Healthcare and Interprofessional Collaboration

This assignment delves into the realm of healthcare and interprofessional collaboration, examining the intricacies of this crucial aspect of patient care. It explores various studies and resources that highlight the significance of interprofessional collaboration in enhancing healthcare outcomes, including publications such as 'The state of health care and adult social care in England in 2011/12', 'How can we improve cancer care?', 'Can interprofessional collaboration provide health human resources solutions?' and more. Additionally, it touches upon ethical considerations in healthcare, supply chain management, and the importance of effective communication among healthcare professionals.

Nursing Case study

Table of Contents
INTRODUCTION...........................................................................................................................1
DISCUSSION..................................................................................................................................1
PART 1............................................................................................................................................1
1.1 Interpretation of charts.....................................................................................................1
1.2 Relevant pathophysiology to Mrs Anthony’s abnormal results.......................................1
1.3 Nursing care plan for Mrs. Anthony.................................................................................2
Evaluate a plan of care for adults presenting with acute health problems.............................3
PART 2............................................................................................................................................4
Inter-professional model of care for management of adults with acute health problems......4
Pharmacological knowledge & principles in management of care for adults with acute health
problems.................................................................................................................................4
Legal and ethical considerations in caring for adults with acute health problems.................5
Principles of quality, safety and risk management in caring for adults presenting with acute
health problems......................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................9
APPENDIX....................................................................................................................................11

INTRODUCTION
Nursing is a kind of medical profession in which a person have various role so
responsibilities towards patients and other relevant activities. A registered nurse utilise nursing
knowledge and complex judgement to assess health needs and provide care to required
individuals. They may practices in variety of clinical contexts depending upon their educational
educational preparation and practice experience (Chinn, 2011).
Below mention report is based on case study of individual person named as Mrs. Marla
Anthony who is suffering from hypoglycaemia. This assignment will discus about roles of
registered nurse in relation to consent & mandatory reporting. It also includes explanation for
registered nurse standards for practice along with impacts of these norms on roles of nurse
(Doherty and Purtilo, 2015). The cultural, legal and ethical considerations for infants, children &
young people along with framework to minimise heath issues by health promotion, quality
safety, risk management are given below.
DISCUSSION
PART 1
1.1 Interpretation of charts
According to reports of pathological tests of Mrs. Anthony, it is advice to monitor blood
glucose level (BGL) in every 4 hours so that appropriate steps can be taken immediately due to
analysed some abnormalities in the same. She is nil by mouth orally and not able to eat anything
comfortably because of her weak or unstable situation. It is also interpreted that her regular urine
testing results: 53, 67, 27, 85, 101, 95, 76, 85 and 92. A device is utilising for draining urine on
regular basis which is known as IDC that is Indwelling Urinary Catheter (Ogden, 2011). This
IDC is inserted into bladder of Mrs. Anthony via urethra and remains in situ to drains urine.
1.2 Relevant pathophysiology to Mrs Anthony’s abnormal results
The hypoglycaemia is kind of health issue which can affect people with both Type 1 and
Type 2 diabetes and can be divided into two sections such as Fasting hyperglycaemia and
postprandial or after-meal hyperglycaemia. In case of Mrs. Anthony she is suffering from Type 2
diabetes in which extremely high blood sugar can lead to potentially deadly condition in that
body process sugar. It is known as hyperglycaemic hyperosmolar nonketotic syndrome (HHNS)
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in which urine may become dark and a patient get severely dehydrated. It is essential to change
regular eating habits to control sugar levels along with taking required medications on time
(Coleman and et. al., 2012). Kind of hypoglycaemia can be determined by carrying out blood test
or urine test of patient in an accurate manner to find out actual problems. Several early
symptoms which can be observed are explained further –
 Impaired insulin secretion through a dysfunction of the pancreatic β-cell
 Impaired insulin action through insulin resistance
 Plasma insulin concentration is insufficient to maintain normal glucose homoeostasis.
There are various kinds of medications which should be provided but patient have to
change habits and adopt healthy activities on regular basis to maintain sugar level to stay well
being.
