A Multidisciplinary Approach to Patient Care

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The goal for nurses as a profession is not only to be “patient advocates” but also assist the patient to learn and gain the necessary skills to achieve the best level of functioning for the patient based on their current illness. In order to help a patient achieve their optimal level of functioning the nurse must work with the patient and the interdisciplinary team to create a collaborative plan that is logical for the patient. Through examining a musculoskeletal disorder case study #35 from Preusser (2008), one can create a critical pathway for the patient, S.P. a 75 year old female, with severe rheumatoid arthritis (RA) and admitted to the orthopedic ward for a hip fracture status post fall (p. 183). Since the patient’s needs is unique …show more content…
She has a medical history of severe RA, had an upper gastrointestinal bleed in 1993, and had coronary artery disease with a coronary artery bypass graft (CABG) 9 months ago. She lives alone but has three children whom live close to her. She is a widow and her father died of cancer at 62 years old and mother died from heart failure at 79 years old. She has a 50-pack-year smoking history but denies alcohol use. Ever since her CABG she has engaged in “very mild exercises at home.” Her medications are Rabeprazole (Aciphex) 20mg/day, Prednisone (Deltasone) 5 mg/day PO and Methotrexate (Amethopterin) 2.5 mg/week.
Through use of the Universal Intellectual Standards of Quality Thinking (UISQT) the nurse should use the standards, relevance and significance, to organize and categorize the patient's information and separate the important assessment data that will help to tailor an appropriate plan for the patient (Wilkinson, 2011, p. 70). These skills are important because through relevance one can separate what information is relevant to the patient's problem and through significance one can sort out what data is most important and what data is normal for the relevant data. The assessment data of S.P.’s vital signs and body mass index are normal. The important data sorted for S.P. includes her age, medical history, oxygen saturation and 50-pack-year smoking history, fall at home leading to an intracapsular fracture of the hip at the

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