Interdisciplinary Collaboration for Elder Care
Define collaboration and the need for an interdisciplinary approach to geriatric care.
Describe the types of teams and stages of team development
Differentiate education and skills among different professionals on geriatric healthcare teams
Define the principles of successful teamwork, interdisciplinary collaboration, and steps in the care-planning process.
Discuss the concept of team conflict and conflict management skills.
shared planning, decision-making, responsibility, and accountability
Importance of collaboration:
Complexity of chronic and acute problems too complex be managed by one provider
Increases likelihood that issues will be addressed
Increases coordination of care
More efficient care delivery
Types of Teams
Unidisciplinary Team: same discipline
Multidisciplinary Team: different discipline; members independently develop plan; fixed roles; members are consulted about plan of care; MD assumes leadership
Interdisciplinary Team: different disciplines; flexible roles, collaborative, and synergistic; partners in designing care plan; situational leadership
Stage of Team Development
Forming -creation stage; testing group norms; define boundaries; polite but untrusting; understanding roles
Storming -confronting stage; friction; jockeying for position; test out each other
Norming -interdependence; establish norms and patterns; constructive expression of ideas and opinions; heading in the right direction
Performing -develop solutions; interests are shared; will work together
Education and Overlapping Skills
Team members bring unique sets of skills from their discipline
The team looks at medical, psychological, emotional, social, economic, living conditions, and nursing issues and interventions
ELEMENTS OF TEAMWORK:
Coordination of services
Roles are defined:
Leader or Facilitator
Team Rules stay on target
Attendance and timeliness
Prepare materials ahead of time
Contributing to / participating in discussion
Appropriate ways to manage conflict
Acknowledge other professionals’ roles
Share information with respect and cooperation
Confidentiality of team discussions
Agreement that team goals represents all participants’ views
Activity: Care-Planning Process
Case Scenario: Ms. J
What team members need to be involved in this case?
What are Ms. J’ s most important health issues, and who should be involved in managing these issues?
Develop a management plan for Ms. J.
Problems identified and discussed; patient and family preferences considered
Medication management and lower cost
Focused on critical problems and set appropriate goals
Social Worker -applying for Medicaid and community services available
Financially feasible medication plan
Team Process Evaluation
Negotiate team priorities
Agreed to specific assignments
Stay engaged; group input; no SILO mentality
Specific disciplines provided expert opinions
Follow up plan -Measurable
Team Conflict Defined
competitive or opposing action of incompatibles; mental struggle; opposing needs, drives, wishes, internal and external demands
When do conflicts occur?
When any team member .
Feels pressure from group to assume a role
Allocated roles are constraining / inhibiting development
Feels that sanctions imposed to induce him or her to maintain a role; are not fair / commensurate
Cannot develop acquired capabilities in assigned role
Wishes to go beyond definition of role
Viewpoints on Conflict
Competitive -one must win
Compromising -middle position; all parties give a little to gain
Collaborative -need of both / all are met
Accommodating -avoidance; accommodating
Define the problem
Ask open questions
Paraphrase and Reframe
Attack the problem, not the person.
Focus on what can be done
Encourage different points of view
Express feelings without blaming
Listen to understand the other person’s point of view
Respect the other person’s point of view.
Solve the problem while building the relationship.