To complete this DQ, familiarize yourself with the “Case Study: John Doe – Emergency Department” assignment and document
To complete this DQ, familiarize yourself with the “Case Study: John Doe – Emergency Department” assignment and document. Which members of the interdisciplinary team are utilized upon the patient’s arrival to the ED? Discuss the responsibilities of each team member at this stage in the patient’s care.
Topic 1 DQ 1
To complete this DQ, familiarize yourself with the “Case Study: John Doe – Emergency Department” assignment and document. Which members of the interdisciplinary team are utilized upon the patient’s arrival to the ED? Discuss the responsibilities of each team member at this stage in the patient’s care. Once the patient is stabilized in the ED, what discharge planning would be initiated even though the patient will not be discharged yet?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Expert Answer and Explanation
Members of the Interdisciplinary Team Involved in Seeing the Patient on Arrival to ED and their Responsibilities
When John Doe initially presents at the Emergency Department (ED), part of members of the team involved in responding to his health care needs is cardiorespiratory physiotherapist. Their responsibilities include examining the status of the patient’s cardiorespiratory health, and administering clinical interventions like providing supplemental oxygen (Patel, 2021).
The ER Nurse also forms part of the team responsible of managing the patient during the ED visit. This nurse performs primary assessment, determining the seriousness of Doe’s health issues. They are equally involved in collecting data like temperature, blood pressure and other vital signs, and documenting various aspects of Doe’s health data.
As a member of the interdisciplinary team, the ER Physician works in collaboration with the ER Nurse, performing complete evaluation of the patient’s physical health (Donelan et al., 2020). Their role equally involves interpretation of the diagnostic tests processed by the lab technicians, and preparing an intervention plan based on the patient’s assessment and diagnosis outcomes (Patel, 2021). Furthermore, they order a radiologist to scan the patient’s lungs and other organs which yields vital data that supports interpretation.
The Discharge Planning
Planning for discharge is crucial in the sense that it promotes health outcomes during the post-discharge. When planning for the discharge, the first step is to assess Doe’s access to support system, and conditions like housing status. This is important because these factors influence the patient’s recovery. The next step involves communicating with Doe’s primary care provider, which is fundamental in this case because it ensures proper management of the patient’s health needs (McDonald et al., 2022). The next step is to educate the patient, emphasizing the need to minimize behaviors or exposure to conditions that may exacerbate the patient’s illness.
References
Donelan, K., DesRoches, C. M., Guzikowski, S., Dittus, R. S., & Buerhaus, P. (2020). Physician and nurse practitioner roles in emergency, trauma, critical, and intensive care. Nursing outlook, 68(5), 591–600. https://doi.org/10.1016/j.outlook.2020.04.010.
McDonald, V. M., Harrington, J., Clark, V. L., & Gibson, P. G. (2022). Multidisciplinary Care in Chronic Airway Diseases: The Newcastle Model. ERJ Open Research, 8(3), 00215-2022. https://doi.org/10.1183/23120541.00215-2022.
Patel, I. (2021). Integrated Respiratory Care. Clinics in Integrated Care, 6, 100053. https://doi.org/10.1016/j.intcar.2021.100053.
Topic 1 DQ 2
For patients coming in with severe injuries, discuss what nonmedical resources nurses can provide for the patient and family after initial injury.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Expert Answer and Explanation
Nurses have various options when it comes to the nonmedical resource they can recommend for patients that presents to the ER with serious injuries. Considering the significance of patient education in supporting recovery, the patient would benefit from resources focused on improving their health literacy especially when it comes to the management of wound and appropriate use of medications.
The rehabilitation of a patient with injuries is crucial especially when it comes to achieving long-term healthcare goals. Regarding rehabilitation, the resources that nurses may consider include the names of the websites with details pertaining to the physical locations of the facilities that provide rehabilitation services, ranging from neurological to the musculoskeletal rehabilitation (Mackintosh et al., 2020). They may also refer patients to the home healthcare programs particularly for patients with limited access to social support.
The community support is necessary for injured patients during their recovery journey. Providing support for the physically incapacitated patients may involve linking them with the volunteers that provide free meals. Alternatively, they may coordinate with religious leaders to help provide the necessary spiritual support which essentially promotes the patients’ recovery (Giannoudis et al., 2023).
Injuries that hamper one’s ability to work can cause financial strain especially if they are the primary providers for their family members, which can be a significant source of stress. Accessing treatment can equally be a challenge with limited finances. Therefore, financial support for patients with injuries is critical. This kind of support takes various forms including guiding the patient on how they can apply for the financial assistance from the hospital (Jhunjhunwala et al., 2024). This support also involves assisting the patient to prepare the documentations for compensation claims. Thus, nurses act as the link between patients and the different resources that help the patient recover.
References
Giannoudis, V. P., Rodham, P., Giannoudis, P. V., & Kanakaris, N. K. (2023). Severely injured patients: modern management strategies. EFORT open reviews, 8(5), 382–396. https://doi.org/10.1530/EOR-23-0053.
Jhunjhunwala, R., Jayaram, A., Mita, C., Davies, J., & Chu, K. (2024). Community support for injured patients: A scoping review and narrative synthesis. PloS one, 19(2), e0289861. https://doi.org/10.1371/journal.pone.0289861.
Mackintosh, N. J., Davis, R. E., Easter, A., Rayment-Jones, H., Sevdalis, N., Wilson, S., Adams, M., & Sandall, J. (2020). Interventions to increase patient and family involvement in escalation of care for acute life-threatening illness in community health and hospital settings. The Cochrane database of systematic reviews, 12(12), CD012829. https://doi.org/10.1002/14651858.CD012829.pub2.
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