A patient has decided to explore palliative care. After making the decision, the nurse notices that not all of the disciplines of the health care team seem to be supportive of the decision. What action by the nurse is indicated?
1. Develop a plan of care and distribute it to the other disciplines of the healthcare team.
2. Plan a multidisciplinary conference to explore the patient's needs.
3. Contact the physician to report the discrepancies in the plan of care.
4. Advise the patient to contact the social services department.
2
Rationale: When a patient seeks palliative care a multidisciplinary team should meet to formulate the plan of care. Distributing the plan of care without input from all of the participating fields will be ineffective and does little to promote collaboration. Calling the physician does not address the need for the differing disciplines to work together to benefit the patient. The social services department may be represented on the team but the patient does not have the responsibility to contact them.
LO: 2-5. Examine the role of palliative care in the high-acuity environment.
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