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Inter-Professional Practice in Contemporary Health & Social Care Setting: Inter-Professional Practice Approach in Managing Dementia Patient

Reflective Explanation.

The findings of the case conference, my interactions with it, and the conclusions I reached based on my limitations were all thoroughly examined in the reflective explanation. The analysis of the team’s performance according to the Tuckman Model will influence my appraisal of the Tuckman Model phases of forming, storming, norming, performing, and disbanding. Employees responded to my comment following the previously mentioned steps (Richard Isaacson, 2019). Everyone in attendance agreed that the organization should be founded as soon as possible. We got the opportunity to reintroduce ourselves and discuss our diverse experiences and talents within the time provided for the first formation before dividing the task that had been assigned to us. The many points of view held by the group’s members, which served as justification for assaulting the stage, were fundamentally at odds with the principal considerations in this situation.

I persuaded the group to change their first reading of the contract for the case scenario; consequently, they agreed to the terms. Because neither the parents nor the younger members of the group are willing to participate in the activity, I have offered to play the role of a person receiving a service instead (Richard Isaacson, 2019). Even though a preliminary case study has been completed, the committee has chosen to proceed with drafting recommendations at the next meeting. We started a WhatsApp group and shared our phone numbers to discuss ideas, choose a day and location for a group gathering, and exchange contact information.

When we were settling in, I noted that the team members had a thorough understanding of the discussion surrounding the case scenario, that they were beginning to process it, and that they were becoming more structured. The individual effort produced substantially less yield than collective labor. Furthermore, people have a better level of self-assurance in their work and are more aware of their responsibilities. At this point, each team member is responsible for executing the duties given to them, and the time limit and clear instructions have been adequately communicated to all parties. The ability to encourage and help one another as we move forward following the conclusion of the case study discussion, the group split up, and each participant gave their point of view. Everything that has happened up to this point has exceeded my expectations.

The group’s members contributed to the cause in several ways. Because I was present as the mother of the military honorees, I believe I spoke for myself and my children. In reaction to the new facts and dynamics, I modified my communication style and plan. I explained my views and opinions about the case situation persuasively. Even though the group had agreed to utilize WhatsApp as a means of communication, the situation swiftly developed into a very nasty one when some group members answered slowly or not at all. The experience of collaborating with others to achieve a common goal instilled in me the principles of trust, self-discipline, and mutual respect. My involvement in team meetings was thoroughly evaluated, and the results made me realize that verbal and nonverbal communication are equally significant. Making eye contact will be the most productive communication technique in the future. If I were obliged to engage in a project that required teamwork in the future, regardless of whether or not I was conducting myself professionally, I would be more aggressive and confident.

1. Introduction

People from several areas must collaborate to provide dementia patients comprehensive, patient-centered care. The link between psychiatry, pharmacy, and psychology could be mentioned concerning how to treat the visible behavioral and mental signs of the disease. Because the connection between nurses and doctors has been well examined, other healthcare workers can learn from how effectively it functions (Richard Isaacson, 2019). A chronic illness is characterized by changes in personality, conduct, mental ability, psychiatric symptoms, and ability to operate. Most people agree that dementia is a prevalent neurological condition that worsens quickly and makes thinking difficult. The most common symptoms of dementia are memory loss and difficulty with how things work, which can make it difficult to conduct regular tasks. A person has a 10% probability of developing dementia at age 65. At 85 or older, the risk rises to roughly 24% (Richard Isaacson, 2019). People aged 65 to 85 are more prone to develop dementia as they get older.

The prevalence of dementia increased from 0.8% to 28.5% between the seventh and tenth centuries. During this time, Alzheimer’s disease (A.D.) caused 53.7% of dementia cases, and the number of people with vascular dementia, which affects 15.8% of people under the age of 80, increased from 0.3% to 5.2% (Douglas & McDonald, 2020). Most institutional healthcare practices are founded on a concept known as “collaborative practice,” which is frequently linked with doctors and nurses. Because dementia is so complex, several critical healthcare specialists must collaborate to provide each patient with tailored and effective care. Dementia can be classified as Alzheimer’s, vascular, Lewy-body, or Parkinson’s disease dementia. Alzheimer’s disease is the most common type of dementia, and it is frequently misdiagnosed. It is responsible for 50 to 60% of dementia cases (Douglas & McDonald, 2020). People with Alzheimer’s disease have fewer cognitive impairments than people with Lewy body dementia. This type of dementia may account for 10 to 25% of all dementia cases. Based on how the disease progresses, how much it costs to treat, and how quickly it spreads, Lewy-Body dementia is the most aggressive and severe variety of dementia (Douglas & McDonald, 2020).

