Case Study: Clinical Analysis.

Running Head: CASE STUDY: CLINICAL ANALYSIS
CASE STUDY: CLINICAL ANALYSIS
Name of the Student:
Name of the University:
Author Note:

1CASE STUDY: CLINICAL ANALYSIS
Introduction:
Since most individuals grow older, they continue tired out their bodies and they start
getting more health issues. Older patients also require more medical attention than most,
regardless of that. Much of that would often allow a geriatric nurse (Boltz et al., 2016) to
maintain clear medical reports and communicate with the treatment consistent with the
instructions of the doctors of the individual patients. Geriatric nurses are also liable not just for
their patients 'physical well-being, but sometimes for their emotional and psychological well-
being. Sometimes, elderly patients look morose or angry because of factors such as loss of
fitness, lack of control, and alienation from loved ones. While a geriatric nurse, one can hold a
careful watch on these patients and seek to be supportive and optimistic, even at the most
stressful moments (MacLeod et al., 2016). The multidisciplinary partnership strategy plays an
extremely significant function in treating and caring for older people, delivering assistance to
caregivers and communities and encouraging them to respond to illness and recovery strategies
as such that it offers psychosocial therapy, patient and family awareness, discharge preparation,
and post-hospital care. The paper below discusses the case study of Peter, a 72 year old man who
had been suffering from a range of chronic diseases and always had a panic stricken life of
something happening to him (Tkatch et al., 2017). The paper helps in demonstrating the
multidisciplinary approach taken towards treating Peter along with the incorporation of
community nursing while dealing with his case. The article helps in critically analyzing the case
study of paper and states the benefits of the Health care program that is being provided to Peter.

2CASE STUDY: CLINICAL ANALYSIS
Discussion:
Multidisciplinary Team Involved in delivering care to Peter and their individual
roles:
A good intrusion mitigation approach includes commitment and collaboration within a
multidisciplinary team. Nurses have generally been recruited to be part of the MDT based on
competence in overseeing their area of specialization within CKD, and based on prior
involvement in team-oriented treatment, which is the model for chronic illness treatment within
the comprehensive program (Harrison et al., 2015). The MDT team then worked regularly to
discuss the continuing treatment processes. The elements of team treatment involved an
workshop with analysis of patient information manuals on CKD, drug intervention monitoring
and prescription reconciliation, nephrology assessment with specialist guidelines regarding
hypertension, DM and CVD comorbidities. The key goal of Peter's case MDT team is to
determine and provide emphysema therapies to enhance the quality of life for people with COPD
(Chew & Mahadeva, 2018). The MDT is named MDT hyperinflation. The MDT framework can
differ with local knowledge and experience. The operation has grown over the years to provide
more than one person representing each specialization and strengthening the unified routes. It has
also grown to account for the through amount of referrals provided and also improved for the
continued development of the operation. Strong working partnerships and an annual half-day
meeting to discuss all aspects of the road have been vital to our progress, providing oversight,
evaluating all deaths and creating fresh ideas. In the case of Peter, the MDT is led by a COPD
physician (we know other MDTs have other specialties as leads) and includes core members as
such as administrator, thoracic radiologist, COPD specialist nurse, thoracic surgeon,
interventional bronchoscopist, and respiratory physiotherapist. Many members of the larger

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MDT include a transplant surgeon, a breathlessness management provider (part of the palliative
care team) and a pulmonary physiologist (Siouta et al., 2016). MDT management could have
resulted in better treatment and safety, but MDT activities need to be successful and organized
with strong leadership and key stakeholders buying into the idea and their position in the MDT.
Crucially, the MDT ethic will be that of transparent and fruitful dialogue to insure that each
particular patient has the right solution selected. COPD is a complicated disorder and in patients
with serious emphysema where LVR is required, expert evaluation and thorough risk / benefit
calculation is crucial to producing successful outcomes. To customize the correct LVR therapy
for individuals, the National Institute of Clinical Excellence (NICE) advises an MDT strategy
with experience in treating emphysema. The physical and occupational therapists play an
important role in releasing the patients’ contracted joints and relaxing spasticity. Swallowing
capacity and inadequate feeding requires a speech therapy and dietician to make an accurate
evaluation of the swallowing skill of Peter and thereby enable the individual to be able to feed
more efficiently. Dietary nutrients are provided where appropriate. Weight reduction approaches
will provide a multidisciplinary strategy to support Peter control his hypertension (Clarke &
Forster, 2015), including nutritional counseling, improved physical exercise and behavioral
intervention can be suggested. Registered dietitians are especially ideally qualified to evaluate
the client's concerns for obesity and sometimes certain underlying dietary problems, establish
clinical plans that incorporate various food issues into consideration, using specific therapy and
behavioral modification approaches to create challenging improvements in behaviour and track
recovery and intervention methods. There are already sympathomimetic appetite suppressants
available, but they can be correlated with elevated blood pressure and have restricted weight loss
efficacy. The social worker offers physical and clinical assistance and acts as a coordinator and

