Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RC Study > Inter-professional collaborative practice CBM + Oxford > Flashcards

Inter-professional collaborative practice CBM + Oxford Flashcards

1
Q

List 6 Canadian Interprofessional Health Collaborative (CIHC) Competencies for Interprofessional Colloborative Practice

A
  1. Role clarification
  2. Team functioning
  3. Patient centred care
  4. Collaborative leadership
  5. Interprofessional communication
  6. Interprofessional conflict resolution
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List the domains of potential suffering / issues associated with illness/bereavement for a patient and their family.

A
  • Main
    • Physical (disease management)
    • Psychological (Loss/grief)
    • Social/cultural (practical issues)
    • Spiritual (End of life issues)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which 2 CanMEDS roles are in the forefront of inter-professional care?

A
  • Collaborator
  • Communicator
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do you define a team?

A
  • one or more members
  • working toward one or more common goals
  • has defined communication processes
  • some interdependency
  • members have mutual respect, trust and commitment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

List x differences between multidisciplinary and interdisciplinary teams

A

Multidiscplinary teams

  • one or more care providers from different professions or different discplines within a profession.
  • Each separately assesses the situation and works with patient/family to achieve the goals.
  • Each provides their own expertise, one person makes treatment decisions.
  • Cooperate and coordinate care strategies while each stays committed to their own profession.

Interdisciplinary teams

  • care providers from different disciplines or professions
  • AND the patient and/or family
  • exchange knowledge, expertise, to achieve common goals and consensus.
  • Shared decision making
  • Shared expertise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List and describe the stages or processes of

team development

A
  • FORMING
    • enthusiasm, anxiety
    • Need direction to ID goals
  • STORMING
    • conflicts arise, self-oriented behaviour
    • role confusion
    • need conflict management
  • NORMING
    • collaboration
    • greater team cohesiveness
  • PERFORMING
    • high performance with innovative energy
    • leadership is shared between members
  • ADJOURNING
    • as team members leave/are replaced, team may revert to its earlier stages
    • work on smooth transition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List x benefits of using a team approach in palliative medicine

A
  1. Multiple resources = creative solutions
  2. Shared responsibility = less caregiver burnout
  3. Greater likelihood that all patient and family needs will be identified and addressed
  4. Enhanced support for better communication
  5. Seamless consistent care experience
  6. Greater understanding and respect for unique skills and perspectives of various disciplines
  7. Greater job satisfaction if staff feel valued and included.
  8. Possible reduced hospitalization time and costs
  9. Possible reduced unanticipated admissions.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some challenges of team work which may affect palliative care?

A
  • individuals each have cognitive map
  • can look at same situation not see the same thing
  • have to learn to appreciate others’ maps
  • Role ambiguity or role conflicts
  • Situation awareness
    • Engestrom’s knotworking theory
    • all team members drawn together in a knot around common health situation related to patient’s needs
    • Knot is at centre of team’s relationships
    • as issues change, the threads of each member’s contributions are picked up or dropped as needed.
    • need to respect other’s competencies
    • assess needs and complexity of the knot
    • assess demands on each member, patient and family
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List x other care professionals you might involve in a hospital (or community) setting on the palliative care team.

A
  • patient /family member
  • physician
  • nurse
  • social worker
  • spiritual care
  • administrative support
  • psychology
  • OT
  • PT
  • dietitian
  • pharmacy
  • recreation therapy
  • music therapy/ art therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are come challenges to virtual collaborative care?

A
  • concerns re: privacy
  • concerns re: confidentiality
  • difficulty appreciating nuances in perspective
  • limited time
  • no clear leadership
  • few opportunities to work on process
  • need high situation awareness
  • need well developed collaborative competencies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Who are the members of a team?

A
  • 5-15 people (20 max)
  • Core members (full time) governed by team policy
  • Associate members (can be part time or intermittent), not governed by policy or managed by team leader
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fill in the table of characteristics of effective teamwork

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the role of the team leader?

A
  • management
  • professional challenges
  • motivation
  • policy
  • keep purpose and goals
  • build committment
  • build confidence
  • strengthen mix and skill level
  • manage external relations / obstacles
  • do real work
  • create opportunity for others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List x characteristics of an effective team

A
  • communication
    • physical proximity, meetings
  • cohesion
    • feeling of belonging, shared enjoyment, pride, good feedback
  • mutual respect
  • goals
  • purpose
  • leadership
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the modern hospice movement

A
  • St Christopher’s Hospice in London
  • Created by Dame Cicely Saunders
  • 1967
  • Multi professional team work to relieve total suffering was cornerstone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where was the first inpatient palliative care unit?

A
  • Dr. Balfour Mount (surgeon)
  • Establish first PCU at Royal VIctoria Hospital in Montreal
  • 1975
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe types /settings of teams in palliative care

A
  1. Specialized PCU
  2. Hospice teams
  3. Extended interdisciplinary medical team (ortho, ID, anesthesia, oncology, urology, GI, psychiatry)
  4. Nursing homes
  5. Palliative care consult team - hospital
  6. Palliative care consult team - community
18
Q

List goals of a palliative care consult team

A
  • work alongside hospital admitting team
  • advise on symptom control
  • support relatives in difficult decisions and grief
  • Educate staff in palliative care
  • liaise with hospice and home care
19
Q

Describe how a hospital palliative care consult team might provide consultation

A
  • Advice and guidance to professionals without direct contact with the patient
  • Single visit for assessment and advice
  • Short term interventions with patients and families for specific problems
  • Ongoing contact for multiple, complex problems
20
Q

What three domains should teams be evaluated in?

