QUESTION
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Inpatient Assessment and the Interdisciplinary Team
For this milestone, you will submit a draft of Sections II and III of your final project, identifying the inpatient needs and the interdisciplinary team tasked with developing a care plan for Jean, the patient in the provided case study.
You will work to identify Jean's inpatient needs and potential strategies to address them. You will also have an opportunity to analyze roles and responsibilities related to improving Jean's patient outcomes.
For additional details, please refer to the Milestone Two Guidelines and Rubric document.
HSE 210 Module Two Journal Guidelines and Rubric
It is important to be able to identify evidence-based methods and practices and to recognize how these practices are used for specific clients in appropriate settings. This journal activity will allow you to think through these important actions and to continue reflecting on the case study that you will address in your final project. First, review the case study in the Final Project Guidelines and Rubric document and select one of the following issues or conditions from the case study:
Mobility issues
Assistance with activities of daily living
Difficulty paying bills
Stroke
Trauma
Then identify evidence-based practices that might be used with a patient like Jean across at least two different settings:
Hospital
Rehabilitation center
Home healthcare
Hospice
In 250 to 300 words, explain how evidenced-based practices can be used to assist Jean and improve her quality of life, regarding one issue or condition across at least two different settings. Ideally, the practices you discuss will be relevant in multiple settings, but you may need to explain how these practices can be adjusted to fit certain settings. Remember to always approach the issue from the perspective of a human services professional as opposed to that of a healthcare professional such as a nurse or a doctor. Note that the journals in this course are private between you and the instructor. Each journal assignment will be assessed individually according to its own rubric. Guidelines for Submission: Submit assignment as a Word document with double spacing, 12-point Times New Roman font, and one-inch margins.
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| Subject | Nursing | Pages | 5 | Style | APA |
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Answer
In-patient Assessment and the Interdisciplinary Team
This paper discusses the evidence-based practices used in a hospital and rehabilitation center by multi-disciplinary healthcare professionals to improve the quality of life of Jean, who has a stroke condition. The paper also discusses Jean's in-patient needs, strategies to tackle them, and the roles and responsibilities linked to promoting Jean's patient outcomes.
In reviewing Jean's stroke condition, the evidence-based practice that the interdisciplinary team can use in a rehabilitation center to improve her quality of life is occupational therapy (OT) to help her with her daily living acidity and home adaptations. Having Jean in a rehabilitation center exposes her to a multi-disciplinary team comprising of a psychologist, social worker, kinesiotherapist, nurse, recreational and physical therapist, OT, doctor, caregivers, and speech and language pathologist (SLP). OT will help Jean attain health, wellbeing, and resume daily life activities. In addition, OT is suitable for Jean because she has challenges with self-care and mobility. Mehrholz et al. (2018) stated that the use of arm-robot and mirror therapy has strongly been indicated to lessen motor deficits and promote arm function in stroke patients. Likewise, the usage of electro-mechanical gait training helps stroke patients re-gain the capability to walk (Mehrholz et al., 2017). The usage of treadmill training aids in improving walking speed and walking tenacity amongst stroke survivors. Hence being in a rehabilitation center, Jean will have education interventions to improve her knowledge concerning stroke that effectively make decisions concerning her treatments.
In addition, studies support the development and execution of transition of care programs to improve changeover from acute stroke therapy to long-term stroke management in the community, thus promoting stroke results and patient health. Jean will benefit from transitional care approach in a rehabilitation center to avert re-admission and stroke problems. Evidence has proposed that stroke survivors can continue to advance their daily operations months and even years after a stroke (Mehrholz et al., 2018). Whereas rehabilitation should remain after the recovery stage, the concentration of the OT services is effective to alter as rehabilitation advances. For instance, the physical and occupational therapist might focus Jean's OT on self-care training amid the early recovery phase, advancing to home management and re-commitment in leisure activities amid the home-care phase, or another community mobility amid the community re-entry stage.
