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Interdisciplinary Roles Lauren Dear Caroline Hardin Chelsey Price Secillia Russell
Interdisciplinary Teams Collaborative approach goal setting, treatment, decision making and problem solving Patient-centered Know your role and the role of teammates Essential Elements/Tasks: Coordination Shared responsibility COMMUNICATION!!!
Advantages of IDT Patients: Improves overall care Lets patients be active part of team More efficient use of time Cost-effective Health Care Professionals: Fosters appreciation for other disciplines Encourages innovation and more collaborative problem solving Allows providers to focus on their individual area of knowledge/expertise
Team Members Physicians Nurses Occupational Therapists Speech Therapists Pharmacists Dieticians Social Workers WHO ELSE MIGHT CONTRIBUTE?
CASE STUDY Your new hospital patient is a 30 year old male with a TBI following a motorcycle accident. He is now quadriplegic, has difficulty swallowing, is currently on a ventilator and has some loss of cognitive function. His family is having trouble coping with the changes and they are having a difficult time getting proper coverage from the insurance company.
NURSES General Role Patient advocate and safety Help educate patients about their health Assessment of patient needs Observe and record outcomes Administer prescribed medications and treatments
NURSES Interaction with Team Members Interacts with almost every type of healthcare provider Documents medications and physical therapy and occupational therapy sessions Provide physical therapist with important information on the patient’s diagnosis and conditions Assist with transfers
OCCUPATIONAL THERAPISTS General Role Increase performance in activities of daily living Evaluation of home, work, or school environment Educate patients, family members, and caregivers on role to become more independent Improve basic motor functions, cognitive, and emotional roles
OCCUPATIONAL THERAPISTS Interaction with Team Members Collaborates with physical therapy, speech therapy, and the physician to coordinate care Identify strengths, weaknesses, and priorities with PT May assist in wheelchair evaluation Driving evaluation
SPEECH THERAPISTS General Role Assess, diagnose, and treat patients with various disorders including: Articulation Voice Language Fluency Preschool/school Hospitals/rehab Outpatient Nursing homes settings
SPEECH THERAPISTS Interaction with Team Members Speech therapists and PT may perform therapy together in some cases PT may help when performing swallowing evaluations PT helps position patients to maximize results PT may recommend a swallowing evaluation if they notice aspiration during therapy
PHYSICIANS General Role Tend to be initial contact Establish diagnoses Plan treatment Perform surgery if necessary Prescribe and manage medications Handle complications that may arise during treatment Manage the discharge of patient Prescribe physical therapy and other rehab services
PHYSICIANS Interaction with Team Members IT DEPENDS Acute: much more involved Rounds, specific course of treatment, discharge and planning of further treatment Outpatient: Referrals, much less involved progression in treatment plan Not even necessary now with direct access
PHYSICIANS Interaction with Other Team Members Nurses – updates on status Pharmacist – consultation on medication Social Worker – planning discharge OT, Respiratory Therapist, Speech – treatment plan and progress reporting
PHARMACISTS General Role Control the compounding and dispensing of drugs Provide information and advice on health related issues Understand how drugs work inside the body Refer patients to other sources of health care
PHARMACISTS Interaction with Team Members Communicate with physician to ensure patient receives proper drug therapy Supply our patients with medication PT can consult with a pharmacist about a medication in a patients chart How it will affect exercise? Mental/psychological changes in a patient
DIETICIANS General Role Assess nutrition and nutritional conditions. Treat and prevent nutrition related disorders by nutritional means. Contribute to health promotion and illness prevention strategies. Develop specialized nutrition therapy and rehabilitation/support strategies to address specific nutrition-related illnesses. Complete nutrition assessment for new patients.
DIETICIANS Things that may be discussed in team meetings: Recommendations for liquid supplements, vitamin supplements and modified diet texture. Whether or not there are new wounds or skin breakdown. Lab values Weight loss/gain
SOCIAL WORKERS General Role Mobilize strengths Supporting coping capacities Modify ineffective patterns of relating and behaving Link people to necessary resources Alleviating environmental stressors and providing psychosocial education related to wellness and subjective well-being.
SOCIAL WORKERS Interaction with Team Members Work with other team members to develop a discharge plan Assess the patients ability to live independently through physical therapy evaluations. Discuss the patients home environment and support system. Refer patients to other team members based on observations. Patient advocacy.
Interdisciplinary Model Physician Social Worker PT OT Patient/ Family Nurses Speech Pharm. Dietician
What it really looks like! Physician Social Worker PT OT Patient/ Family Nurses Speech Pharm. Dietician
JUST REMEMBER… YOU CAN’T DO EVERYTHING ALL BY YOURSELF
QUESTIONS AND ANSWERS
Case Study Your new hospital patient is a 30 year old male with a TBI following a motorcycle accident. He is now quadriplegic, has difficulty swallowing, is currently on a ventilator and has some loss of cognitive function. His family is having trouble coping with the changes and they are having a difficult time getting proper coverage from the insurance company. Question 1: What would be some of the specific duties your assigned role would carry out in this case? How might that team member work with you as the physical therapist? Question 2: What might be some potential conflicts or ethical dilemmas that may arise between you as the PT and any of the roles described? How would you approach the situation?
References http: //www. med. unc. edu/epic/module 4/m 4 to. htm http: //www. tbicommunity. org/resources/publications/VR_ Manual/PDF/Session 3 a. pdf http: //www. tbi. org/library/html/jimmy__a_case_study. html http: //www. citytowninfo. com/career-story/dietitians-andnutritionists/registered-dietician-in-a-nursing-home http: //work. chron. com/social-workers-physical-therapistswork-together-24428. html http: //samples. jbpub. com/9781449634476/80593_ch 05_5 806. pdf http: //www. health. gov. on. ca/en/programs/fht/docs/fht_ inter_team. pdf