Medically Complex Patients- Management

Front 1

Case managing by HMO companies
follow trans-disciplinary model of care
with standard care plan meetings.

Back 1

IDT meetings to improve effective communication between Health care
consultants /clinicians

Front 2

Effective PT- Nursing communication

Back 2

A nurse may need to know how long a patient can sit/stand/walk
Is CNA/Auxillary staff care for a pt adequate?
What ortho/ neuro precautions
should the floor nurse follow?

Front 3

Effective PT- Nursing communication

Back 3

Is the pt's pain management adequate?
for his/her pathological condition.
example 80 y/o female with new onset shingles,prior hx of falls,dementia who also sustained a rib fracture from osteoporosis , her meds tylenol(prn)
oxycodone (prn),.
STOP and THINK

Front 4

Inadequate pain control often
hinders therapy progress

Back 4

Patients with behaviour disorders are
often overdosed with anti-anxiety meds(ativan,xanax) for a desired calming effect .
anti-psychotics(respiridol,seroquel)

Front 5

Functional problems of a medically complex patient- SOB, DIB/DOE
Dropping O2 sats
Fluctuating VS

Back 5

tachycardia and tachypnea in a
post-op TKA pt should alert you
to stop and think
Chronic debilitated patient with sudden tachycardia and tachypnea
stop and think