Jean will be exposed to optimal care in technical equipment, stroke faculty, and experienced multi-disciplinary professionals to handle her stroke in a hospital setting. Moreover, a hospital setting has structures and health policies to foster the scope of rehabilitation services based on shared decision-making and collaborations between the patient and the providers(Mehrholz et al., 2017). Thus, in a hospital setting, Jean will benefit from a collaborative care approach to meet Jean's needs, such as mobility through physical therapy and OT to meet her daily living activities needs. In addition, Jean will benefit from therapy to meet her social participation needs and her traumatic rape experience to help her in her recovery journey. The OT and physiotherapist in the hospital’s stroke unit will help Jean with mobility exercises and regain her daily living tasks.
A study by Heiberg et al. (2021) indicated that roughly half of the stroke survivors reported one or more unmet needs linked to the challenges of concentration, mobility, accessing financial help and benefits, pain, memory, and unmet needs linked with daily living activities. Hence Terrill et al. (2018) recommended that rehabilitation be planned as a goal-centered, multi-dimensional, inter-disciplinary, and collaborative practice. Studies have indicated that increased involvement and patient partaking lead to greater satisfaction for both patient and provider. In addition, it leads to improved adherence to health providers' suggestions and enhanced functioning (Zimmermann et al., 2014). Also, this is coherent with a patient, an individual or client-focused viewpoint, which is described as a joint practice targeted at facilitating collaboration between patients and healthcare experts. Hence, a social worker assigned to Jean in a hospital setting or rehabilitation center will educate Jean on accessing financial support to meet her medical bills and survive.
The social worker can help Jean apply for Programs such as Supplemental Nutrition Assistance Program (SNAP) since Jean is eligible based on her being a low-income senior living with stroke. SNAP's electronic benefits transfer card will enable Jean to buy food from any retailers approved to partake in the program. Likewise, SNAP will aid in feeding Jean until she can improve her situation. Furthermore, applying the Seniors Farmers Market Nutrition Program (SFMNP) will also help Jean with food expenses. The program offers low-income elderly coupon booklets to participate in farmers' markets, and food stands. Also, the social worker can investigate the state's Medicaid long-term care program to apply for Jean to help her meet medical costs since Jean is unable to care for herself. Likewise, the All-Inclusive Care for the Elderly (PACE) programs will also provide Jean with detailed medical and social services as she is eligible for Medicaid and Medicare benefits. The inter-disciplinary team of experienced healthcare experts at PACE will offer Jean coordinated care and delivery of all her needs instead of only those reimbursable under Medicare and Medicaid fee-for-service plans.
In conclusion, using Jean's case study, this paper has demonstrated that a person-focused perspective based on the stroke survivor's encounters, needs are priorities are crucial to achieving rehabilitation goals and patient well-being.
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References
Heiberg, G., Røe, C., Friborg, O., Pedersen, S. G., Holm Stabel, H., Nielsen, J. F., & Anke, A. (2021). Factors associated with met and unmet rehabilitation needs after stroke: A multicentre cohort study in Denmark and Norway. Journal of Rehabilitation Medicine, 53(6).
Mehrholz, J., Pohl, M., Platz, T., Kugler, J., & Elsner, B. (2018). Electromechanical and robot‐assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. Cochrane Database of Systematic Reviews, (9).
Mehrholz, J., Thomas, S., Werner, C., Kugler, J., Pohl, M., & Elsner, B. (2017). Electromechanical-assisted training for walking after stroke: a major update of the evidence. Stroke, 48(8), e188-e189.
Terrill, A. L., Reblin, M., MacKenzie, J. J., Cardell, B., Einerson, J., Berg, C. A., ... & Richards, L. (2018). Development of a novel positive psychology-based intervention for couples’ post-stroke. Rehabilitation Psychology, 63(1), 43.
Zimmermann, L., Konrad, A., Müller, C., Rundel, M., & Körner, M. (2014). Patient perspectives of patient-centeredness in medical rehabilitation. Patient education and counseling, 96(1), 98-105.