question archive 1)Explain why collaboration is important in managing a patient
1)Explain why collaboration is important in managing a patient
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1)Explain why collaboration is important in managing a patient.
Collaboration or interprofessional practice is highlighted in this decade as health care is more divided with specialization and subspecializing to meet the patient’s disordered body systems. The reason for the collaboration is due to the interdependence of professional actions, focus on user needs, negotiation between professionals, shared decision making, mutual respect, and trust among professionals, and acknowledgment of the role of work of the different professional groups (Sangaleti, Schveitzer, Peduzzi, Zoboli, & Soares, 2017). Teamwork and collaboration are a strategy for the effective organization of health care services as the complexity of health care require the integration of knowledge and practices from different professional groups. In my opinion, collaboration is most needed at this time due to the highly fractionalized and specialized, and subspecialized in the care in the health care field.
2. What is your responsibility as an AGACNP in the outpatient setting?
As an AGACNP in an outpatient setting is responsible for practicing autonomously in coordination with other health care professionals. They provide a wide range of health care services including the diagnosis and management of acute, chronic, and complex health problems, health promotion, disease prevention, health education, and counseling to individuals, families, groups, and communities. An AGACNP who focus on the primary care needs of adolescents and adults, typically practice in the community- based, ambulatory settings such as primary care offices, urgent care, and outpatient specialty practices independently or under the guidance of a medical practitioner with contract (Fuller, 2020). At times AGACNP may need a referral to other care providers and community services depends on the complexity of the patient's problems.
3. How does it differ from an inpatient setting?
An AG-ACNP in an inpatient setting provides care for patients with unstable, chronic, complex acute, and critical conditions as defined by patient’s needs, perform a physical examination, orders diagnostic tests, and interpret them as they were available (Kleinpell, Cook, & Padden, 2018). if the patient was diagnosed with some emergent condition requiring emergent procedures like MI and stroke, and other interventional procedures which follow initiation of the inpatient protocol to treat the patient on time and follow up their care post-procedure until discharge. The involvement of a multidisciplinary team is almost common in the inpatient setting in which the AGACNP must order consultation and follow-up on patients on a daily basis and maintain clinical notes. Communication for specialty service from the other team and departments in the hospital such as PT/OT/ST/Dietician services and coordinate the services and overall management of the patient in the hospital. Education, counseling on patient's disease condition and lifestyle risk factors, follow-up of care, preventive care, evaluate the readiness for discharge and prepare them and arranging home health services, order durable medical equipment when needed, and other defined roles in their respective specialty were all part of AGACNP’s responsibilities in inpatient care.
4. Discuss a situation in which you have successfully collaborated or delegated to ensure the patient's plan of care goes as planned.
When a patient presenting with chest pain with a history of coronary artery disease, and AGACNP must examine the patient, collect the necessary history, order diagnostic tests such as EKG, Troponin and administer Aspirin per protocol. Initiate the inpatient chest pain protocol and notify the primary nurse for further follow-up care. The cardiologist needs to be contacted as a part of the delegation for specialty interventional cardiology care if there are any EKG changes as myocardial infarction and positive troponin for possible emergent interventions. Further evaluation of the patient post-procedure, develop a plan of care in collaboration with a cardiologist and assess discharge needs for the patient and arrange follow-up with cardiologist recommendations, and communicated to the patient. Education and counseling regarding risk factor modification and preventive care also need to be discussed as a part of care.
5. The patients needs may be emotional, spiritual, or physical in nature. Include a discussion of how the Christian worldview perspective can be applied to meet these patient needs.
Religion and spirituality play an important role in health care, both in the personal lives of many patients and professionals as well as inspiration and motivational source for the delivery of health care. The health care practitioner is to address the spiritual or existential domain of the patient as part of their patient-centered or whole person-care, focusing on answering questions regarding "meaning in life" and "how they feel peace and hope in their life" (Liefbroer, Ganzevoort, & Olsman, 2019). Referring the patient to a professional chaplain if the patient wishes to discuss how they wanted to meet their religious needs and plans to decide to meet them by involving the family is all part of spiritual care. If the patient decides to end the treatments because of the belief or due to poor prognosis and endstage of the disease which needs to be respected and risks need to be discussed prior to treatment withdrawal decision and if needed palliative care needs to be consulted to meet further needs of the patient and family.
