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Please do a reflective writing on the discussion listed below. A minimum of 150
Please do a reflective writing on the discussion listed below. A minimum of 150 words This week’s assignment addresses Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes (American Association of Colleges of Nursing, 2011). Interprofessional collaboration incorporates the dynamics of improving patient and population outcomes. It involves effective communication, cooperation, coordination, and advocacy strategies with other healthcare professionals to lead and coordinate interprofessional teams and manage patient care across organizational systems (American Association of Colleges of Nursing, 2011). Jakubowski (2018) states that interprofessional practice incorporates the awareness of other interdisciplinary team members' roles, responsibilities, and expertise along with embracing the values and ethics of patients and their families. Interprofessional collaboration promotes improved patient outcomes, decreased preventable errors, decreased healthcare costs, and enhanced interdisciplinary relationships (Jakubowski, 2018). I would like to share a situation that I was involved in recently. It began yesterday during a chart review as part of my practicum project. At first, I felt overwhelmed by the extensive documentation concerning this veteran. Today, as I was doing some more chart reviews, I thought of this particular patient again. I went back to the medical record and began to investigate the history for the past year. This veteran lost his spouse, an agency homemaker (caregiver) moved in with him, then began to “manage” not only his healthcare but also his money. Through the process of time, she had him “pay” her for the services she provided ($7000), and had her name added to his bank account and his will. She had him transported to the hospital on two different occasions, then removed him AMA from two different nursing homes. Finally, she applied to be his personal caregiver through the VA Caregiver Support Program (CSP) stating they owed her three months of back wages. The CSP team had multiple entries in his chart involving phone calls and home visits. They finally denied her application, not deeming her an appropriate person for this role. APS was involved at least two different times. I conferred with one of the social workers involved, he was slightly aware of the situation, had not pursued it any further, and advised me to speak with one of the VA Community Care Home Health nurses. I spoke with both of them, but they were only concerned with the referral to the Homemaker/Home Health Aide program, which the veteran would be receiving along with his current hospice care. I contacted the Primary Care team and spoke with one of the nurses. She went into great detail about the situation, even to the point that she had local law enforcement go to the home for an investigation. She stated this caregiver would not bring the veteran to the clinic for healthcare and blocked his agreement to be admitted to the VA Community Living Center. She indicated she had discussed this with the VA provider and didn’t know what else could be done. No one had been able to substantiate fraud, abuse, or exploitation of the caregiver. This caregiver had been dismissed from the agency with whom she had been employed due to a conflict of interest because she was now living with the patient. I felt deeply concerned about the well-being of this veteran: physically, psychologically, and financially. I only saw the mention of a family member, one-time, and that was a daughter-in-law who came to the house and got what she wanted after the veteran’s spouse had passed away. So I did what I felt was in the best interest of the patient, I contacted the U.S Department of Veterans Affairs Office of Inspector General hotline and submitted a complaint. They also advised that I contact the Veterans Benefits Administration (VBA) as the veteran is service-connected and receives a monetary stipend. So I contacted the VBA and filed a report. I don’t know what will become of this veteran but I am hoping that my pursuing this situation a little deeper and further will result in a positive outcome for him. References American Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Focus on Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes. Jakubowski, T. L. (2018, June 5). Interprofessional collaboration improves healthcare. Nursingcentered.sigmanursing.org. https://nursingcentered.sigmanursing.org/features/more-features/interprofessional-collaboration-improves-healthcare

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