2. Central Concepts of Inter-Professional Practice and Working

To comprehend inter-professional connection and collaboration, consider a few fundamental concepts. When two or more professions collaborate to achieve a common goal, this is referred to as interprofessional collaboration (Donovan & McCumber, 2019). The interprofessional collaborative approach’s primary purpose is to make it easier for professionals from many professions to discuss effective treatment alternatives to enhance patient outcomes. Its main purpose is to improve patient’s quality of life by bringing professionals together. Doctors’ and nurses’ interactions and relationships in the healthcare system have resulted in forming and strengthening partnerships with other healthcare professionals (Donovan & McCumber, 2019). Much study has been conducted on this collaboration and has been included in practice models for interactions between various healthcare professions to encourage collaborative practices (Donovan & McCumber, 2019). In order to provide quality treatment, teams may need to communicate across professions. Communication between nurses and doctors is critical because the two vocations rely on each other, and both are required to provide high-quality treatment to dementia patients (Douglas & McDonald, 2020). Doctors and nurses have devised a method of collaboration that allows them to communicate with one hierarchy and use their chats to make decisions both initially and as a team. Healthcare professionals must collaborate on complicated issues such as dementia therapy to improve patient care and reduce the number of patients who become ill or die (Kleinke et al., 2022). This is due to the difficulty of working in the healthcare system.

2.1 The Role of Psychiatry

The Psychiatry section’s medical professionals are qualified to test for dementia, evaluate it, and provide a definitive diagnosis. A treatment plan can be developed once evidence of cognitive or executive functioning has been used to confirm a diagnosis (Douglas & McDonald, 2020). There is an opportunity to employ psychology while developing a treatment plan, to provide patients with a sense of control (where appropriate), making them happier with their care, and providing them with better care overall.

2.2 The Role of Psychology

Psychology might concentrate on how to manage the behavioral and psychological symptoms of dementia (BPSD), which are a group of symptoms that do not involve thinking. More than 80% of patients with dementia exhibit their most visible symptoms when a behavioral aspect of their illness deteriorates, which is quite concerning (Douglas & McDonald, 2020). Psychology and psychiatry should collaborate to weigh the risks and advantages of beginning or discontinuing the pharmaceutical medication. BPSD may cause a great al of ce and stress for caregivers and employees, who may need to seek behavioral or drug-based treatment to deal with these issues (Douglas & McDonald, 2020). Psychiatry and psychology must collaborate to provide dementia patients with options for interventions in their best interests.

2.3 The Role of Pharmacy

Clinical pharmacists may be needed to help certain patients with dementia decide whether or not to begin pharmaceutical medication. To determine the dangers and benefits of psychotropic medicines, psychiatry and psychology might look at the progression of a disease and the severity of behavioral and mental disorders (Douglas & McDonald, 2020). Pharmaceutical therapy has not previously demonstrated sufficient therapeutic efficacy in this sensitive group of patients due to the danger of significant side effects. To investigate the efficacy and safety of pharmaceutical therapy, the pharmacy, psychology, and psychiatry departments must collaborate. This will improve the quality of life for people with dementia and make treating behavioral symptoms easier and less expensive.

3. Impact of Policies, Codes, Organizational Frameworks and Approaches on Inter-Professional Practice

Various organizational structures, customs, regulations, and procedures influence the interaction of various professions. Because of the impact that continual legislative changes have on their job, interprofessional practitioners must maintain an open mind. Data sharing and the implementation of privacy policies substantially impact interprofessional collaborative practice. It is unlawful under the Human Rights Act of 1988 to expose private information to third parties (Dreier-Wolfgramm et al., 2020). Because the Act is subject to many interpretations, this could result in the safeguarding of sensitive information. As the symptoms of dementia increase over time, support is required. Even though the negative impacts of dementia on a person’s physical, emotional, and cognitive capacities vary from person to person, an atmosphere that supports interprofessional management across disciplines may assist in mitigating these effects. Innovative collaboration methods are currently being implemented in primary care settings to simplify the integration of healthcare professionals and improve sickness management (Dementia Care Practice Recommendations, 2018). Due to the complexity of dementia, interdisciplinary treatment should be prioritized, even though there is no universally acknowledged strategy for treating the condition. Understanding how behavioral and psychological disturbances (BPSD) influence the onset of dementia may necessitate collaboration between these three fields of study. These three primary disciplines may attend daily team meetings or interdisciplinary rounds to examine and debate treatment options.

