Palliative Care: How Interdisciplinary Teams Make a Difference. Robyn Anderson, RN, MSN Susan Cohen, MD Judith L. Howe, PhD Bronx-NY Harbor GRECC GRECC National Audioconference March 29, 2007. Overview and Objectives . Overview of principles of palliative care
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Robyn Anderson, RN, MSN
Susan Cohen, MD
Judith L. Howe, PhD
Bronx-NY Harbor GRECC
GRECC National Audioconference
March 29, 2007
“A group of people from different disciplines who assess and plan care in a collaborative manner. A common goal is established and each discipline works to achieve that goal.”
Core Members Difference
HousekeeperWho is on a Palliative Care Team?
Inconsistent service delivery
Erratic, sloppy communications
Not handling transitions well
Shared accountability may = NO accountability
Lack of trust
Lack of commitment
Power inequalities among members
Conflicting loyaltiesTeam Pitfalls
The Dysfunctional DifferencePalliative Care Team: How Teamwork can Contribute to Stress
Evaluative studies on the impact of hospital based palliative care teams (US, UK, Canada, Belgium)
A. Franke, 2000
On team rounds, which included members of palliative care team and oncology, a part time member of the palliative care team questioned the patient about his spiritual beliefs and coping style. The patient visibly withdrew and cut the discussion short.
The rest of the team felt that this was inappropriate given that her role and connection with the patient was more peripheral. The team was angry and insulted.
Mr. H. is a 59 year old man, former substance abuser, with severe character pathology, now with end-stage AIDS. Due to numerous behavioral issues, there are very few disposition options. Nursing and medical staff are frustrated by his behavior and his pain and emotional distress are not adequately managed.