Discharge Plan to Promote Patient Safety and Shared Decision Making by a Multidisciplinary Team of Healthcare Professionals in a Respiratory Unit
Autor: | Ukachukwu Okoroafor Abaraogu, Daniel A. Nnate, David Barber |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
personalized care
Exacerbation RT1-120 Case Report Nursing 03 medical and health sciences Patient safety 0302 clinical medicine Multidisciplinary approach Health care medicine patient safety 030212 general & internal medicine healthcare leadership General Nursing pulmonary disease COPD Window of opportunity chronic obstructive business.industry Change management patient discharge medicine.disease 030228 respiratory system interdisciplinary health team Organizational structure pulmonary medicine Medical emergency business |
Zdroj: | Nursing Reports University of Manchester-PURE Nursing Reports, Vol 11, Iss 56, Pp 590-599 (2021) Abaraogu, U, Barber, D & Nnate, D 2021, ' Discharge Plan to Promote Patient Safety and Shared Decision Making by a Multidisciplinary Team of Healthcare Professionals in a Respiratory Unit. ', Nursing Reports, vol. 11, no. 3, pp. 590-599 . < https://www.mdpi.com/2039-4403/11/3/56/htm > |
ISSN: | 2039-4403 |
Popis: | Patients with chronic obstructive pulmonary disease (COPD) often require frequent hospitalization due to worsening symptoms. Preventing prolonged hospital stays and readmission becomes a challenge for healthcare professionals treating patients with COPD. Although the integration of health and social care supports greater collaboration and enhanced patient care, organizational structure and poor leadership may hinder the implementation of patient-oriented goals. This paper presents a case of a 64-year-old chronic smoker with severe COPD who was to be discharged on long-term oxygen therapy (LTOT). It also highlights the healthcare decisions made to ensure the patient’s safety at home and further provides a long-lasting solution to the existing medical and social needs. The goal was accomplished through a discharge plan that reflects multidisciplinary working, efficient leadership, and change management using Havelock’s theory. While COPD is characterized by frequent exacerbation and hospital readmission, it was emphasized that most failed discharges could be attributed to bureaucratic organizational workflow which might not be in the patient’s best interest. It was further demonstrated that healthcare professionals are likely to miss the window of opportunity to apply innovative and long-lasting solutions to the patient’s health condition in an attempt to remedy the immediate symptoms of COPD. |
Databáze: | OpenAIRE |
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