For this essay, I will be writing about the important ofcollaborative working to promote person centred care. A single patient mayrequire more than one professional to be looked after depending on thetreatment, interprofessional teams are needed for the best efficient care. Interprofessionalworking (IPW) has been positively supported by the World Health organisation(WHO, 2010). A collaborative team is a major step for the healthcare system ‘ fromfragmentation to a position of strength’ (WHO, 2010).
It has been stated thatplanning and relation between integrated teams is needed to improve a service userscare. During a community placement working with older adults withmental health, I’ve had to work alongside a broad range of professional such asOT, CPN, psychology and doctors. I have seen how they combine their effort andknowledge to make a service users lives better or improve it. The level ofcommunication is very high because communication is crucial, important informationis being shared among a group of professional to find the best solution for anindividual. For example, I will show a case of collaborative practice ina community environment how it involves a staff nurse and a psychologist, Iwill discuss their roles and the bodies that govern their professions. It will showhow they follow their codes of conduct and how they give the package of caregiven to a service user was looked after and treated by the cooperation andcollaboration from a nurse and psychologist.
The role of a nurse is to is provide healthcare to anindividual, communities and families. Nurses must be registered with theNursing and Midwifery Council (NMC) and they have the duty to follow the NMCcode of professional conduct, performance and ethics (2004). A psychologist mainrole is assessing, diagnosed and treat the service user psychological issueswhich can be related to physical or mental health. For this essay, the patient will be known as Peter due tothe NMC code of Conduct (2004) and to protect the innocent, the names of thepatient and staff. Peter was referred to the older adult mental health communityteam by his GP because it has been reported he hasn’t been eating and actingstrange at home, forgetting name and faces. Peter nearly took an overdose butwas caught out by his wife and when he was asked why did he do it, he couldn’t remember. A CPN attended home visit after the referral and asked a series of questions anACE III was completed which helps identify if someone is suffering fromdementia which could be affecting his memory.
The CPN would take this case andupload the information online (RIO) and discussed the case at a meeting withother professionals such a psychologist. The psychologist took lead because ofthe poor ACE III test score which could indicate that Peter suffers fromdementia. We also contacted our dietician to pay Peter a visit because he canbe affected by malnutrition. The nurse informed Peter that she was referringhim to a dietitian for further nutritional assessments and advice about hisdiet and health, this follows Department of Health guidelines set out in apaper called The NHS Plan (2000, p. 4).
Upon visiting Peter, the dietician concludedthat Peter lacks fluid and needs to drink more water to keep hydrated, the lackof water will make Peter very weak and hard for him to function normally especiallyfor his age. The phycologist invited Peter to the clinic for a memoryassessment and with that information, it was discussed again at the meeting andthe speciality doctor prescribed the appropriate medication for Peter to takewhile the CPN keep up to date with him. To keep him active physically andmentally, I contacted the Alzheimer & Dementia Support Services (ADSS) tohelp him keep busy and out of his house. I was present for a follow up homevisit with the doctor to check on how Peter was getting along with themedication. When the doctor was asking the questions, he was making sure togive eye contact and engaging in conversation, making sure to make his wordsclear while maintaining a straight composure. Instead of having theconversation being one sided he let her engage in the conversation and let herhave her say because we are there for her wellbeing (Evans et al, 2014)It was a successful collaboration between the nurse and the psychologist, they enhanced the package of care delivered to the patient. They understoodeach other and shared knowledge and skills to aid the recovery of the patient, they both took the extra step seeing the service user separately and thencoming together to conclude. Being a student nurse and having my placement there, it was an amazing example of Interprofessional collaborative working is successfuland how communication is delivered to the staff and to the service user.
Communication can be a great barrier for some, especiallyfor older adults. Even with help it be difficult for them to ask simplequestion about their health. Two third of the population feel uncomfortablespeaking to people with older adult’s due to their age, it is a socialexclusion and wrong for our society, (Scope, 2017). There have been many changes in the past, such as addingmedical tasks to nurses which should be completed by a doctor but due to shortstaff and funding, changes had to be made. The upgrading of responsibility and specialisation ofmedical tasks to nurses previously in the doctor’s domain discussed about ifthis was a right decision within the group and that I could be a positiveexperience because it’s all about sharing knowledge and not hierarchicalstructures of power within groups. (Baker et al 2006) discusses the evolutionof healthcare and within that the steps towards a interprofessional team basedmodel of healthcare delivery. In the last fifteen years there have been a great deal of changein the medical professions organisation, policy and structure and with allthese changes has improved the quality of care for service users (Colyer 2004). It is not always positive when it comes to informationsharing.
There are some cases where teams do not share information or theaccurate information. If there are conflicts in a multidisciplinary team whichmay affect service users. For example, The Laming Report (2003) stated how poorand lacking information sharing is and that it must be improved to stop terribletragedies such as the death of Victoria Climbie which could have been avoided. Theissue of information sharing and confidentiality can cause barriers to interprofessionalworking as different professions have different views on information sharing andconfidentiality. The sharing of information between different team or agencies canraise problems due to different policies each team to follow.