Interdisciplinary Care – Flashcards

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World War II: concept started when multiple _____ provided care for burns,surgery, rehabilitation,and mental health issues related to war
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health care members
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1948: _____ developed outreach program at Montefiore Hospital, NY, using team of physicians,social workers and nurses to deliver home-care services to local community
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Martin Cherkasky
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1967: the _____ endorsed the need of training health-care team
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Neighborhood Health Center Guidelines
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1972: the Institute of Medicine hosted "Education of Health Team" that called for _____ education for health care students
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inter-professional
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Unidisciplinary team
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Members from the same discipline
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Multidisciplinary team
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Members from different disciplines use their individual expertise to first develop their own answers to a given problem, and then come together to formulate a solution
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Interdisciplinary team
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Members from different disciplines come together from the beginning to jointly communicate, exchange ideas and work together to come up with solutions to problems
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Holistic Approach
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To view and analyze the patient in a manner that encompass the whole patient rather individual parts
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Interdisciplinary Team Benefits: The Patient
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1. Holistic treatment approach 2. Continuity of care 3. Cost-effective care 4. Reduction of medical errors 5. Higher satisfaction 6. Increased compliance
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Interdisciplinary Team Benefits: The Care Team
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1. Collaborative approach 2. Shared responsibility 3. Evidence-based decision making 4. Team cohesion 5. Expert knowledge 6. Avoidance of duplicated service 7. Shared resources
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Members of the multidisciplinary team
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1. Physicians 2. Non-physician practitioners 3. Pharmacists 4. Nurses 5. Allied health 6. Others
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Physicians: Central roles
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1. Perform patient assessments 2. Determine differential diagnoses 3. Develop management and treatment plans 4. Perform intervention therapies
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Physicians: Other roles
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1. Provide continuity of care 2. Provide referrals to other services 3. Educate patients and other professions 4. Advocate for patients and families
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Doctor of Medicine (MD)
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1. Allopathic medicine 2. Emphasizing in active intervention to produce a counteracting reaction in an attempt to neutralize the effects of disease
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Doctor of Osteopathic Medicine (DO)
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1. Additional training in osteopathic holistic therapy 2. Emphasizing in the practice of manipulating musculoskeletal tissue and preventing of stress
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Physician Licensure
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1. National Board of Medical Examiners 2. National Board of Osteopathic Medical Examiners 3. Completion of a supervised internship/residency program
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The American Board of Medical Specialties has _____ specialties for physicians.
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24
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Primary care
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Specialties that take primary responsibility for overall care of patients -Pediatrics, family medicine,internal medicine
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Non-Physician Practitioners (NPP)
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Health care providers who practice either in collaboration with or under the supervision of a physician
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NPPs are also known as _____.
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mid-level practitioners
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NPPs show greater personal _____ in patients and cost lest.
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interest
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NPPs do not:
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1. Engage in the entire range of primary care 2. Deal with cases requiring the expertise of a physician
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Pharmacist Central Roles:
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1. "The medication expert" to ensure the safe, effective, and appropriate use of medications 2. Ensure proper storage and dispensing of medications 3. Recommend, implement and monitor pharmaceutical care plans
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Pharmacist Other Roles:
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1. Conduct medication therapy management 2. Administer immunization 3. Educate for patients and other professions 4. Advocate for patients and families
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Pharmacist Post-graduate training
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1. PGY1 residency 2. PGY2 residency 3. Fellowship
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Rph
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Registered pharmacist by the state board
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Operational Hospital Pharmacist Duties
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1. Central, satellite, outpatient clinic pharmacy 2. Aseptic preparation of IV medications 3. Verifying orders 4. Medication distribution 5. Medication supplies and storage 6. Formulary management 7. Supervising pharmacy technician
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Nurses Central Roles:
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1. Assess and monitor patient's respond to care plan 2. Administer medications 3.Perform medical procedure 4. Help patients meet their needs, including physical, emotional, cognitive, social, and spiritual needs
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Nurses Other Roles:
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1. Provide continuous care 2. Educate for patients and other professions 3. Advocate for patients and families
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Nurses Education
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1. ADN: Associate Degree of Nursing 2. BSN: Bachelor of Science in Nursing 3. MSN: Master of Science in Nursing