4. Factors that Promote and Hinder Inter-Professional Practice

This is a factor that, if given top emphasis, can improve professional communication. For a variety of reasons, members of an interprofessional team may need to communicate better. Professionals may experience anxiety when working in interprofessional teams, preventing them from providing the team with the information required to function effectively (Farinde, 2020). This might be reflected in the company’s culture, founded on rules and practices for disseminating information. If there is a standard operating process, it may be easier for different authorities to communicate information, harming interprofessional practice. The fact that there is a standard set of well-known work procedures, that interprofessional practice is promoted, and that people may work together increases efficiency in this setting. Because medical staff values privacy, sharing information may be difficult (Farrell et al., 2018). Responsibility analysis is vital because interprofessional teams are needed to function successfully together. Individual accountability vs. group accountability, as well as the accountability of interprofessional teams, are two issues to consider. Partnership work can lead to high performance when the correct structure is in place, and SMART goals are set for the interprofessional team. Different professions may have different beliefs about accountability, making it difficult for professionals to collaborate.

Culture is a crucial but difficult component of the dementia struggle. Varied groups in the health and social care system are held to different levels of accountability for how they perform in their respective sectors due to cultural and professional norms (Hamabata et al., 2020). Architecture, conduct, institutional distinctions, concepts and ideals, and behavior all differ between organizational culture and ethnic culture. Given the disparities in perspectives, attitudes, and ethical standards, this issue will pose little difficulty in treating Dementia patients by specialists from other areas. Another component is taking risks, which might produce conflicts in the group depending on the activity. Some employment groups may be less inclined to take risks than others. Professionals may find it more collaboration more difficult is equality and variety. This may make it more difficult for people from diverse areas to collaborate, which may have personal and professional consequences for the group (Hamabata et al., 2020). Because there are so many diverse ideas and answers, diversity can make it simpler for professionals to collaborate, but it can also be a barrier if ignored.

5. Personal and Professional Awareness, Practice, and Assumptions

According to my professional experiences, interdisciplinary collaboration is the guiding concept for health and social care practice. As a result, it is vital to be prepared to manage these situations and be conscious of their ongoing evolution. In my line of work, I must be aware of this problem because of the possible harm it may have caused my judgment. Many occupations are related to prejudice, including nursing, social work, and medical care. It is possible that doctors will not be prepared to interact with nurses or other interprofessional team members because of biases and the fact that the medical paradigm is so prevalent. I must refrain from making hasty judgments and evaluating situations based on my preconceived conceptions, even if I do not always concur with the viewpoints of others. If this leads to poor teamwork between myself and others, it can have a negative effect on the outcomes for the people receiving the service.

My whole life, I have been under the impression that the best approach to advance my profession is to participate in various teams. After giving it some thought, one of the reasons, I want to believe it is that it is one of the advantages of interprofessional collaboration that is most frequently emphasized. Even though I am aware that interprofessional collaboration may result in the creation of new bureaucratic layers, which may cause the process to move more slowly and increase expenses, I continue to advocate for it. Academics have pointed out that the absence of bureaucracy could result in redundancy. This could be the case if different sorts of organizations and practices have distinct operating processes, which could be the case if bureaucracy were eliminated.

Additionally, the group formation process must be researched due to the possibility that it will result in conflict. During the so-called storming phase of the Tuckman group growth model, which covers the formation, storming, norming and performance, and disbanding, I had my first experience with conflict in interprofessional teams. With the benefit of hindsight, I can state the following. Some experts believe that storming can assist teams in becoming more flexible, innovative, and creative, which are beneficial and conducive to the success of interprofessional group collaboration. On the other hand, based on my own experiences, I have seen how poorly managed arguments in similar circumstances can lead to a lack of openness and information sharing among the members of interprofessional work groups. In this regard, those in positions of authority ought to demonstrate an uncommon level of caution while simultaneously encouraging constructive conflict.

