Interdisciplinary Care Assignment Guidelines

PURPOSE

This purpose of this assignment is for the student to present a complete picture of nursing care of a critically-ill individual encountered during the course. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill individual.

COURSE OUTCOMES

This assignment enables the student to meet the following course outcomes:

CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.

CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care settings.

CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and families in critical-care and emergent care settings.

CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical and professional standards and principles when caring for patients and families in critical care and emergent care settings.

CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical-care and emergent care settings.

CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings.

DUE DATE: See Course Calendar. This assignment falls within the college’s Late Assignment Policy.

TOTAL POINTS POSSIBLE: 100 POINTS

REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER

Background Information on the critically-ill Individual:

•Demographics

•History of present illness

•Relevant past medical and surgical history

•Admitting diagnosis(es)

•Course of current hospitalization to date

•Review of systems (ROS) with rationale for abnormal findings

•Assessment findings during day(s) of care. Includes vital signs, focused assessment, and data frommonitoring devices.

Laboratory and Diagnostic Tests

Identify and list all lab values and diagnostic tests/procedures performed. Include the rationales for performing the tests and for any abnormal results. Provide an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s).

Medications

Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching. Also include the rationale(s) as to why the medication

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is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically-ill individual’s condition or a side effect of another drug that is prescribed for treatment.

Nursing Diagnoses

In order of priority, identify three (3) nursing diagnoses for the plan of care. The nursing diagnoses may include Risk for and Potential Complications (PCs). Include three (3) nursing outcomes, a minimum of three (3) nursing interventions, and a minimum of three (3) collaborative interventions for each nursing diagnosis or potential complication.

Interventions

Routine Nursing Management

Describe independent nursing care you provided in the care of the critically-ill individual. Examples include, but are not limited to: activity level, position, ongoing monitoring, nutrition (prescribed diet, tube feedings/TPN, formula, rate and calculation of basal energy expenditure (BEE), patient education, wound care etc. The rationale must be included for each intervention.

Interdisciplinary (ID) Care

Collaborative Management

Identify the members of the interdisciplinary team caring for the critically-ill individual. Provide a brief description of their roles and responsibilities. Interdisciplinary team members include, but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical therapy, occupational therapy, speech therapy, social work/case management, pastoral care, ethicist, etc.

Therapeutic Modalities

Describe the various therapeutic modalities used in the management of care for the critically-ill individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2). The rationale must be included for each modality.

Nursing Role Reflection

Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary

•Analysis of communication style preferences among interdisciplinary team members and with thecritically-ill individual and family members. What is the impact of your own communication style on others?

•System barriers and facilitators. Did the organizational framework for interdisciplinary management ofcare facilitate or hindered the quality of care/outcomes for the critically-ill individual? What recommendations can you make to the organizational system for enhancing interdisciplinary collaboration? Provide at least two (2) evidence-based literature items to support your recommendations.

•Professional Development. Based on your experience(s), write ideas for your own professional self-development plan to enhance your potential for becoming an effective member in an interdisciplinary team.

PREPARING THE ASSIGNMENT

Style and Format

The paper should be typed and presented in APA format, including an APA title page, us of headings, and references with in-text citations. Spelling and grammar will be evaluated with this assignment.