Responsibilities of a Multi-Disciplinary Team Summative Assessment

Responsibilities of a Multi-Disciplinary Team

Summative Assessment

BIOGRAPHICAL INFORMATION: Melody a thirty-four-year-old female he was born on March 12th 1989 She is a single woman with no children and lives in Aaron's Hall District in Brooklyn. She gave her next of kin as Judith who is her mother. She use to work has a banker and is linked with the church of Jesus Christ faith.

PRESENT COMPLAINT: Client was transported to the Accident and Emergence department by her brother because of some strange behavior, tossing rocks all in the street and talking to her. Melody protests of hearing voices and wanting to even kill herself, also difficulty being able to sleep. Melody mentions "father and mother do not take care of me and the they don't care although we all live in the same house, I am very stressed out." Forceful behavior and not doing hygienic needs. Past medical history: Asthma Past Surgical history: she had no surgery done. She also has slight diabetes. Past Psychiatric history: Patient has a history of drug stimulate psychosis since 2007 and was treated with modecate, clopixol 50mg, DPH 50mg and haldol mg. Allergies: patient is allergic to fish. Social history: He drinks alcohol infrequently, and smokes (marijuana).

Family history: Patient lives with father and mother in a real organized house with modern services. No signs of family history of mental illness. Melody father smokes and drinks alcohol sporadically. Educational history: Patient attended Geraldine High School but did not have time to finish and began a training organization but did not finish the course. Drug history: patient gave a history of drug use (marijuana) since 12 years old. Forensic history: patient mentions he was jailed May to September 2009 for procession of stolen goods, of which he mentions he was wrongly blamed.

Role of the Mental Health Nurse

The psychiatric nurse is usually one of the first people a patient will see when he is admitted to a mental hospital. He or she will be monitoring most of the patient's plan of care and implementing doctors' orders.

A nurse in a psychiatric setting aids to apply the plan of care, as put in place by the doctors and follows all of his treatment orders. The nurse is helping the patient with care everyday. She will give out medications to the patient as needed and ordered. As she takes care of the patient, she should be careful to make sure that she charts every part of her connections with and remarks of patients, as well as imperative medical information, so that the doctor and other staff can make decisions that are objective concerning that patient's care, having been educated as to their progress, or the lack of it (Haigh, C., 2001). She will most likely be making a report, in person, on the patient's care to both medics and other nursing staff, as obligated, for the best care conceivable.

It is significant for the psychiatric nurse to be conscious of her manner, or the way she represents herself. It is vital that the nurse help patients to feel confident in her as their caregiver. She should make sure that she listens to them actively and show that she is listening through upholding eye contact; this helps the patients have trust (Barry, J. 2009). She should also let the patient know that she is amicable. The nurse needs to watch appearances on her face and body language when collaborating with patients. Alternatively, it is still significant for the nurse to be self-assured and conclusive when it comes to her job in being concerned for these patients (Hayes, N., & Martin, F., 2004). The nurse has to be ready to deal with conflict; she can still be self-confident deprived of being intimidating. The nurse will have some times where she will have to courageously stand her position; however, there will also be times when she can be less thoughtful with the patient and perhaps even jovial.

The Role of a Podiatrist

A podiatrist focuses in treating injuries and diseases and of the feet and lower legs. He must show progressive knowledge of the bone arrangements in the feet, what may cause pain, toenail issues, skin problems, infections and more (Conn, L. 2007). Podiatrists have to have graduated from a college that is accredited podiatric college and go through at least four years of medical training after at least three years of undergraduate study. About 13, 000 podiatrists are working in the United States as of June 2011.

According to the American Podiatric Medical Association, a podiatrist also inspects patients' feet to identify issues that include ingrown toenails, corns, heel spurs, and bunions. Younger patients normally go visit the podiatrist so that they can discuss pain in the foot subsequent from arch problems (Joyce, C., & Piterman, L. 2009). Sometimes, the foot gives a first suggestion of a wider health matter such as diabetes that generates foot ulcers from poor blood circulation. Wounds to the foot conceal torn ligaments or bone fractures. The podiatrist runs X-rays to report the bone construction, recommend physical therapy or set bone fractures. They also show what the intention of shoe supplements should be by logging pressure points under the foot with a force plate system.

A successful podiatrist will possess a scientific mind and analytical eye, and like meeting patients and help in solving their health issues, according to podiatrist William Fishco and faculty member at the Podiatry Institute in Tucker, Ga. He frequently interrelates with other specialists who aid the activities of a podiatrist, counting workers who specify in emerging orthopedic shoes and builders of braces or shoe inserts. They can also can talk with chiropractors or occupational therapists to advocate a clear movement therapy procedure.

Role of a Dietician

A dietician designs food programs and nutrition programs for people. Dieticians also can help in preventing diseases and obesity troubles because they educate people about the function of food in their diet. They typically run food programs in organizations, such as hospitals and schools. A dietician endorses healthy diets through education and education plans.

Clinical dietitians labor in nursing care facilities, hospitals, and institutions. They work with doctors and health care workers to progress nutrition programs the patients will need. The clinical dietitians assess the outcomes for efficiency (Barry, J. 2009). If a patient has high blood pressure, a clinical dietitian will explain to them how to cut down on sodium from the diet, for example. Clinical dietitians can specify in diabetes, management of weight, renal diseases or seriously ill patient care.