1.3 Nursing care plan for Mrs. Anthony
In case of Mrs. Anthony, she is suffering from hypoglycaemia in which fasting plasma
blood sugar levels are less than 50 mg /%. Apart from this, she was admitted to emergency
department (ED) post multi-trauma of car versus tree at a high speed which results into several
problems like, multiple fractures in both legs from impact, nil loss of consciousness, mild smoke
inhalation from being trapped in the car for 15 mins, but no external burn injuries and nil known
allergies (Bauman And et. al., 2012). She needs an effective treatment including oxygenation and
other requirements medications to make her stable.
A nursing plan for Mrs. Anthony which involves several interventions:
 Check serum glucose before and after meals.
 Monitor: glucose, pallor, cold sweat, skin moist.
 Monitor vital signs.
 Monitor consciousness.
 Monitor sign of nerves, irritability.
 Perform oral administration of sweet milk 20 cc X 12.
 Analysis of environmental conditions that could potentially cause hypoglycaemia.
 Weight checks every day.
 Check for signs of infection.
 Avoid the occurrence of hypothermia.
 Collaborate provision of oxygenation.
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The mechanism includes to provide health services via hormones like insulin, glucagon,
adrenaline, cortisol and growth hormone to maintain blood sugar levels of Mrs. Anthony.
Glucagon helps to liver for increasing glycogenolysis and gluconeogenesis to maintain
concentrations properly. In case of Mrs. Anthony, it is necessary to use hyperbaric oxygenation
treatment in chamber of patient because increase in activity of insulin-receptor sites and changes
in insulin sensitivity due to up regulation of PPAR signalling associated with hyperbaric oxygen
to gain better results.
Evaluate a plan of care for adults presenting with acute health problems
There are various kinds of health issues are observed in health care sector which has their
own causes, symptoms and diagnosing criteria (Moorhead and et. al., 2018). It is necessary for
medical professionals to remain careful while carrying out treatment procedure by
communicating properly to share correct information about particular patient. According to given
case, medical team may follow a care plan which is given below:
Nursing interventions Rationale
Priority 1: Assess readiness to learn and
individual learning needs
Patient is in such condition to undergo with
diagnosis and determine stress due to lack of
knowledge for treatment. It includes support of
family and friends to remain comfortable for
taking any medication (Care Quality
Commission, 2012).
Priority 2: Establish priorities in learning It is required to determine urgent priorities of
patient which facilitates to put efforts in correct
direction to solve health issue immediately.
Priority 3: Develop client’s objectives for
learning
The main objective is to solve health problem
of hypoglycaemia by using appropriate drugs
or other medications.
Priority 4: Identify teaching methods fit for the
client
Ensure about planning to be conveyed to whole
team of treatment with clarify every required
aspect.
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Priority 5: Facilitate learning It is necessary to provide proper information
along with clarifying every doubt of patient
(Runciman, Merry and Walton, 2017).
Priority 6: Promote wellness It includes to put appropriate efforts to conduct
correct diagnosis for making patient disease
along with promoting wellness in society
PART 2
Inter-professional model of care for management of adults with acute health problems
The inter professional model can be described as to collaborative activity in which
different care givers collaborate their different skills for carrying out diagnosis (Gagliardi,
Dobrow and Wright, 2011). It will provide support to conduct more effective as well as
efficiently to gain better outcomes by making patient healthy. According to the case of Mrs.
Marla Anthony, the medical specialists make team of potential professionals and then utilise best
efforts to make patient healthy by solving health issues in proper manner. Moreover, it includes
the criteria of utilise several effective abilities through working in team and put overall efforts to
make patient disease free. Benefits of inter professional model are explained further –
 Specialists become capable to work more efficiently along with positive experience.
 It will provide support to medical professionals for developing better skills or abilities
which helps to conduct diagnosis in future.
 Additionally, this model facilitates to render more beneficial medical services to patient.
Pharmacological knowledge & principles in management of care for adults with acute health
problems
The hypoglycaemia is kind of health problem in which blood sugar level of an individual
become very low which is considers as main source of energy for human body (Suter and et. al.,
2012). Moreover, it is essential for people to take immediate treatment when sugar levels are at
70 milligrams per decilitre (mg/dL) or 3.9 millimoles per litre (mmol/L) or below. There are
various kinds of symptoms which can be determined such as an irregular heart rhythm, fatigue,
pale skin, shakiness, anxiety, sweating, hunger, irritability, tingling sensation around the mouth
and crying out during sleep.
