A Nursing Experience of Implementing Inter-professional Practice Model on a Diabetic Patient with Tuberculosis.
| Autor: | Hsiu-Min Chang, Chiu-Ling Huang |
|---|---|
| Předmět: |
TREATMENT of diabetes
TUBERCULOSIS treatment MALNUTRITION DIABETES DRUGS GERIATRIC nursing HEALTH care teams INTERVIEWING MEDICAL protocols MEETINGS METABOLIC regulation PATIENT compliance COMORBIDITY RETROSPECTIVE studies PATIENT-centered care PATIENT care conferences DIRECTLY observed therapy NUTRITIONAL status OLD age |
| Zdroj: | Tzu Chi Nursing Journal; Jun2013, Vol. 12 Issue 3, p120-128, 9p |
| Abstrakt: | This article described the nursing experience of implementing inter-professional practice model for taking care of an elderly diabetic patient complicated with tuberculosis, multiple comorbidities and psychosocial problems. The nursing period lasted from November 23, 2011 and February 23, 2012. The authors collected data by means of interviews, phone calls, chart review and inter-professional cooperation meetings. With comprehensive nursing evaluation, we identified several major health problems, including nutrition imbalance (inadequate for body requirement), medication non-adherence, and futile health maintenance. The authors summoned an inter-professional case conference as a communicative platform and, in accordance to the patient's issues, the team reached a consensus on the strategies with the patient and the patient's family on nursing care and drug treatment strategy. We provided a patient-centered nursing plan, which included individualized nutrition intervention, direct observation treatment by health workers, phone reminders and utilizing community resources, to overcome the issues of medication adherence and regular clinical visits. Eventually, the patient's nutritional status, glycemic control and medication compliance improved under the inter-professional practice model. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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