Ethical Dilemma a Manager Might Face

Using Collaborative Care The most common uses for collaborative care are patients with chronic diseases and patients with complex problems in need of care across a continuum of health care settings. Chronic diseases that benefit from the use of the collaborative model of care include type II diabetes mellitus, diseases of the cardiovascular system such as hypertension and heart failure, and renal disease, such as failure or chronic insufficiency. In addition, addictions such as those to illegal substances or alcohol, and mental health issues are ideal for the application of the team approach to care.

Evidence clearly shows that the collaborative approach significantly increases the quality of care and patient satisfaction with his or her care. According to Kearney (2008), “team care is complex because the members must recognize each other’s competencies, determine the division of responsibilities for patient care and adhere to essential communication and documentation protocols. ” Successful collaborative teams exhibit respect and focus for the common patient goals, have clear role assignments, respect and understand each member’s competencies, use effective and frequent communication and are able to resolve onflicts in a timely manner without major disruptions in the flow of care to the patient. Barriers to successful collaborative team care include any type of breakdown within the team. The most common issues that impact negatively on successful collaboration include disrespect for other members, role boundary conflicts, ineffective communication and power struggles between professions. Conclusion As society ages the number of people with chronic diseases and complex illnesses will continue to increase. The acute care setting is only one stop along the continuum of care for the treatment of these conditions.