Collaborative

Practice
On
Patient care

Introduction
Herbert C (2005)

The continuous interaction of two or more

professionals or disciplines, organized into a common
effort, to solve or explore common issues with the best
possible participation of the patient.

Practice based Interprofessional collaboration

interventions can improve health care processes and
outcomes

Description of the case scenario

Type 2 diabetes mellitus and chronic kidney

failure patient on insulin therapy and
haemodialysis

Experiences frequent hypoglycaemic episodes

after haemodialysis

fasting hyperglycaemia treated by rapid acting

insulin

Patient centred goals

Reduce knowledge deficit -on insulin action,

appropriate treatment of hypoglycaemia,
continued risk of recurring hypoglycaemia and
elevated potassium levels

Diet therapy to prevent electrolyte imbalance,

protein malnutrition and high interdialytic weight
gain as well as to regulate blood glucose level.

Impact of the event

Nurse physician collaboration

Nurse and physician should instructed the patient and

family members about the hypoglycaemia attacks
and the proper use of insulin drug.

Nurse laboratory nurse collaboration.

Frequent electrolyte monitoring especially for serum

potassium is essential to reduce further complications

Continues..
Nurse dietitian collaboration

A nurse makes a request for assistance of a

dietitian for a patient having an existing issue
in nutrition , whether such patient may be under
nourished as consequential to the frequent
dialysis.

The dietitian will then discuss the nature of the

patient 's issues followed by nutritional
assessments and diagnosis on the case .

Continues..
Once the data has all been gathered , the dietitian
will then discuss the course of action to implement
in which they (the nurse and the dietitian )
will both plot out pertinent nutritional plan specific
for the patient 's needs .
The nurse can then reinforce the plan of action
prescribed by the dietitian by explaining to the
patient the relevance and essence to acquire
cooperation as well as discussing the importance
aspect that the patient must remember .

Aspects
Moore C (2000)

Provide opportunities to individuals to solve problems

that they may not be able to solve on their own.

Meet on regular basis to discuss patient and familys

care and develop individualized care plans

The healthcare team works as a group utilizing

individual skills and talents to reach the highest of
patient care standards.(Drunka T 2000)

Analysis
Finley P.R (2003)
The outcomes of collaboration include

the development of a supportive and nurturing

environment

reinforcement of worth and importance among staff

Continues

promote interprofessional cohesiveness

improved productivity and use of roles,

increased employee satisfaction, and improved

patient outcomes.(Pringle D 2000)

Conclusion

As a nurse, it is essential to we give up some

power and trust on other members of the health
care team are just as important in providing
comprehensive, quality care.

Reference

Colleen Moore (2003)collaborative nursing practice, nursing together http://

www.nursetogether.com/tabid/103/itemid/356/Collaborative-Nursing-Practic
e.aspx
Dorothy Pringle, Cheryl Levitt, Martha E. Horsburgh, Ruth Wilson, Mary-Kay
Whittaker (2000) Interdisciplinary collaboration and primary health care
reform Canadian Family Physician,VOL.48,Page 763-68 http://
www.cfp.ca/cgi/reprint/46/4/763.pdf
Finley, P.R., Rens, H.R., Pont, J.T., Gess, S.L., Louie, C., Bull, S.A., Lee,
J.Y, and Bero, L.A. (2003). Impact of a collaborative care model on
depression in a primary care setting: A randomized controlled trial.
Pharmacotherapy, 23(9), 1175-1185
Herbert C (2005) Changing the culture: Interprofessional education for
collaborative patient-centered practice in Canada, journal of
interprofessional care, Volume 19,page no:1-4.
Theresa J K Drinka and Philip G Clark(2000) Health care teaminterdisciplinary practice and teaching ,1st edition, page 232-38