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Pharmacology includes knowledge about various kinds of medicines for different types
of health issues to sort out them effectively (Suter and et. al., 2012). According to the given case,
Mrs. Marla Anthony can be treated for hypoglycaemia by using several drugs such as –
 Sulfonylureas (glipizide, glyburide, gliclazide, glimepiride)
 Meglitinides (Repaglinide and nateglinide)
 Biguanides (Metformin)
 Thiazolidinediones (rosiglitazone, pioglitazone)
 α-Glucosidase inhibitors (acarbose, miglitol, voglibose)
 DPP-4 inhibitors (sitagliptin, saxagliptin, vildagliptin, linagliptin, alogliptin)
 SGLT2 inhibitors (dapagliflozin and canagliflozin)
 Cycloset (Bromocriptine)
Principles in management of care: There are several principles of management in care
homes while dealing with any patient and conducting desired diagnosis in an appropriate manner
by putting proper efforts (Matziou and et. al., 2014). Thu it involves various factors such as
managing health care technology, organizational behaviour, modern approach to quality,
healthcare reforms, research for health and medical ethics. In the given scenario, the medical
specialists have to follow overall required principles while providing correct treatment to her for
solving health issue properly.
Legal and ethical considerations in caring for adults with acute health problems
Legal considerations need to consider major legal norms which is implied by legitimate
bodies. For example; they need to fulfils all the necessary requirements. There are various kinds
of legal rules as well as norms which are made by government authorities must be strictly
followed by medical professionals while diagnosing any patient (Engel and Prentice, 2013). As
per given scenario of Mrs. Marla Anthony, her doctors have to consider certain legal
considerations which are as follows:
 It is necessary to follow legal rules while collecting patient identifiable data without
patient consent and required to have justified reason for the same.
 Legislations also considers to take permission from patient or family members before
conducting any particular treatment process.
 Moreover, they cannot share any personal or confidential information about patient to
other person their permission.
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Ethical consideration- It means to every individual either infants, children or young
people is liable to follow certain principles which is set by society as well as essential to meet the
moral standards (Smith, 2015). It includes the criteria to remain loyal with patient and provide
proper information about their condition along with medication as well. There are various kinds
of ethical considerations which should by followed by care providers while carrying out
diagnosing procedure to solve health issues of Mrs. Marla Anthony are explained further –
 Utilising more effective and appropriate models and theories to providing required
services.
 It is essential to apply researched based knowledge of nursing ans science depends of
upon practices.
 Additionally, they have to use certain clinical judgements and decision making skills.
 It is necessary to engage in self reflective and collegial dialogue about professional
practice (Stuart, 2014).
 Moreover, evaluate nursing care outputs through acquisition of data, questioning of
inconsistencies, allowing for revision of actions and goals.
Principles of quality, safety and risk management in caring for adults presenting with acute
health problems
There are various kinds of factors which are required to be considered by medical
professionals while treating any patients. It includes activities or steps relevant to quality, safety
and risks management because they are necessary to provide proper diagnosing to an individual
(Walker and Colledge, 2013). According to case study of Mrs. Marla Anthony, her specialists
have to take care of all these components and ensures quality and safety of medical facilities in
proper manner.
Quality and safety management – It is responsibility of the doctors and other nursing
car staff to provide quality of treatment to the patient with proper safety measures. So their will
be no problem created in future related to treatment. According to the given case, care providers
have to consider several principles while giving medication to Mrs. Marla. Anthony that are
given below –
 All team members are considered caregivers.
 Care is based on continuous healing relationships.
 Care is customized and reflects patient needs, values and choices.
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 Knowledge or information should be freely shared between & among patients, care
partners, physicians and other caregivers (Kukoyi and et. al., 2013).
 Care should be provided in a healing environment of comfort, peace and support.
 Families and friends of the patient are considered an essential part of the care team.
 Patient safety must be considered as a visible priority medical professionals.
 Transparency should be taken as a rule in the care of patient
 All caregivers cooperate with one another through a common focus on the best interests
and personal goals of patient. The patient is source of control for their care because their psychological response
impacts on outcomes of treatment (Aronsson, Abrahamsson and Spens, 2011).
