Multidisciplinary team meetings, conferences, or rounds are mechanisms through which care providers from different specialties meet to communicate, coordinate patient care, make joint decisions, and manage responsibilities. These can occur either during bedside rounds or in a team meeting.
Initial Post
Let’s assume that your team has just ended a bedside round and is now discussing the following two patients.
MR. EDWARDS
Mr. Edwards is a 20-year-old male patient who is admitted for treatment of recurring pyelonephritis and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home.
According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs.
What nursing considerations should be made for Mr. Edwards in relation to his disability?
What health promotion and prevention education would you suggest for Mr. Edwards?
MS. O’SULLIVAN
Ms. O’Sullivan is a 38-year-old mother who was recently diagnosed with myasthenia gravis, a chronic disease of the neuromuscular system. Management of this disease process requires strict adherence to a medication regimen. The disease also affects ADLs for the patient and her family.Additionally, because myasthenia gravis is characterized by exacerbations that may require hospitalizations, Ms. O’Sullivan has had to resign from her position as president of a marketing firm. She has remained an employee of the same company but now serves as a consultant with more flexible work hours.
In discussing the management of her chronic disease, as a nurse what types of strategies would you recommend?
What supportive nursing care you would recommend to the team for Ms. O’Sullivan
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