A
  • Structure
    • job descriptions, systems for referral, feedback, symptom assessment tools
  • Processes
    • # referrals, referral time, time expenditure, urse of sx ass tools
    • Communication and documentation (records, d/c summaries)
    • Internal processes (team functioning, performance)
  • Outcomes
    • changing practice, improved symptom control, patient/family satisfaction…
21
Q

Miller’s Pyramid Model of Assessment (teaching)

A
  1. Knows (MCQ)
  2. Knows how - matching questions, portfolio
  3. Shows how - OSCI, simulated patient assessment
  4. Does - feedback, direct observation,
22
Q

Benefits of certification in hospice and PC nursing

A
  • proven competency
  • access to national network of experienced nurses
  • demonstrated commitment to practice
  • dedication to professional development
  • asset to employer
23
Q

Benefits of having palliative care nurses

A
  • improved care
  • better symptom control
  • better patient outcomes
  • QOL
  • cost effective
24
Q

“Occupation” in occupational therapy

A
  • Self care / ADLS, iADLS
  • Productivity
  • Leisure
25
Q

Core skills in Occupational therapy

A
  • collaboration with patient
  • assessment of function, potential, limitations, ability, needs
  • enablement
  • problem solving
  • activity as a therapeutic tool
  • group activities
  • environmental adaptation
26
Q

Equipment and Aids: Bed transfers

A
  • back rests
  • mattress lifter
  • leg lifter
  • blocks to raise bed height
  • sliding sheets
  • hospital bed
  • hoists and slings
27
Q

Equipment: Toilet transfers

A
  • varying height toilet seats
  • frames
  • grab rails
  • commode
  • urinals
28
Q

Equipment : Bath and shower aids

A
  • Bathboards
  • Bath seats
  • hydraulics for lifting
  • grab rails
  • shower seats
29
Q

Equipment: chair transfers

A
  • blocks to raise chairs
  • high back
  • firm armrests
  • riser recliners to assit to sit/stand
30
Q

Equipment : Car transfers

A
  • sliding boards
31
Q

Equipment : mobility aids and stairs

A
  • Walkers
  • wheelchairs
  • motorized scooters
  • PT

Stairs:

  • handrails
  • stairlifts
  • elevators
32
Q

Equipment: meal aids

A
  • jar openers
  • non slip mats
  • specialized cutlery
33
Q

OT: Management of cognitive impairment

A
  • observation during functional activities
  • assessment for deficits
  • safety assesment
34
Q

OT Skills: What is required for indepedence in ADLS?

A
  • motor skills
  • sensory skills
  • cognition
  • intrapersonal skills
  • interpersonal skills
  • self maintenance (toileting, dressing, feeding)
  • productivity (working, shopping, cooking)
  • Leisure activities
35
Q

Goals of music therapy

A
  • supportive validation, enhance contemplation
  • increased self awareness and self discovery
  • symptom relief and relaxation
  • connectedness
  • aesthetic and spiritual experience
  • support expression of grief and bereavement
36
Q

Roles of the dietician

A
  • treating altered taste and smell
    • avoid food aversions
  • treating oral thrush and ulcerations
    • alters taste- cold fluids, oral hygiene
  • treating nausea and vomiting
    • meds, small freq meals, fluids after meals (not with).
  • treating dysphagia
    • pureed foods, supplements, PEG
  • respiratory distress/aspiration
    • pre medicate before meals, loose clothes, relaxaton, small meals
  • early satiety
    • small meals freq, po consumption when feels well
  • altered bowel function
    • constipation or diarrhea
    • pancreatic enzymes
    • increase fibre
  • fatigue/lethargy
    • eat when feel well, avoid foods that need ++ chewing
  • reduced saliva and consistency:
    • artificial saliva, gel, gum, candy, oral hygiene
37
Q

SLP : Common communication issues in Pall Care

A
  • Dysphasia (understanding or using spoken language)
  • Dysarthria (motor weakness)
  • Dyspraxia (difficulty forming sounds, words)
  • Dysphonia (vocal impairment)
38
Q

SLP interventions for communication

A
  • augmentation
  • alternative communication
  • paper, picture charts, tablet, typing with auditory output
39
Q

Art therapy : goals of therapy

A
  • creative attitude
  • increased sense of control
  • communication of mental/emotional state
  • wider range of expression
  • increased insight into patient behaviour
  • release of emotions
  • increased self esteem and efficacy
  • positive coping
  • reduction in symptoms
  • QOL
40
Q

Pharmacy in palliative care : Roles

A
  • appropriateness of medication orders
  • Right patient, right drug, right time
  • counselling and education for patients
  • ensuring patients understand and follow directions
  • compounding non standard formulations
  • consider financial concerns
  • ensure safe and legal disposal of meds after death
  • effective communication with regulatory and licencign agencies
41
Q

Rehab in palliative care : roles

A
  • short targeted rehab, often no functional improvement
  • goals can be focused on caregiver training re: safety and independence
  • exercise regimes
  • education positioning
  • skin integrity
  • pain control
  • continence / elimination
42
Q

When should you refer to palliative rehab services?

A
  • new difficulty with IADLS
  • decrease in mobility
  • frail, ill, disabled
  • recent hospitalization
  • sig change in status
  • symptoms interfering with function

RC Study (80 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions