation of them coming to meeting. Body language: Amy – Nurse knocking on the table Blaming Brian: As the only real doctor here, I need to weigh in the strongest. Discounting behaviors… Nurse: remind them about patient centeredness.
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