Risk management – Health treatment involve several risk in itself thus, it is duty of
doctor and other staff members in nursing home to provide treatment to the patient in better
manner by minimising risk (Aspinall, 2011). Low sugar disease is major issue which needs
proper diet and physical exercise because it involves several risk related to life. Thus, nurses
have to take major steps in relation to this and minimise level of risk. There are several standards
which hsould be followed by nurses –
 Thinks critically and analyses nursing practice.
 Engages in therapeutic and professional relationships.
 Maintains the capability for practice (Social and Committee on Bioethics, 2013).
 Comprehensively conducts assessments.
 Develops a plan for nursing practice.
 Provides safe, appropriate and responsive quality nursing practice.
 Evaluates outcomes to inform nursing practice
CONCLUSION
The above report had concluded that health care professionals are required to follow
various desired legal and ethical rules while conducting any diagnosis of patient. They have to
follow standards of safety and risks management along with principles of quality maintenance of
services. It also includes discussion of cultural impacts upon making selection of diagnosis by
adults.
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REFERENCES
Books and journals
Chinn, D., 2011. Critical health literacy: A review and critical analysis. Social science &
medicine, 73(1), pp.60-67.
Ogden, J., 2011. The psychology of eating: From healthy to disordered behavior. John Wiley &
Sons.
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Coleman, E. and et. al., 2012. Standards of care for the health of transsexual, transgender, and
gender-nonconforming people, version 7. International journal of
transgenderism, 13(4), pp.165-232.
Bauman, A.E. And et. al., 2012. Correlates of physical activity: why are some people physically
active and others not?. The lancet, 380(9838), pp.258-271.
Moorhead, S. and et. al., 2018. Nursing Outcomes Classification (NOC)-E-Book: Measurement
of Health Outcomes. Elsevier Health Sciences.
Care Quality Commission, 2012. The state of health care and adult social care in England in
2011/12 (Vol. 763). The Stationery Office.
Gagliardi, A. R., Dobrow, M. J. and Wright, F. C., 2011. How can we improve cancer care? A
review of interprofessional collaboration models and their use in clinical
management. Surgical oncology, 20(3), pp.146-154.
Suter, E. and et. al., 2012. Can interprofessional collaboration provide health human resources
solutions? A knowledge synthesis. Journal of interprofessional care, 26(4), pp.261-268.
Suter, E. and et. al., 2012. Can interprofessional collaboration provide health human resources
solutions? A knowledge synthesis. Journal of interprofessional care, 26(4), pp.261-268.
Matziou, V. and et. al., 2014. Physician and nursing perceptions concerning interprofessional
communication and collaboration. Journal of interprofessional care, 28(6), pp.526-533.
Engel, J. and Prentice, D., 2013. The ethics of interprofessional collaboration. Nursing
ethics, 20(4), pp.426-435.
Smith, D. C., 2015. Midwife–physician collaboration: a conceptual framework for
interprofessional collaborative practice. Journal of midwifery & women's health, 60(2),
pp.128-139.
Stuart, G. W., 2014. Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health
Sciences.
Walker, B. R. and Colledge, N. R., 2013. Davidson's Principles and Practice of Medicine E-
Book. Elsevier Health Sciences.
Kukoyi, A. T. and et. al., 2013. Two cases of acute dexmedetomidine withdrawal syndrome
following prolonged infusion in the intensive care unit: report of cases and review of the
literature. Human & experimental toxicology, 32(1), pp.107-110.
Aspinall, V. ed., 2011. The Complete Textbook of Veterinary Nursing2: The Complete Textbook
of Veterinary Nursing. Elsevier Health Sciences.
Social, G. and Committee on Bioethics, 2013. Ethical and policy issues in genetic testing and
screening of children. Pediatrics, pp.peds-2012.
Doherty, R. F. and Purtilo, R. B., 2015. Ethical Dimensions in the Health Professions-E-Book.
Elsevier Health Sciences.
Runciman, B., Merry, A. and Walton, M., 2017. Safety and ethics in healthcare: a guide to
getting it right. CRC Press.
Aronsson, H., Abrahamsson, M. and Spens, K., 2011. Developing lean and agile health care
supply chains. Supply chain management: An international journal, 16(3), pp.176-183.
Online
Ethical Issues. 2018 [Online]. Available through: <https://scientiaricerca.com/srtaca/SRTACA-
01-00007.php>
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APPENDIX
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