6. Conclusion

This study demonstrates that to improve service user outcomes, many specialists from various organizations inside and outside the health and social care sector must participate in interprofessional practice. Regulations influence how professionals collaborate and perform their duties, among other factors. It has also been demonstrated that varied circumstances might make it simpler or more difficult for professionals from different professions to collaborate. For example, cooperation necessitates good communication and information sharing, whereas poor communication and information sharing issues. Reflection has taught me how to enhance my professional and personal communication skills with other professionals, which has aided me in preparing for my next position. To provide tailored, high-quality care to people with dementia, a comprehensive plan, and coordination between the most significant areas of health care are required. The decision to begin pharmaceutical or nonpharmacological therapy is based on the patient’s condition and feelings about the merits and cons of the therapy. The psychologist may then investigate the most effective non-drug methods of changing behavior. They can also consult a pharmacist to determine whether psychiatric medicines are required and whether the patient or their family wants them. Finally, all three areas must collaborate to develop a treatment plan that addresses the cognitive, behavioral, and psychological components of the problem.

7. Reference list

Alzheimer’s Disease and Dementia. (2018). Dementia Care Practice Recommendations. [Online] Available at: https://www.alz.org/professionals/professional-providers/dementia_care_practice_recommendations.

Brody, A.A., and Galvin, J.E. (2021). A review of interprofessional dissemination and education interventions for recognizing and managing dementia. Gerontology & Geriatrics Education, [online] 34(3), pp.225–256. doi:10.1080/02701960.2013.801342.

Coverfocus (2021). Clinical Approach to Dementia. [online] Practical Neurology. Available at: https://practicalneurology.com/articles/2021-june/clinical-approach-to-dementia.

Donovan, M.L. & McCumber, S. (2019). Interprofessional Collaborative Practice: Dementia Case Studies Engage Nurse Practitioners and Occupational Therapy Students. Journal of Nursing Education, 54(9), 536–536. Doi: 10.3928/01484834-20150814-11.

Douglas, N.F. & McDonald, K. (2020). Interprofessional Care in the Management of Alzheimer’s Dementia: Leaving Our Silos. Perspectives of the ASHA Special Interest Groups, 1(2), pp.129–137. doi:10.1044/persp1.sig2.129.

Dreier-Wolfgramm, A., Michalowsky, B., Austrom, M.G., van der Marck, M.A., Iliffe, S., Alder, C., Vollmar, H.C., Thyrian, J.R., Wucherer, D., Zwingmann, I. and Hoffmann, W. (2020). Dementia care management in primary care. Zeitschrift für Gerontologie und Geriatrie, 50(S2), pp.68–77. Doi: 10.1007/s00391-017-1220-8.

Farinde, A. (2020). The Interprofessional Management of Dementia-Related Behavioral and Psychological Disturbances. Health and Interprofessional Practice, 2(2). doi:10.7772/2159-1253.1064.

Farrell, T.W., Luptak, M.K., Supiano, K.P., Pacala, J.T. and De Lisser, R. (2018). State of the Science: Interprofessional Approaches to Aging, Dementia, and Mental Health. Journal of the American Geriatrics Society, 66, pp.S40–S47. doi:10.1111/jgs.15309.

Hamabata, K., Shiotani, H. and Sekido, K. (2020). Interprofessional Work Model for Dementia Care in Hospitals for Community-Based Care. Health, 12(12), pp.1543–1561. doi:10.4236/health.2020.1212112.

http://fyra.io (2021). Behavioral Approaches in Dementia Care. [online] Practical Neurology. Available at: https://practicalneurology.com/articles/2021-june/behavioral-approaches-in-dementia-care.

Kleinke, F., Michalowsky, B., Rädke, A., Platen, M., Mühlichen, F., Scharf, A., Mohr, W., Penndorf, P., Bahls, T., van den Berg, N. and Hoffmann, W. (2022). Advanced nursing practice and interprofessional dementia care (InDePendent): study protocol for a multi-center, cluster-randomized, controlled, interventional trial. Trials, 23(1). Doi: 10.1186/s13063-022-06249-1.

Richard Isaacson (2019). A Comprehensive Approach to Managing Dementia Patients: Considering the Caregivers. [online] Practical Neurology. Available at: https://practicalneurology.com/articles/2012-mar-apr/a-comprehensive-approach-to-managing-dementia-patients-considering-the-caregivers [Accessed 10 Dec. 2022].

 

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