Detailed Questions:

Part 1 – Trauma View the video ‘Trauma’ from the Jefferson Interprofessional Education Center http://jeffline.jefferson.edu/jcipe/learning/interprofessional/ By way of summary, the video depicts the story of Mrs. Smith, a 70 year old woman who lives alone at home. Her daughter recently had a baby and is Mrs. Smith’s caregiver. Mrs. Smith fell when she was by herself. She called 000 and was taken by ambulance to the local Emergency Department. Mrs. Smith has a history of hypertension, diabetes, congestive heart failure, and mild to moderate dementia. Her most recent hospitalisation was six months ago for an exacerbation of congestive health failure. In the emergency room, she was found to have a hip fracture which required surgical repair. After her surgery, she had an episode of post-operative delirium (confusion), which is common in older patients with memory problems. Initially, her delirium prevented her from participating in the rehabilitation she needed to recover from her surgery. Fortunately, several days went by, and her confusion improved and her rehab team has been able to complete their evaluation and begin her therapy. However, her underlying memory problems (dementia) are still impacting her ability to participate fully in rehab. Her daughter does not believe she will be able to provide all of the care and support her mother would need to maximize her rehab at home, especially now that she has a small baby at home. However, she promised her mother she would never “put her in a nursing home” and she feels like agreeing to a short-term stay in sub-acute rehab (provided in a nursing home setting) would be going back on her promise. Part 1 question. What is the value of interprofessional practice in relation to this scenario? Give an example of IP practice that you have experienced or what you perceive that interprofessional practice would look like to you. What is an example of lack of IP practice that impeded patient care? Don’t forget: professionals are potential members of collaborative health care team but who else should be considered an integral part of the health care team. Make sure you comment upon patient-centered care and the importance of the patient and family being part of the health care team and decisionmaking.

Part 2 – Interprofessional home visit View the interprofessional home visit video presentation involving Mrs. Smith http://jeffline.jefferson.edu/jcipe/learning/home_visit/ The video depicts a follow-up visit by a team of health professionals. Mrs. Smith is an older woman with a recent hospitalization for exacerbation of congestive heart failure. In addition, she has a history of hypertension, diabetes and mild dementia. Presently, her daughter is staying with her. Now view Chapter 1 ‘Nurse Practitioner/Physician interaction’ again of the home visit scenario and consider the following questions Part 2 question: – Did the scenario demonstrate patient-centered care? Explain why or why not.

Part 3 – Team review of home visit View Chapter 4 ‘Team review of home visit’ of the home visit scenario of the video Part 3 Question. – Explain how the team interaction demonstrated or could have demonstrated the following skills: communication collaboration team building problem solving prioritizing shared decision making