Validate an idea with your own experience-additional sources

Assignment Help Other Subject
Reference no: EM131435599

Interdisciplinary Geriatric Teams

Care of the elderly population cannot be fully complete without the input of all the interdisciplinary professional teams. The American Geriatrics Society (AGS, 2011), noted that geriatric care promotes preventive care that is centered on care coordination and management to maintain functional independence.

I currently do my practicum in one of the VA Community Living Centers (CLC), and I noted that the Program of All-Inclusive Care for the Elderly (PACE) Model is being utilized by the facility. The PACE Model was developed to "promote effective and efficient treatment of patients with multiple chronic conditions outside of the hospital setting" (Casiano, 2015).

The AGS, (2011) also noted that, this model empowers the individual to live independently in the community with a high quality of life. The interdisciplinary geriatric care team comprises of the unit physician, advanced nurse practitioner (ANP), registered nurse, physical, occupational, speech, and recreational therapists, neuropsychologist, psychiatrist, nutritionist, and podiatrist.

All these professionals work together to provide high quality care for the veterans, keeping them out of the hospital, and making them independent in their activities of daily living.

With regards to other sites of care such as the hospital, the nursing homes and the rehabilitation centers, different models of care are used. For instance, in the hospital, the Geriatric Resource Nurse (GRN) is used based on the "belief that the primary nurses know the most about the daily patterns and needs of the older adults in their units" (Flaherty & Resnick, 2011).

Although the nurses work hand in hand with the physicians and the nurse practitioners, they carry the workload of the patients and serve as resource for geriatric practices. I also noted that, the primary care clinics use the Guided Care Model where a registered nurse assists three to four physicians in providing care for the patients.

Differences on ANP roles based on sites

At CLC levels, the NP practices in collaboration with the unit physician, but in the absence of the unit attending, the NP practices independently. In some primary care clinics, NPs are independent practitioners, but in some clinics, though they are independent, there is a physician overseeing their activities.

During my Primary care practicum a few months ago, one of the physicians was telling me that when he practiced outside the VA in the primary care clinic, his team of caregivers included NP, RN, LPN, and a tech. He stated that, the NP had her own patients that she was seeing, but he had to oversee her practices per the policy of the facility. He added that "but that NP was great, in my absence she took care of all my patients including hers".

Model of care for Case Study #2

Mr. William certainly has multiple chronic diseases which requires an interdisciplinary team to manage his care. The PACE Model, which was developed to promote effective and efficient treatment for patients with comorbidities like Mr. William will be effective in managing his care as well as empowering him to live independently in the foster home.

Mr. William will need the care of a physical and occupational therapists for muscle strengthening and ADLs. His history of benign prostatic hypertrophy (BPH) can also cause him to use the bathroom frequently, and given his unsteady gait, he is at risk for falls. Therefore, he will also benefit from a urologist. Buttaro, Trybulski, Polgar Bailey, & Sandberg-Cook (2013) noted BPH is common among elderly men and symptoms include urinary frequency, urgency, and nocturia. The other team that should be involved in Mr. William's care is the ophthalmologist to evaluate and treat his sight.

References

American Geriatrics Society. (2011). The principles of geriatric care. Retrieved from

https://www.americangeriatrics.org

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4 ed.). St Louis, MO: Mosby.
Casiano, A. (2015). PACE: A model of care for individuals with multiple chronic conditions Retrieved from

https://www.managedhealthcareconnect.com/article/pace-model-care-individuals-multiple-chronic-conditions

Flaherty, E. & Resnick, B. (2011). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (3rd ed.). New York, NY: American Geriatrics Society.

YOU NEED:

• Offer and support an alternative perspective based on your own experience and additional literature search.

OR

• Validate an idea with your own experience and additional literature search.

Reference no: EM131435599

Questions Cloud

Describe the issues affecting standards of practice : Identify and describe the issues affecting standards of practice related to competency of medical care identified in the Lyckholm and Hackney article .In addition to summarizing the relevant points of the article, explain the relevance that stan..
Determine the exemption category that best fits the job : Determine the exemption category that best fits the job. Based on job requirement rules, determine the exemption status for the job. (Is the job exempt or not exempt from FLSA overtime provisions?)
Evaluate on which year the machine should be replaced : A machine costs $20000 and gives a cash flow of $25000 a year for three years. If the frim can sell the machine on year-1,2,3. The machine cost and salvage value are as follows:
Provide a good estimate of the median : Organize the data for Return on Equity in classes beginning with the class limits of -30 to -20.1. Draw an ogive for this data. Use your ogive to estimate the median. Then, find the actual median using the original data. Did the ogive provide a go..
Validate an idea with your own experience-additional sources : Care of the elderly population cannot be fully complete without the input of all the interdisciplinary professional teams. The American Geriatrics Society (AGS, 2011), noted that geriatric care promotes preventive care that is centered on care coo..
Discuss the role of the financial sector in expanding : Discuss the role of the financial sector in expanding and empowering statist elements, and the influence of the financial sector in determining Reconstruction policy.
Describe what you believe might be the interests and rights : Describe what you believe might be the interests, rights, and power of both you and Computron, and how you might resolve this dispute using processes or dispute resolution methods related to each.
Stated rate or the effective rate : If the interest is compounded more than once per year, which rate is higher, the stated rate or the effective rate?
Describe the skills and characteristics : Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices.

Reviews

Write a Review

 

Other Subject Questions & Answers

  Create a mission vision and values statement

Your chief executive officer (CEO) has just notified you that the board wants the health care organization to update the mission, vision, and values of the organization. The CEO asks that you complete the following:  Create a mission, vision, and ..

  Research on the effects of MDMA on the brain

What can be concluded from the research on the effects of MDMA on the brain?

  What were the antagonists to these muscles

Ann was reaching up to grab a box of cereal that was on top of the refrigerator. She had extended her arm as well as stood on her tip-toes to reach the box. Which primary muscle allowed Ann to extend her elbow and which two primary muscles allowed he..

  Briefly discuss your carrel goal in health care

Do you feel that your culture heritage makes you anyway different or unique in the context of your family, social life, professional life, or academic life? How? Why? Briefly discuss your carrel goal in health care

  Distinguishing characteristic of the international system

A distinguishing characteristic of the international system from most domestic systems is ________. ________ is the idea that simple, thrift casual models in reseach tend to be favored over complex models.

  Find the voluntary torque required

A 95th percentile male is holding a 20 lb load in his outstretched arm in 900 abduction. What is the voluntary torque required at the shoulder to be able to hold this load?

  How being global citizen in the world of advanced technology

Describe what you have learned from at least three specific courses (e.g., philosophy, history, English, math, psychology, etc.) that has proved its usefulness in your daily life. For instance, what did you learn in history classes beyond just nam..

  Compare the incidences of diabetes within each region of

robert bazell chief science correspondent for nbc news stated that the maimonides medical center in brooklyn new york

  Explain how your results are relative to genetics

Propose solutions for working with other personality types using the information from the Big Five assessment and the underlying principles of trait theories.

  Compare and contrast current and suggested policies

Compare and contrast current and suggested policies, programs, and/or treatments in terms of their effectiveness for alleviating the negative consequences of social problems

  What does emancipation proclamation say in your own words

What does the Emancipation Proclamation say in your own words? What was it's stated purpose? What did it actually accomplish? What was its far-reaching effect on the issue of slavery?

  Social facilitation or social loafing more evident

Describe how brainstorming took place within your group. In your opinion, did it lead to more creativity and productivity than would have likely been the case if each of you had confronted the task on your own?

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd