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patient-centered care across disciplines - Coggle Diagram
patient-centered care across disciplines
Social Determinants of Health
Economic stability
Single income family
No insurance for Ms. M
Medicaid for Carlos
Access to heathy foods
Surrounding Environment conditions
Housing Quality
Nurses
Assessment
Oral health
Oral hygiene practices
Monitor Side Effects
Vital Signs (i.e. fever)
Lab Results
Adverse reactions to treatment
Monitor/Manage Symptoms
Mucositis
Monitor for worsening objective findings (white patches, redness, ulcers, bleeding)
Monitor intake and output and coordinate w/ hospitalist and dietary.
Nausea (current chemotherapy treatment)
Education
Frequent mouth rinses (Vigarios et al., 2017, p. 1724)
Frequent flossing (Vigarios et al., 2017, p. 1724)
food to avoid
Spicy, crunchy, acidic, high temp. (Vigarios et al., 2017, p. 1724)
Frequent teeth brushing (Vigarios et al., 2017, p. 1724)
Sterile water, or saline (Vigarios et al., 2017, p. 1724)
Advocacy
Report assessment findings
Seek order recommendations
Steroid mouth rinse (Vigarios et al., 2017, p. 1723)
Oral systemic steroids (Vigarios et al., 2017, p. 1723)
Chemotherapy dose adjustment (Vigarios et al., 2017, p. 1723)
Temperature management: Tylenol and
Connect family and educate them on resources the hospital may offer
Interventions
Central line care
Dressing maintenance/changes (Jarding et al., 2021, p. 330)
Daily hygiene
Antimicrobial soap (Jarding et al., 2021, p. 330)
CHG (Jarding et al., 2021, p. 330)
Hand Hygiene (Jarding et al., 2021, p. 329)
Manage Pain
Provide emotional support
Dietitians
Diet management
Proper nutrition to maintain strength
Manage possible need for enteral or intravenous nutrition based on chemotherapy and grade of mucositis.
Social Workers
Help Ms. M find affordable health insurance for both her and Carlos.
Help Carlos understand importance of dental hygiene
Offer financial assistance to family
Offer counseling to Carlos and Ms.M
Physician/Specialties
Oncologist
Hospitalist
Referrals
Coordinating Care
Appropriate Interventions and Treatment
Primary Care Provider (PCP)
Referals and notifying of dental procedures
Regular checkups
Follow-up appointments
Infectious Disease
Antibiotic Treatment Recommendations
Length of treatment
Blood work orders
Dentist
Compliance with dental hygiene
Importance of routine visits for dental cleanings
Patient History
Carlos is currently undergoing chemotherapy. Due to his high-risk chemotherapy protocol, he has been admitted to the hospital many times for fever and low blood counts. During his recent hospitalization he was admitted with fever, low blood counts, and mucositis. Three days after admission it was confirmed that he had a central line-associated bloodstream infection (CLABSI).
Carlos M. is a 12-year-old boy who was diagnosed with high-risk Acute Lymphocytic Leukemia (ALL) nine months ago.
Carlos and his mom (Ms. M.) live together in northern Michigan community of Roscommon. Ms. M. works full-time in housekeeping for a local hotel. Carlos has Medicaid which Ms. M. applied for following Carlos’ diagnosis. Ms. M. does not have her own health insurance.
