Here are some examples of for poor, better and best responses for this worksheet.
What other profession(s) are you working with and what is the interaction?
We are 3 disciplines (PT, OT, SP) assessing/reviewing a patient together in a Hospital Rehabilitation ward
Plan the interaction in your interprofessional pair or group together including reviewing case information if needed.
We will individually read the patient’s medical record before we meet with the patient and ask the patient any questions that have not been asked and continue on with the previous treatments that were done. We can observe each other and get an idea of how each treatment helps the patient.
As a group we will review the patient’s medical record to identify, discuss/explain what the purpose of our individual role has been so far and how the patient has progressed. We will observe each other assess and treat the patient. We will then look at the discharge plan for the patient and see how we can work together to discharge the patient.
As a group we will review the patient’s medical record to identify, discuss/explain what the purpose of our individual role has been so far and how the patient has progressed alongside their goals. We will also look at the discharge plan for the patient. Following this we will plan how we can assess/treat the patient together – each of us clearly explaining/showing each other how and why we assess/treat the way we do. We can also show each other how to assist us with the patient. Practicing before we see the patient would be best. We will get consent from the patient. So we don’t overwhelm the patient or fatigue them, we will look at one or two specific assessment/intervention components that are common to our 3 disciplines, for example a functional task working on following instructions, mobility and cognition.
Reflective prompts for after the interaction:
From the patient or client’s perspective, what was the purpose of the interaction? Was it consistent with your purpose? Did your understanding of this purpose change from before to after the interaction?
The patient has hopefully seen that we were working together to improve their function to go home. We realized at times we confused the patient because we did not really understand what each other did.
We think the patient could see how everything fitted together. When we asked the patient about going home, he seemed to understands why he was not fit to go home just yet, although his confidence is improving. We did have to change our plan for the session and make the goal more attainable for the session. Although the patient was able to complete the cognitive component of the task, physically he fatigued and could not complete the full task. It is important than when planning for discharge, we see the patient complete tasks on their own and can manage on their own if there is no support for them at home. I can see why patients are re-admitted so soon after discharge. Working interprofessionally may help to minimise this.
From your professional perspective, what was the desired outcome of the interaction?
Rehab the patient, and plan to discharge them home. Know what the rest of the team does for the patient in rehab.
Identify goals with the patient and the IP Team to develop a rehab plan and discharge plan. Also look at how we could possibly work together with the patient.
Identify Short and Long Term goals with the patient and the IP Team to develop a rehab plan and discharge plan. We have also identified other HCPs that we need to refer the patient to (Social Worker and ACAT Assessment) if the patient cannot manage at home. Also look at how we could possibly work together with the patient. We could work as a team at ward conference meetings to advocate for the patient in the event that others in the team want an earlier discharge.
What was the desired outcome from the other profession’s perspective?
That we would complete an assessment and treatment with the patient and identify similarities and differences in what & how we do things. We have also looked at goals. Our goals in some regards are different.
They (OT & SP) both wanted to see how I interact with the patient to carry out my program with the patient. The SP wanted to see if I was instructing the patient in a way the patient understood. The OT wanted to see if I was enabling the physical function exercises that matched what she was working on. From this, we re-set our goals with the patient, so we were progressing through skills and tasks for the patient in a logical structured way. I think this will also ensure that goals are attainable for the patient.
Did the desired outcomes of the two (or more) professions and the patient/client fit together easily or was a compromise needed?
Our short term goals were very different, but the long term discharge goals were the same. We will discuss progress again in 2 weeks.
Although our patient discharge goals for the patient were similar, our short term goals were very different and did not complement each other. I think we would confuse the patient. We planned a weekly IP goal for the patient.
Although our patient discharge goals for the patient were similar, our short term goals were very different and we possibly would not achieve the discharge goals. We planned a weekly IP goal for the patient where we would have 3 sessions a week together with the patient. The goal of the session would be to complete a task that the patient would need to do at home. For each task, we set outcome criteria of (i) safety, (ii) planning/cognitive skills/communication, (iii) fatigue/energy conservation.
What were the patient/client’s experience of a team approach to this task?
Patient said he was able to follow instructions but fatigued and was unable to complete all assessment / treatment tasks.
Patient said he was able to follow most of the instructions given by the 3 students. Tasks asked to do were , challenging but achievable, He said he was willing to have a combined session again. The patient said that he still fatigued easily but that the combined session seemed to be more manageable.
What were the benefits, if any, of undertaking this interaction with the other profession(s)?
I better understand the roles of other HCPs and how planning to work interprofessionally has benefits for the patient and discharge planning.
I am now more likely to seek the other HCPs that are involved with the patient and look towards working interprofessionally to meet patient discharge goals. I have also improved my skills from this interaction. The SP provided me with advice on how to better instruct the patient so that the patient understands me. Working with the OT enabled us to be on the same page with balance and strengthening exercises for the functional task she was aiming to improve. The patient benefits most in the end.
Were there any challenges to undertaking this interaction with the other profession, and if so, how did you resolve them?
Setting goals was a challenge. We had to look at the patient goals too, and look at the big picture.
Initially we had differences of opinions in how to conduct the patient assessment. However, we resolved challenges by looking at long term goals and the discharge plan. Essentially we were aiming for the same outcome. We discussed each other’s management principles, EBP etc and put together a combined management plan. This gave us & the patient a good framework for our intervention enabling us to meet weekly goals.