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International program Sara Blücher Stefanie Eigenraam Ausra Gedmintaite Karel Hejduk Aiga Reneslâce - Klovina Nele Vanmulders Presentation Introduction Brainstorm Case Process Conclusion Introduction Goal of the project: Work together with different nationalities and sharing your own perception on nursing Introduction Questions which should be answered: 1. 2. 3. What care is given by the nurse? Is there going to be transmural care? Which stakeholders are involved? Brainstorm Brainstorm Category one: Care Prevention; Healing; Suppression. Brainstorm Category two: Ethics See possibilities, not only disabilities; Respecting patient’s autonomy; Ethics; Empathy; Holistic view; ‘Being there’ for the patient. Brainstorm Category three: Specialist knowledge Know what you’re doing and why you’re doing it; Specialist knowledge; Responsibility; Comfort / safety / confidence; Observe; Multicultural knowledge; Medical / technical skills; Psychology knowledge. Brainstorm Category four: Communication skills in the team Inform Communication Multidisciplinary collaboration; Communication with the patient; Delegation; Common goal / view; Innovator; Continuity; Coordination. Motivation Brainstorm Category four: Communication skills to the patient Inform Communication Motivation Communication with the patient; Family participation; Link between patient and doctor and patient and family. Brainstorm Inform: Intra professional Other professionals (M.D) Patient and family: Medication; treatment / options; patients organization; disease; prevention; the health care system: other professions skills and tasks. Case Egberdien Vaartstra, 52 years old Single for 20 years Children; one daughter (32) and one son (30); live nearby Owner of her own snack bar Medical diagnoses Extensive small-cell carcinoma Lung cancer, spread to the liver Prognosis Total recovery is not possible Heightened BSE, high leucos and differentiation, abnormal liver function Medical treatment 5 chemotherapy treatments Suppression and keeping the tumor under control She’s thinking…. Am I going to die? What is going to happen after chemotherapy? What are the alternatives? What happens if I get sicker.. And my business? Are my children also at risk for lung cancer? …. Process Process Process Process General conclusion What is best for the patient? Should we involve a lot of professions around the patient or just gather a few? When should the professions meet? How often and under what circumstances should we meet? How and when shall the M.C. – group approach the patient? When can we speak of ‘multidisciplinary collaboration’ ? Finally we did it…