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Team Based Health Care

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The patient to be discussed is a 60 year old male who presented to the Emergency Department and was admitted due to a severe COPD exacerbation. The patient is a retired factory worker. He is divorced with no immediate family in the area. He currently has full coverage health insurance through a private policy.

The necessary team members that will facilitate the patients care will include; a physician, nurse, pharmacist, physical therapist, respiratory therapist, social worker and dietician. The physician will serve as the team leader while the other members of the team will have a mutual role in responsibility, authority and an overall goal in improving quality of care and minimizing expenses. The physician will be responsible for the overall care of the patient including writing orders, assessment, and daily care management. The nurse will for day to day patient care according to protocol. The pharmacist will contribute by optimizing drug regiments to reduce adverse effects and increase efficacy. (Wagner, 2012) The physical therapist will ensure the patient maintains ADL’s to the best of his ability while admitted and then set up outpatient rehab as necessary. The respiratory therapist will make certain that the patient is compliant with respiratory medications and overall airway management. The social worker will be available to provide information to help minimize readmission, financial resources if needed and issues related to social determinants of health. (Suric, 2011) The dietician will be responsible to make sure the patient is receiving adequate nutrition while admitted and then provide education about proper nutrition after discharge.

One determinant of health that could impact and influence this patient is lack of social support and interactions. The patient is single and lives alone with no family nearby. Another determinant is lack of health

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