Next, the utilization stage targeted the multidisciplinary team as it formulated an integrated care plan that centered on medication management, home monitoring through telecommunications, medication adherence education as well and lifestyle modifications that were gauged from the validated evidence and comparison review. Secondly, the follow-up visits were done virtually irregularly to check on the patient’s progress and efficacy of the implemented interventions. The team that implemented the model that was carefully developed by Stetler was able to establish a care plan that was self-evident, corresponding to the patient’s problems, and oriented on improving patient outcomes for the patient with CHF.
Derived by an amalgamation of evidence from different sources, the most relevant and useful care plan for the patient with congestive heart failure (CHF) in the case study has been formulated. First of all, the patients clinical presentation such as shortness of breath, fatigue, leg swelling and also his prime medical history hypertension helped the medical team to understand in depth on the degree and nature of his CHF. These variables acted as landmark medical points when making decisions on what particular treatments could be most useful in controlling symptoms and improving heart function. Further to the findings of the echocardiogram, the diagnostic results were paramount in not only setting the CHF diagnosis but also providing clinical data on the patient’s heart condition and guiding management options. Furthermore, the team with the multidisciplinary background, including the cardiologist, nurse, and pharmacist, additionally offered very important guidance on health plans. Their knowledge and practical advice about medication, telemonitoring, medication adherence education, and lifestyle changes made our care plan as complete as possible because their experience and research were used as the basis (Smith, J. D. 2020). Also (the foundational framework for evidence-based guidelines and literature on CHF management was another significant factor additional to this. This provided a direction to the interventions as well as gave information about the current practice and recommendations). In the end, the received value of the collected data critically depends on its clinical usefulness, adequacy, and alignment with current best practice dos and don’ts guidelines, all of which combined enable the medical team to elaborate a focused care course for the patient addressing their specific circumstances and designed to reach the optimal results.
An interdisciplinary collaboration of a remote team is a desirable option that comes with multiple benefits of care planning, particularly suiting the cases witnessed in the congestive heart failure patient scenario. It permits the care of patients in a way that brings to bear the expertise of all manner of healthcare professionals so that treatment plans that are customized for each person can be formulated. Remote cooperation also allows for quick connection to highly specialized care and thus overcomes the barriers from the distance towards catering to patients most favorably in areas with underserved rural areas. Additionally, this tool facilitates the accurate and timely sharing of information with the team members and therefore enforces prompt interventions and improves patient care outcomes. On the flip side, remote cooperation also poses some challenges such as communication obstacles, technical issues, and fear of data leaks. To tackle these problems efficient communication tools, training programs, research processes, and extensive data security systems should be implemented (Smith, J. D. 2020). Looking to the future, interdisciplinary collaboration in care situations should be further aimed at continuity of care, shared decision-making, telehealth-supported solutions, and quality improvement evidence-based. Through the integration of favorable elements and avoidance of barriers to interdisciplinary work in distant teams, healthcare institutions can achieve the best care and increase results for their patients.
Desai, A. S., Maclean, T., Blood, A. J., Bosque-Hamilton, J., Dunning, J., Fischer, C., Fera, L., Smith, K. V., Wagholikar, K., Zelle, D., Gaziano, T., Plutzky, J., Scirica, B., & MacRae, C. A. (2020). Remote optimization of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction. JAMA Cardiology, 5(12), 1430.
https://doi.org/10.1001/jamacardio.2020.3757
Neubeck, L., Hansen, T., Jaarsma, T., Klompstra, L., & Gallagher, R. (2020). Delivering healthcare remotely to cardiovascular patients during COVID-19.&
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