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advisor for government services, clinics and LTCs. Adherence to the weight reduction regimen
should be promoted, and can also help Peter get into school, fix misunderstandings, enhance
family and social support, and regular counseling and supervision.
Assessing the facilitators and barriers of interdisciplinary team working in primary
care:
In addition to ensure cost-effective and quality treatment, interdisciplinary team-work is
of vital significance to primary care reform (Cohen et al., 2015). Nevertheless, worldwide
literature indicates that, in certain healthcare countries, it is not standard procedure. The
awareness of the mechanisms and challenges to the delivery phase is crucial. The latest study
used the word "interdisciplinary unit" as a general umbrella phrase for health-care staff that
involves a variety of health-care personnel, including practitioners and non-specialists, the bulk
of which are practitioners. Policies around health care networks encourage interdisciplinary
primary care research and equate it with enhancing clinical care safety and productivity through
beneficial effects on both patients and professionals alike. Such initiatives "top down" encourage
the creation of interdisciplinary research in primary care settings. "Top down" strategies
encouraging interdisciplinary teams employed in Peter's primary care (Cohen et al., 2015) are
apparent across foreign contexts, with the implementation mechanism being pushed to render it a
consistent and systematic way of operating.
There is a lot of information on the challenges and issues that primary care practitioners
face in seeking to operate through professions together. In addition, several analyses have
synthesized the data on particular topics such as working doctors and clinicians, and surveys
have been performed on the application of teams operating in primary care in different
institutional environments or through environments. A healthcare program (Brown et al., 2016)

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can be implemented that shall help Peter as well as encourage successful collaboration will
increase patient care efficiency, strengthen patient protection and reduce workload challenges
that cause burnout in healthcare professionals. Yet, although many patients, providers, health
practitioners, and decision-makers might be ready to accept integrated healthcare, existing policy
and structure challenges serve as obstacles that impede the transition to team-based healthcare
(Supper et al., 2015). There has been proof of increased coordination and coordinated treatment
to enhance efficiency in other areas of the healthcare sector, including primary healthcare and
environmental wellbeing. Latest studies on health human resources have indicated that
collaboration may be an important way to enhance the standard of treatment and patient
protection, as well as growing workforce shortages and tension and burnout in healthcare
personnel. Recent research has found that collaboration can minimize workloads significantly;
maximize employee satisfaction and retention; boost patient efficiency; and decrease patient
morbidity.
Role of community nurses in Australia within a Health Care program:
Community health nurses interact for individuals with several diverse ethnic groups,
particularly including poor and vulnerable citizens. Nurses in urban health operate in
collaboration with their local neighborhoods to reduce infection and encourage wellbeing over
lifetime by addressing obstacles to healthier habits and overall wellness. We partner alongside
families and neighborhoods and encourage patients that are seeking services and alter unsafe
habits to support residents in their households alongside post-acute treatment. Here in the case
study, it can be seen that Peter was helped efficiently by the nurse to register his name in the
electronic records through Medicare, which in turn proved to be helpful for Peter to keep all his
medical information stored at one particular place. Electronic health record (EHR) is a

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significant move toward encouraging co-ordination of treatment. The EHR helps doctors who
handle patients in a number of environments to share and regularly monitor the health records of
a individual, and then display the knowledge in clear therapeutic groupings that all practitioners
may quickly view. Disease control companies employ computer surveillance services to optimize
treatment by recording insurers 'status of patients allocated to them. Insurers usually pay risk
prevention agencies to treat their chronic illness (Matthew-Maich et al., 2016) customers in an
effort to maintain the condition under control so as to avoid the recurrence of complications and
the usage of costly health care facilities. To order to track a particular patient’s conditions, nurses
notify the designated patients and regularly advise the doctors of the patients about the correct
treatment plan. When the EHRs of the disease control firms were able to match up with the
EHRs of the doctors, the nursing administrators, primary care physicians and specialists could
strengthen their care. Community health care nurses establish an interpretative link between the
emergency and community welfare industries. They promote a wellness justice paradigm for
campaigning and offering the population seeking treatment a forum. Nurses in community health
are trained to improve the treatment services, prescription processes and access to care in a
framework that is also confusing and challenging to manage. These new positions enable nurses
to play a larger role in enhancing patient care and the safety of the community and in minimizing
costs. Nurses in different positions achieve so by reducing needless and wasteful hospital
readmissions and preventable medical complications, rendering health treatment more
accessible, more comfortable and more patient-centered in community-based environments, and
more. Today, nurses perform key positions in integrating treatment from various agencies,
handling patient caseloads with acute medical demands, and helping people transition out of
hospitals back into their home or other environments. They are trained as "safety mentors" and to

