One of the major reasons is failing to collaborate from different health care setting, locations, or zip codes. According to study by Calleja and other authors (2019), nurses and health care workers face different challenges, which affects health care delivery system negatively. Authors Anthony (2020), Chu and co-authors (2021), and Whillans (2021) highlighted that interprofessional and multidisciplinary strategies with a well-designed plan based on EBP can mitigate challenges. 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

We will now look at the remote collaboration scenario provided in the Valley city hospital

The patient Caitlynn is a two-year-old girl who as admitted to the ER after suffering from pneumonia. She was cared by interdisciplinary team of Dr Erica Copeland (pediatrician), Virginia Anderson (the pediatric nurse), and Rebecca Helgo (respiratory therapist). Dr. Copeland and nurse Anderson collaborated together to understand the patient’s condition that she was admitted to the hospital once in last six months for pneumonia treatment and she has history of breathing problems. She also suffered due to meconium ileus at birth and now, chest physiotherapy and nebulized aerosol were administered by the respiratory therapist. It was noted that thick secretions caused breathing issues after the aerosol. 

She weighs 20.7 pounds and subcutaneous tissue was observed in her extremities. Based on their discussion and observation from sweat chloride test results, it was diagnosed that she has cystic fibrosis. Dr. Copeland, nurse Anderson, and respiratory therapist Helgo determined that her case is complex and as a result, it is important to monitor her condition and plan a care plan. However, Caitlyn lives in McHenry, which is over an hour drive and as a result, it is not recommended to travel especially due to winter. The doctor recommended Pancrease enzymes and high-protein, extra-calorie diet was recommended along with huff breath treatment, aerosol treatment, and dornase alfa to manage her condition by collaborating with pediatrician. 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

She cannot perform huff breaths and at a risk for respiratory distress and impaired gas exchange, which might result in anxiety and increased distress. Thus, it was recommended to discuss with pediatrician and parents of the patients even though they are busy and married, but separated to educate them to monitor the patient and manage the condition. It was also discussed that to make use of telemedicine, skype consultation and education, and social service consultant to collaborate remotely. 


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