Saturday, December 7, 2019
Multiisciplinary Team in Care Management-myassignmenthelp.com
Question: Discuss about theMultiisciplinary Team in Care Management. Answer: Varieties of symptoms often remain associated with patients who suffer from motor neuron diseases. These include cramps as well as muscle cramping, stumbling due to the occurrence of weakness in the on the muscles of the leg. Moreover, they may also face difficulty in holding of different objects which may be caused due to various kinds of weakness in the muscles of hands. Physiotherapists take an active role in handling these symptoms effectively. It also results in slurring of the speeches as well as swallowing difficulties for which speech therapist are required to provide better quality life. These mainly occur due to the weakness of tongue as well as the throat muscles. With the gradual progression of the diseases, breathing difficulties also take place due to decreased capacity of the lung capacity which mainly occurs with the muscle weakness for which respiratory experts or therapists are important. Moreover fatigue occurs with the muscle exhaustion, metabolic changes, weight loss, reduced food intake and many others. As a result dieticians are important. Insomnia also takes place due to discomfort; pain form joints as well as muscles, dry mouth (Bakker et al., 2015). Mild changes cognitive skills, behavioral change, change in fronto- temporal cognitive regions also take place. For all these, nursing teams are appointed to take an overall care of the patient. Therefore all these factors often requires a multidisciplinary team who where each professional will handle each symptoms effectively so that a comprehensive care is provided to the patient and each of his symptom is handled with care. The healthcare team should be handled by a responsible professional who will mainly act as the linking factor in maintaining the multidisciplinary team assuring that proper communication, meeting, scheduling of the time period and allocation, developing interventions as well as evaluation the outcome of the care given by all the members of the team (Mc Connel et al., 2015). The team should b led by the case manager as he has the capability of directly taking care of the patients priorities on a comprehensive basis. After the general practitioner declares his diagnosis, it often becomes difficult for conveying different information to different professionals and also takes them together to ensure proper individual care plan for each professional. In such a case, a case manager mainly takes the role of a coordinator among the different team members who maintains regular contact with the patient and at the same time organizes regular conferences and team meetings (Hobson et al., 2016). On one hand, he or she initiates effective as well as timely response according to the needs of the patient and on the other hand liaises with the service of the team members. Otherwise, a proper planned and arranged way of systematically carrying on a care plan will not take place. Hence the care manager mainly leads the team. The most important person of the team is the MND association care advisor. He is considered to be most important as he helps the patients and his families to connect with the services they need. A large number of services like speech therapy, physiotherapy, occupational therapy, respiratory specialist and other are required to tackle each symptom respectively but arranging meetings and setting their schedules might not be possible for the patient. In such scenario, the case advisor helps them to connect with the service and also provide them with ongoing information to families as well as service providers as the needs arise in the person with gradual progression of the disease (OBrien Preston, 2015). There has been an exceptional increase in the turnover rates in the physiotherapy departments. There has been unstable environment in the department as a result of which care delivery from the multidisciplinary team has been affected. It is resulting in low patient satisfaction and is therefore increasing the number of complaints against the entire team as the comprehensive care is not being provided. As new individuals are recruited frequently, they are not being able to adapt to the working culture of the team. As a result of this, it is found that they are playing the blame games by being exceptionally confrontational. Moreover, they are frequently absent which hampers the effective care which he was assigned to provide to the patient which leads to patient dissatisfaction and also loss of reputation in the name of the entire multidisciplinary team as well. Moreover due to frequent changing of staffs, it also becomes difficult for other physiotherapist to delegate his job for the day (Ellis Bach, 2015). Moreover he also fails to provide update about the patients to the team which hampers the team planning as other team members could not evaluate the recovery process of the patient. They also fail to proceed with further planning of interventions and as a result the overall service delivery also gets delayed and entire scheduling needs to be changed again. Hence, these hamper patient safety and also provide a low quality service delivery which decreases patient satisfaction as well as reputation of the organization. Proper healthcare researchers need to be appointed who would mainly conduct both observational as well as survey analysis in order to mainly depict the main reason for turnover for the physiotherapy professionals. Once the main factor resulting in turnover gets evaluated, the researcher team may develop a retention program which would help them to retain the professional and at the same time ensure that they are satisfied with their job and are free from any anxieties and stress and reduce turnover rates (Cherry Jacob, 2016). Secondly, the professionals should also be allocated for training classes and workshops as they are not being able to catch on with the trend of working in multi-dimensional team. They are lacking the characteristics of working as a team member with improper methods of communication, behavior and skills. Moreover they are also not up to date about reports which show that they are not skilled enough to handle patients effectively and perform as a proper team mem ber. Therefore, physiotherapists should be trained to perform their work efficiently so that patients are satisfied (Boggosian et al. 2014). Moreover, they should be also sent for workshops so that they can understand the culture in a well knit team and how responsibly the activities need to be carried out. Moreover, the organization should also look obverse the interests of the professionals so that they also feel accepted in the organization and their real issues can be noted (Lewis et al., 2016). In this way, one can overcome the present issue in the organization and come up with a more efficient team work form every individuals of the team. References: Bakker, M., Creemers, H., Schipper, K., Beelen, A., Grupstra, H., Nollet, F., Abma, T. (2015). Need and value of case management in multidisciplinary ALS care: a qualitative study on the perspectives of patients, spousal caregivers and professionals.Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration,16(3-4), 180-186. Bogossian, F., Cooper, S., Cant, R., Beauchamp, A., Porter, J., Kain, V., ... FIRST2ACT Research Team. (2014). Undergraduate nursing students' performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: an Australian multi-centre study.Nurse education today,34(5), 691-696. Cherry, B., Jacob, S. R. (2016).Contemporary nursing: Issues, trends, management. Elsevier Health Sciences. Ellis, P., Bach, S. (2015).Leadership, management and team working in nursing. Learning Matters. Hobson, E. V., Harwood, C. A., McDermott, C. J., Shaw, P. J. (2016). Clinical aspects of motor neurone disease.Medicine,44(9), 552-556. Lewis, S.L., Bucher, L., Heitkemper, M.M., Harding, M.M., Kwong, J. and Roberts, D., 2016.Medical-Surgical Nursing-E-Book: Assessment and Management of Clinical Problems, Single Volume. Elsevier Health Sciences. McConnell, R., Vance, R., Murray, D., Hardiman, O. (2015, November). An Evaluation of the Airway Clearance Adjuncts Prescribed in an Irish Motor Neurone Disease (MND) Multidisciplinary Team Clinic. InIRISH JOURNAL OF MEDICAL SCIENCE(Vol. 184, pp. S503-S504). 236 GRAYS INN RD, 6TH FLOOR, LONDON WC1X 8HL, ENGLAND: SPRINGER LONDON LTD. O'brien, M. R., Preston, H. (2015). Family carer perspectives of acute hospital care following a diagnosis of motor neuron disease: a qualitative secondary analysis.BMJ supportive palliative care,5(5), 503-509.
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