7CASE STUDY: CLINICAL ANALYSIS
deter sickness and encourage longevity in many respects. And they are charting new directions in
developing areas such as telehealth, computer science, robotics and genomics, and as scientists
and community representatives.
Symptom plan to determine Peter’s condition:
Advances in medicine, technology and pharmaceuticals indicate that many illnesses
deemed devastating just a few decades earlier have become medical problems that can be
handled today. Particularly the elderly, as noted in the case study, Peter is now living for long
periods with one or more chronic illnesses. The current paradigm (Chiauzzi, Rodarte &
DasMahapatra, 2015) causes many doctors to change the emphasis of treatment they give to
serious, incurable conditions such as cardiac and renal failure, arthritis, osteoporosis, and, among
others, chronic obstructive pulmonary disorder (COPD). Open communication is equally
important as each health care program includes many means of communication and need to
prepare management and personnel to use correctly and efficiently. If any one of these coping
strategies fails, there can be a danger of patient health. A small mistake in printing might result
in inaccurate dosages, or insufficient records might preclude a doctor from hearing about a
critical allergy. Understanding how traditional forms of communication operate is the first phase
in ensuring that a facility operates as efficiently as possible, for the benefit of both the patient
and the doctor. Transitions in treatment, particularly in complicated chronic situations, are
commonly deemed vulnerable points where coordination breakdowns may contribute to
accidents affecting patient health. Telemedicine (Ringbæk et al., 2015) is widely adopted by
health care practitioners, and includes the usage of a range of internet-connected devices to
support patients remotely. Hospitals and other health care agencies, in order to establish more
effective contact systems, using internal electronic networks called intranets. This makes the

8CASE STUDY: CLINICAL ANALYSIS
exchange of medical information and contact through divisions even simpler. What had been
previously transmitted through written reports and documents can now be electronically
exchanged within the company and distributed to other organizations. Telemedicine reaches
much farther, empowering people from the convenience of their own homes to seek medical
attention and guidance. Using state-of - the-art networking devices, patients and health care
professionals will address health issues via video messaging, sometimes removing the patient's
desire to travel to the provider's office. This not only lowers expenses for both the supplier and
the customer but also provides a smooth working process for those concerned. After all, patients
may play a significant role in treating their own chronic illness successfully-whether by
commitment to medicine, physiotherapy (Murray et al., 2015), or changing their lifestyle (Bell et
al., 2016). Doctors collaborating with other healthcare professional can help making joint
choices, which shall help to create a compromise between achieving treatment priorities and
providing optimal quality of life.
Enhancement of Patient-centered care coordination:
It is best to follow a patient-centered strategy that recognizes individual patient interests,
wishes and beliefs and is sensitive to these. Doctors can warn patients about their illness
prognosis, how the illness can impact their lifestyle and recommend ways to deal with
improvements to their routine. It may also be daunting for people to stick to recovery schedules.
In the case study, the doctors will take action to teach Peter about the illness they are diagnosed
with, promote adequate self-care (Bell et al., 2016), reinforce crucial knowledge regarding the
disorder, and discuss explanations why adherence could be challenging for the individual
infected patient (Moore et al., 2017). There may be several common medical conditions of
elderly people, so it can be challenging to manage such sometimes overlapping illnesses. Of

9CASE STUDY: CLINICAL ANALYSIS
example, some medications of heart failure may trigger blood pressure to decrease, leading to
falls and injuries that bring patients into long-term care facilities. The best way is to learn the
dangers and possible effects of various treatment approaches, and address them with the aged
patients and their caregivers. If it comes to managing numerous medical illnesses, elderly
practitioners such as Peter, no matter how old, will be included in the decision taking phase.
Benefits of including a pharmacist in Peter’s case:
Community pharmacists (Dalton & Byrne, 2017) are the most available to the public
health care practitioners. They distribute drugs according to a prescription, or market them
without a prescription, if lawfully allowed. In addition to maintaining reliable availability of
correct drugs, their clinical responsibilities often provide medical care at the point of prescription
and non-prescription medication distribution, substance awareness to health providers,
consumers and the general public, and involvement in wellness education initiatives. They
maintain ties with many key health care providers. Peter is found to be enrolled in the Health
care home, where he would be getting benefits by collecting and applying knowledge on the past
of Peter's medicines. Furthermore, clarifying Peter's interpretation of the expected dose schedule
and administration process will help to encourage Peter with his everyday medication routine.
Furthermore, informing the patient on drug-related measures can help to track and assess the
therapeutic reaction further.
Conclusion:
Many effective approaches in chronic illness treatment include the primary care provider
delegating accountability to team leaders for ensuring patients access validated health and self-
help support resources. The team becomes also more successful with the introduction of

10CASE STUDY: CLINICAL ANALYSIS
additional fields such as medicinal medicine or nursing case management.8 Productive chronic
illness interventions aim to leverage the team's diverse expertise while incorporating the
following techniques. Medicine developments also expanded the amount of medical diseases that
can be managed safely but they often raised the difficulty of regimens. Identifying or
incorporating staff members to create better concordance between physicians and patients with
complicated care plans has dramatically increased results of many chronic conditions. The paper
above critically analyses the different aspects of the case study and makes a clear understanding
of the role played by the nurses in community healthcare program. Lastly, the paper notes that
the integration of such multifactorial factors involves participation outside the boundaries of one
field and stresses extension that needs a multidisciplinary team, and stresses a holistic
methodology that incorporates the multiple forces. Many cases with occurrence of PU are
reducible by anticipatory screening and the formulation of a preventive plan for the at-risk
elderly. Both therapeutic elements are accomplished by treating the root factors and potential
triggers of the PU geriatric disease associated with them.

11CASE STUDY: CLINICAL ANALYSIS
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