Interprofessional Collaboration for Care

University
Task
NURS 4053 & NURS 3863
Case Study #1
Fall 2019
Name
Tutor
Date

Interprofessional collaboration for care
Collaboration between staff and other health care personnel is an effective
component in the hospital care setting. Enabling a working together framework
with shared goals is a critical way of improving care for critical patients. It is an
avenue for promoting multidisciplinary collaboration towards promoting a unison
decision-making model (Wilson & Rodgers, 2016). Patient care often relies on
interactions of various providers at the intensive care unit where the patient
acuity levels are elevated and which has the component of critical illness which
are life-threatening (Pullon et al., 2016). Thus due to this collaboration is vital
and critical for enhanced treatment process between the family and the health
care staff.
There are critical needs for enhancing collaboration and communication
between the parties involved in patient care outcomes. Effective communication
and collaboration are key to enhancing the decision-making process for the
patent. With the relevance of collaboration and communication towards patient
focussed care, open communication process and interdisciplinary support are
essential in achieving and meeting patient care goals. Further, good
communication skills and conflict management aspects are essential in intensive
care and enhancing implementation of fundamental interventions for
implementing care for the patient (Reeves et al., 2015).
Parental education on pain assessment and control
According to Wilson & Rodgers, 2016, pain in children can have undesirable
physical and physiological consequences for both short and long term. Pain
responses for children entail increased heart rate, breathing rates and other vital
signs which signify increased demand for oxygen and nutrients. Failure for pain
relief for children can lead to harmful multisystem effects. Thus upon considering
the above consequences, educating the parents on the pain assessment tool for
the child is essential for effective pain to relieve management (Taddio et al.,
2015).
Pain assessment processes for children follows four stages; assessment of
child pain, selection of appropriate pain-relieving interventions, implementing
pain-relieving interventions and finally evaluating the effectiveness of the
intervention applied (Twycross & Williams, 2014). Pain assessment strategies for

children entails three approaches; self-report, behavioral indicators and
physiological indicators, (Stinson & Jibb, 2014).
Appropriate scale tool to assess the infant is the usage of FLACC tool, this
assesses face, legs, activity, crying, and controllability. This appropriate for
nonverbal children and further those having cognitive impairment. It has a pain
score rating of 0-10 and offers an easy tool for interpretation.
Appropriate pain medication regime for the child entails administration of
Non-steroidal anti-inflammatory drugs. NSAIDs are effective in relieving pain and
reducing fever. A critical side effect with the drug entails the development of
stomach ulcers. Thus there is a need for shorter duration usage of the drug to
avoid any adverse reactions. Educating the parents on long term usage of these
NSAIDs drug is essential in managing ulcers development. Sedation usage for
infants has been used to offer a relaxative effect and lower the infant fears and
anxiety during the treatment process. However, administration for this child is
not recommended due to the state of the child. The children do not require any
intensive care procedure to warrant administration of sedation management
hence advising the parents on its recommendation is essential (Beltramini,
Milojevic & Pateron, 2017).
Morphine dosage and volume to be administered
- 0.1mg/kg/dose IV every 4 hours
- Mikey weighs 24 pounds
- That is 10.88 kgs
- The final dosage administered??
- 0.1 mg X 10.88 kgs
- 1.088mg after every 4 hours
- Hence dosage is 1.088 mg
- Volume administered??
- concentration of morphine is 0.5mg/1ml
- thus ;
- if 0.5 mg = 1 ml, what of 1.088mg??
- (1.088mg X 1ml)/0.5mg
- 2.176mls
- Thus the volume administered is 2.176 MLS after every 4
hours