The purpose of the dietician is to be capable in order to create a menu based on what the doctor prescribes for the patient. The dietician must be capable of preparing and calculating a menu that is based on the nutrients a person will need. It can be tough to make a menu for a patient when the patient has numerous likes and dislikes for food. A dietician should be able to take all those matters into thought when designing a menu that still meets the nutritional wants of the patient.

The Patient and the Mental Health Nurse

When Melody is admitted into the mental hospital, the psychiatric nurse will be one of the first ones that he will lay his eyes upon. The nurse will start be monitoring most of the Melody's plan of care and applying the orders of the doctor.

In this psychiatric setting, the nurse will be careful to make sure that she applies the design of care, as set forth by the doctor and whatever the treatment order he has decided upon, she will use. It is going to be her duty to help Melody with everyday care for as long as it takes. When needed, Melody by the nurse will administer certain medications to her as ordered, or as needed. As the nurse takes care of Melody, she will be careful to chart every aspect of her contacts with and inspections of patients, as well as crucial medical information, so that the staff and doctor can make factual conclusions concerning Melody's care, having been well-informed as to her progress, or lack thereof. The nurse is going to report, in person, on the Melody's care to both other nursing staff and doctors, as needed, for the best care possible.

It is vital for the psychiatric nurse to be conscious of her demeanor, or the way she portrays herself to Melody. It is important for her to help Melody to feel self-assured in her as their caregiver. The nurse will actively listen to Melody and display that she is listening to her through keeping eye contact. By doing this, Melody will feel like she can trust the nurse. The nurse will also let Melody know that she is friendly. The nurse while working with Melody will watch her illustrations on her face and body language when talking with so she won't give off the wrong vibe.

In contrast, it is the nurse will make sure that she is being decisive and confident when working with Melody when it comes to her job and caring for this young lady. Because of melody's schizophrenia diagnosis, the nurse will have to be ready to deal with conflict. The nurse can still be forceful without being threatening to Melody. Because of Melody's unpredictable behavior, the will be times when the nurse will have to courageously stand her ground. However, there will also be times when she does not have to be so serious with Melody and perhaps even fun-loving.

The Dietician and the Patient

Since Melody has slight diabetes, the dietician will play a major role with her. Previous laboratory tests shave shown in Melody a fasting blood glucose (FBG) of 115mg/dl, total cholesterol of 250 mg/dl, triglyceride level of 300 mg/dl, HDL cholesterol of 48 mg/dl, and LDL cholesterol of 150 mg/dl. It is reported that Melody was taking atenolol for hypertension and aspirin once a day. The referring health care contributor affirmed that D.G. was at increased health risk because of "probable metabolic syndrome."

After the Dietician obtains information on Melody's usual food intake, the dietician will recommended that Melody limit her food intake to 1,600 cal/day, her total fat consumption to 20-25% of calories (50-60 g), and his saturated fat consumption to 7-10% of calories (14-20 g). They deliberated ways to take down the calories by eating lesser amounts, choosing food that is fat free and regulating foods high in sugar, such as things like a soda (Hayes, N., & Martin, F., 2004). The dietician will encourage Melody to preserve her aerobic exercise practice.

Melody by the dietician will assess her to see if she will be the "action" stage of the readiness-to-change behavior change model for physical activity and at the "preparation" stage for weight management and selecting low-fat foods. The dietician will hope that Melody will be very motivated to live a lifestyle that is healthy and decrease her danger of obtaining heart disease and diabetes.

The dietician will try to Melody to enroll in a phone-based lifestyle counseling program and also get her to receive disease-prevention information and nutrition. The dietician will also try to get Melody to agree to track her food intake using an online food log and nutritional analysis program and to join in regular follow-up with the dietician for a couple of months.

The Podiatrist and the Patient

Since Melody has diabetes, the Podiatrist will check her feet. Melody has noticed a burning and tingling in her hands and feet. The podiatrist through a physical examination will notice that Melody have some hyperesthesia of both hands and feet as well as reduced vibratory sensation. The Melody will be observed to have no open lesions on either foot and had complete protective feeling for both feet. The Podiatrist will test her reflexes to see that they were normal and pedal pulses were palpable. The podiatrist might find a slight ataxia. At the moment, the Melody was not showing any signs of depression.

Professionals working Together

The significance of professions learning and working together cannot be highlighted enough to make sure that patient care is evidence-based and a continuous service is delivered. In melody situation, The Mental Status Examination (MSE) is another important diagnostic tool used by the professionals, in the assessment and diagnosing of a psychiatric disorder as it delivers the information to make a precise diagnosis (Wilson, 2008). In addition the DSM-IV-TR knows paranoid, catatonic, disorganized, undifferentiated and residual schizophrenia. Nursing care for the person with schizophrenia requires an understanding of the patient's experiences. The dietician needs an understanding of the patients eating habit and how that is affecting the patient's weight and their disorder. The podiatrist will need to examine certain limbs of the patient body in order to get a proper diagnosis.