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Nurses Credentials
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Nurse aid or licensed practical nurse(LPN) -Trained and supervised by RN (registered nurse)
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Advanced practice nurse
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1. Nurse practitioner, nurse midwife, nurse anesthetist -Master degree + registered license 2. Nurse education, clinical nurse specialist -Master degree + additional certification
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Allied Health Central Roles:
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1. Perform patient assessments 2. Determine differential diagnoses 3. Develop management and treatment plans 4. Perform intervention therapies
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Allied Health Other Roles:
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1. Provide continuous care 2. Provide referrals to other services 3. Educate for patients and other professions 4. Advocate for patients and families
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There are _____ recognized allied health professions, which makes up _____ of the US health care workforce
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200, 60%
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Allied Health Trends
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1. Experiencing shortages 2. Some of the fastest growing professions
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Laboratory technicians/scientists
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Performs diagnosis tests that detect the absence or presence of disease
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Radiologic technologists
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Perform diagnostic imaging examinations and administer radiation therapy treatments
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Physical therapists (PT)
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Promote mobility, function, and quality of life through physical intervention
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Respiratory therapists (RT)
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Establish and maintain the airway during management of trauma, intensive care
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Dietitians/nutritionists
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Assess, diagnose, and treat nutritional problems based upon their medical condition and individual needs
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Social workers
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Advocate and provide mental, behavioral, and emotional support for patient and families
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Case managers
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Help close gaps in care and work to advocate, communicate, and manage resources to ensure continuous patient care
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Dentists
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Dental care
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Optometrists
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Vision care
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Health administrative
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1. Coding and billing 2. Hospital policy and initiatives
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Podiatrists
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Medications and corrective devices for disease or deformities of the feet
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Chiropractors
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Chiropractic manipulation, physiotherapy, dietary counseling
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Interprofessional collaboration (IPC)
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When multiple healthcare workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care.
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Interprofessional education (IPE)
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Students from two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes
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Interprofessional competencies
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Integrated enactment of knowledge, skills, and values/attitudes that define working together across the professions, with other healthcare workers, patients, families, and communities as appropriate to improve health outcomes in specific care contexts.
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Interprofessional Education: Higher Education Benefits
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1. Effective use of resources 2. Improved student's satisfaction 3. Faculty buy-in 4. Increased research and grant opportunities 5. Increased cultural sensitivity
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Interprofessional Education: Student Benefits
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1. Prepare students for work situations 2. Awareness of other disciplines' roles and scopes of practice 3. Appreciation of cultural diversity 4. Improve performance, critical and creative thinking skills
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IPE Goals
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1. Prepare all healthcare professions students for deliberately working together with the common goal of building a safer and better healthcare system. 2. Improved team-based training (knowledge, skills, attitude) that leads to improved quality and safety in team-based patient care (behaviors, competence). 3. How care is delivered is as important is what care is delivered.
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IPE Best Practice
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1.Begin IPE early in the health professional program 2. Experiences occur throughout the health professional program 3. Include interaction among students and working in teams 4. Include didactic, practical and clinical experiences
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IPEC Core Competencies
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Domain 1:Values/Ethics -Mutual respect and shared values Domain 2: Roles/Responsibilities -Understand roles and responsibilities of other professions Domain 3: Interprofessional Communication -Communicate in a manner that supports team approach Domain 4: Teams and Teamwork -Relationship building, values and principles
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H.O.M.E.S. Clinic
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A multi-institutional, interdisciplinary student-run free ambulatory clinic for the homeless of Houston
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_____ students are required to go to H.O.M.E.S Clinic at least once.
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P3
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H.O.M.E.S. Clinic Staffing
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1. One physician (MD) or nurse practitioner (NP) 2. Two medical students from Baylor College of Medicine 3. Two pharmacy students from the University of Houston
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Required P4 Safety IPE
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A four-part IPE activity involved medicine, nursing and pharmacy students that involved a shared patient error
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