International International programprogram

Sara BlücherSara BlücherStefanie Eigenraam Stefanie Eigenraam Ausra GedmintaiteAusra Gedmintaite

Karel Hejduk Karel Hejduk Aiga Reneslâce - Klovina Aiga Reneslâce - Klovina

Nele VanmuldersNele Vanmulders

PresentationPresentation

IntroductionIntroduction Brainstorm Brainstorm Case Case ProcessProcess ConclusionConclusion

IntroductionIntroduction

Goal of the project:Goal of the project:

Work together with differentWork together with different

nationalities and sharing your ownnationalities and sharing your own

perception on nursing perception on nursing

Introduction Introduction

Questions which should be answered:Questions which should be answered:

1.1. What care is given by the nurse?What care is given by the nurse?

2.2. Is there going to be transmural Is there going to be transmural care?care?

3.3. Which stakeholders are involved?Which stakeholders are involved?

BrainstormBrainstorm

BrainstormBrainstorm

Category one: Category one: CareCare

Prevention;Prevention; Healing;Healing; Suppression. Suppression.

Brainstorm Brainstorm

Category two: Category two: EthicsEthics

See possibilities, not only disabilities;See possibilities, not only disabilities; Respecting patient’s autonomy;Respecting patient’s autonomy; Ethics;Ethics; Empathy;Empathy; Holistic view;Holistic view; ‘‘Being there’ for the patient.Being there’ for the patient.

BrainstormBrainstorm

Category three: Category three: Specialist knowledge Specialist knowledge

Know what you’re doing and why you’re Know what you’re doing and why you’re doing it;doing it;

Specialist knowledge;Specialist knowledge; Responsibility;Responsibility; Comfort / safety / confidence;Comfort / safety / confidence; Observe;Observe; Multicultural knowledge;Multicultural knowledge; Medical / technical skills;Medical / technical skills; Psychology knowledge.Psychology knowledge.

BrainstormBrainstorm

Category four: Category four: Communication skills in the teamCommunication skills in the team

InformInform CommunicationCommunication MotivationMotivation

Multidisciplinary collaboration;Multidisciplinary collaboration; Communication with the patient;Communication with the patient; Delegation;Delegation; Common goal / view;Common goal / view; Innovator; Innovator; Continuity;Continuity; Coordination.Coordination.

BrainstormBrainstorm

Category four: Category four: Communication skills to the patient Communication skills to the patient

InformInform CommunicationCommunication MotivationMotivation

Communication with the patient;Communication with the patient; Family participation; Family participation; Link between patient and doctor andLink between patient and doctor and

patient and family.patient and family.

BrainstormBrainstorm

InformInform: :

Intra professionalIntra professional Other professionals (M.D)Other professionals (M.D) Patient and family:Patient and family: Medication;Medication; treatment / options;treatment / options; patients organization;patients organization; disease;disease; prevention;prevention; the health care system: other professions skills the health care system: other professions skills

and tasks.and tasks.

CaseCase

Egberdien Vaartstra, 52 years oldEgberdien Vaartstra, 52 years old Single for 20 yearsSingle for 20 years Children; one daughter (32) and one Children; one daughter (32) and one

son (30); live nearby son (30); live nearby Owner of her own snack bar Owner of her own snack bar

Medical diagnosesMedical diagnoses

Extensive small-cell carcinomaExtensive small-cell carcinoma Lung cancer, spread to the liverLung cancer, spread to the liver

PrognosisPrognosis

Total recovery is not possibleTotal recovery is not possible Heightened BSE, high leucos and Heightened BSE, high leucos and

differentiation, abnormal liver functiondifferentiation, abnormal liver function

Medical treatmentMedical treatment

5 chemotherapy treatments 5 chemotherapy treatments Suppression and keeping the tumor Suppression and keeping the tumor

under controlunder control

She’s thinking….She’s thinking….

Am I going to die? Am I going to die?

What is going to happen after chemotherapy? What is going to happen after chemotherapy?

What are the alternatives? What are the alternatives?

What happens if I get sicker..What happens if I get sicker..

And my business?And my business?

Are my children also at risk for lung cancer?Are my children also at risk for lung cancer?

……..

ProcessProcess

ProcessProcess

ProcessProcess

ProcessProcess

General conclusionGeneral conclusion

What is best for the patient?What is best for the patient? Should we involve a lot of professions Should we involve a lot of professions

around the patient or just gather a few?around the patient or just gather a few? When should the professions meet?When should the professions meet? How often and under what circumstances How often and under what circumstances

should we meet?should we meet? How and when shall the M.C. – group How and when shall the M.C. – group

approach the patient?approach the patient? When can we speak of ‘multidisciplinary When can we speak of ‘multidisciplinary

collaboration’ ?collaboration’ ?

Finally we did it… Finally we did it…