Case Study: Amputation Part 1
Mr. Rivera is a 63-year-old obese patient with uncontrolled type 2 diabetes. He has lost significant mobility and uses a wheelchair. He has had a nonhealing wound in his left foot for the past 2 months; the foot is now gangrenous. Mr. Rivera was admitted to the hospital 2 days ago to amputate his foot at the ankle. Although the surgery went reasonably well, 2 days after the surgery, Mr. Rivera developed a fever, and the tissue around the stump became red and warm to the touch. During morning rounds, the hospitalist recommends that the patient be discharged. However, the surgeon fears an infection is developing and recommends the patient remain hospitalized.
Discussion Questions
- In what ways might interprofessional collaboration be improved in the care of Mr. Rivera?
- Which interprofessional team members, besides the two mentioned, could have been involved in this decision?
- What significant roles can Mr. Rivera and his family play on the interprofessional team? Explain.
- Propose how disagreement might be resolved by using the appropriate Sub-competencies.
- Which healthcare professional is ultimately responsible for this patient? Provide your rationale.
Case Study: Amputation Part 1
Mr. Rivera is a 63-year-old obese patient with uncontrolled type 2 diabetes. He has lost significant mobility and uses a wheelchair. He has had a nonhealing wound in his left foot for the past 2 months; the foot is now gangrenous. Mr. Rivera was admitted to the hospital 2 days ago to amputate his foot at the ankle. Although the surgery went reasonably well, 2 days after the surgery, Mr. Rivera developed a fever, and the tissue around the stump became red and warm to the touch. During morning rounds, the hospitalist recommends that the patient be discharged. However, the surgeon fears an infection is developing and recommends the patient remain hospitalized.
Discussion Questions
- In what ways might interprofessional collaboration be improved in the care of Mr. Rivera?
- Which interprofessional team members, besides the two mentioned, could have been involved in this decision?
- What significant roles can Mr. Rivera and his family play on the interprofessional team? Explain.
- Propose how disagreement might be resolved by using the appropriate Sub-competencies.
- Which healthcare professional is ultimately responsible for this patient? Provide your rationale.