QUESTION
Discussion assignment
Listen the attached short recording of a video and answer the following questions for each phase in discussion board style Acute Phase o What comments from either of the Delgados did you find particularly powerful, moving or thought-provoking? o What would be going through your mind as the laboratory professional on this health care team?
• Sub-Acute Phase o Discuss the most significant barriers in communication/collaboration in and among the health care team, the patient, and family members. o Discuss those elements that facilitated communication/collaboration in and among the health care team, the patient, and family members. o Describe several strategies to promote communication among the health care team, the patient, and family members.
• Rehabilitation Phase o How did the members of the health care team contribute to achieving the overall goal? o Discuss the goals and key elements of Alison’s rehabilitation.
• Setback Phase o What was your initial reaction to Alison’s setback? o Discuss the significance of the PICC (Catheter) team allowing Tim to stay in the room with Alison.
• Return to normal o Discuss your thoughts on what Alison says about her experience returning to medical practice. o Comment on how understanding a patient’s pre-existing -normal’ would affect how to manage their recovery process. o Discuss how living through their situation has changed Tim and Alison’s perspectives as physicians along with their approach to patients
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| Subject | Nursing | Pages | 6 | Style | APA |
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Answer
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Discussion Assignment
Acute Phase
A thought-provoking comment that Tim made was “she had a broken jaw in several places, she had pulmonary contusions or bruising on her lungs, she got a broken sternum, she had a bruised heart, and she had a broken collarbone since she broke six bones in her neck” At this time, what ran over my mind is that she would not have ability to walk again. The thought of her using wheelchair came into my mind.
Sub-acute Phase
There are significant barriers in communication/collaboration in and among the health care team, the patient, and family members in this case study. The first barrier is emotional barrier which is comprised mainly of fear, suspicion, and mistrust. The level of injury that Alison sustained creates fear among team members which can interfere with collaboration. Family members as well as some of the healthcare providers believed that the sustained injuries cannot be treated hence discouraged other team members. Another barrier in this case is relationship between care provider and the patient. Notably, Tim finds that it is his wife who got an accident and he is the one to fly her despite the fears and emotions that have overcome him.
One of elements that facilitated communication/collaboration in and among the health care team the patient, and family members is shared goals. In this particular case, one of the main goals was to see Alison recover. It is in this context that despite her condition, everyone said that she will make since she is a fighter. As such, everybody shared a goal of ensuring that she recovered. Another element that facilitated collaboration is effective communication and availability of resources (Ballester et al., 2019). It is important to note that Tim was called as the flying doctor and reached the scene as fast as possible. On the same note, there was already a surgeon on standby ready for examination and other procedures.
One of the strategies to promote communication among the health care team, the patient, and family members is streamline communication channel which include use of phones as well as radios. For example, the flying was using a radio as a form of communication.
Rehabilitation Phase
There are several ways through which members of the health care team contributed to achieving the overall goal. The first one is collaboration. The rehabilitation needed specialists from different departments and fields. Some of them included physiotherapists, dieticians, and speech therapist. Another way through which members of the health care team contributed to achieving the overall goal is shared objective. When healthcare providers have a shared vision or goal, they work towards attaining it, something that was done in this case (Stinear et al., 2017).
The goals and key elements of Alison’s rehabilitation are: 1) to regain movement. This is in terms of walking and doing her daily activities. 2) To regain her ability of talking, eating, and swallowing. 3) To regain full consciousness.
Setback Phase
My reaction towards Alison’s setback is a surprise. Based on her initial condition, it is difficult to believe that she would begin to recover that fast. As stated by Jung (2017), seeing people you love during tough moments, especially sickness brings about hope and satisfaction which assists in fast healing and recovery. As such, the significance of the PICC (Catheter) team allowing Tim to stay in the room with Alison was a source of hope and comfort during treatment.
Return to Normal
I like the way Alison talks about her experience of returning to medical practice. She believes that healthcare providers are very important people, especially when they collaborate and have a shared goal. To her, love, care and empathy should be foundation of practice for every nurse. Basically, understanding a patient’s pre-existing –normal is important in providing the best care that will result in faster recovery and positive patient outcome.
Having undergone and lived through the situation, Alison and Tim have learned several issues which are important for them in providing care to others. First, Alison has known the importance of family members, especially the loved one during the process of recovery. One the same note, both of them believe that irrespective of the injury, when an effective care is provided, there are high chances of recovering.
References
Ballester, B. R., Maier, M., Duff, A., Cameirão, M., Bermúdez, S., Duarte, E., ... & Verschure, P. F. (2019). A critical time window for recovery extends beyond one-year post-stroke. Journal of neurophysiology.
Jung, H. Y. (2017). Rehabilitation in subacute and chronic stage after stroke. In Stroke revisited: diagnosis and treatment of ischemic stroke (pp. 351-360). Springer, Singapore.
Stinear, C. M., Lang, C. E., Zeiler, S., & Byblow, W. D. (2020). Advances and challenges in stroke rehabilitation. The Lancet Neurology, 19(4), 348-360.