Lecture 5- MDT Flashcards Preview

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1

Multidisciplinary meetings occur 

2

what happens at an MDT

Here the team share information on team goals and discharge plans as well as meet with patients and families. Tools have been designed to guide the outcomes of these meetings. The team needs to be mindful of ongoing needs especially depression, experienced by around 20-30% of stroke patients. Assessment and referral are key for psychological care (C

3

 collective planning and decision making is an important part of strok care. What does this mean?

  • The team must meet regularly
  • The team must set collaborative goals
  • The team must jointly carry out the treatment plan as profession-specific work but aligned to these goals
  • A high degree of cooperation and effective communication

4

difference between multidisciplinary and interprofessional team

5

factors in effective interprofessional leadership

6

Effective Shared Decision Making Skills and Behaviours:

1. When engaging with a team to achieve an integrated care management plan or group/community intervention

Skills: creates, plans, negotiates, speaks up, and agrees.

2. When the team prioritise the actions.

Skills: negotiates, speaks up, and agrees.

3. When the team review the goals of the management.

Skills: monitors, reassesses, negotiates, speaks up, and agrees.

4. The team members put a case on behalf of a patient/client to be a partner in decision making.

Skills: gives information, speaks up, and negotiates.

5. The team actively engages with the patient to exchange information to achieve a shared understanding.

Skills: gives information, seeks information, listens, reflects back, discusses options, and discusses preferences.

6. The team seeks to achieve a shared understanding of the patient’s/client’s or group’s/ community’s predisposition and integrate considerations into the integrated care management plan.

Skills: listens, reflects back, asks questions, clarifies, negotiates, and agrees.

7. The team members recognises the boundaries of his/her and colleagues’ scope of practice and identifies a knowledge gap that may be met by another health professional.

Skills: questions, evaluates, sources, and refers

7

what are the point of MDT meetings

- Gather information

- Determine the required health/social needs

- Obtain further information

- Set goals and the treatment plan to address identified patient/family needs

- Assess progress

- To improve quality of service delivery, and speed of discharge

- To ensure coordinated, holistic, patient centered care

8

who attends MDT meeting

9

Who leads?

10

How would you start the meeting?

11

example pt

12

medical concerns at MDT for Mr Burgess 

Can you list current issues and how they may be addressed (SMART goals)?

13

nursing concerns at MDT for Mr Burgess 

• Can you list current issues and how they may be addressed (goals)?

14

physio concerns at MDT for Mr Burgess 

What are Mr Burgess’s current abilities?

 Can you identify any goals? How will they be achieved?

15

OT concerns at MDT for Mr Burgess 

• What are Mr Burgess’s current abilities? • Can you identify any goals? How will they be achieved?

16

Speech and language therapy oncerns at MDT for Mr Burgess

• What are Mr Burgess’s current abilities? • Can you identify any goals? How will they be achieved?

17

Dietician concerns at MDT for Mr Burgess

• What are the current issues to be addressed? • How will this be achieved?

18

Mood concerns at MDT for Mr Burgess

 

Who is best placed to comment on Mr Burgess’s mood? - Mr Burgess - Any team member who’s spent time with him

19

discharge destination options for Mr Burgess

• Options are:

1) Home with carer’s

2) Keep on the stroke unit for further medical input and therapy

3) Send to rehabilitation ward for further in patient therapy

4) Home with the early supported discharge team

20

dicharge destination agreed for Mr burgess

21