Multi Agency Approach To Chronic Ailments

Task 1

As individuals grow old, health-related matters tend to develop into chronic and intricate cases, and multimorbidity, which is the existence of numerous chronic illnesses at a similar duration- turns out to be the custom rather than an exception (American Geriatrics Society Expert Panel 2012). Elderly individuals with multimorbidity are varied regarding the severity of the ailment, diagnosis, and threat of adversative happenings even when detected with a similar condition pattern. Not only the persons themselves but similarly, their therapeutic choices may change, demanding additional accommodative approaches to care in this populace.

Supporting people With Chronic Illnesses Using a Multi-Agency Approach

Offering care for the elderly with multiple health concerns is commensurately intricate. Many health practitioners may be concerned with the supervision of a single individual, particularly in nations where therapeutic experts are generally accessible (Anderson, 2010). Elderly individuals with chronic disorders obtain care from numerous health-care providers throughout various health care surroundings. For the elderly experiencing chronic ailments residing in the society, the health practitioners are principally from primary care and home care surroundings and consist of a wide range of providers (Lawless et al. 2020). For instance, nurses, physicians, and physiotherapists.

There are various ways I would support the elderly using a multi-agency approach. Foremost, care coordination and patient-centred medical dwellings. Since persons with multimorbidity have more access to health practitioners, satisfactory structures of primary care medication and first care synchronization are required in the implementation of these ideologies (Fried Tinetti & Iannone 2011). A “principal” clinician, or patient-centered medical home, can assist the elderly with multimorbidity to make well-versed choices concerning their significances, assist in organizing medicinal and sustenance services, and employ actual patient-centered care. Association with experts such as pharmacologists and mental health specialists can be perplexing for several primary care clinicians as a result of insufficient systems of communication, absence of well-known relations, or convenience difficulties. Furthermore, experts might not identify solemn glitches confronting the elderly with multimorbidity, such as the significance of synchronizing with a principal clinician and the intricacy of handling numerous situations (American Geriatrics Society Expert Panel, 2012). With proper teaching for all clinicians, patient-centered therapeutic institutions can assist in tackling such tasks.

Another way of supporting is the orientation of services that revolve around the requirements of the services themselves. This will assist in serving older individuals with a tremendous and steady level of inherent capability, those with a deteriorating aptitude and those whose aptitude has worsened to the point where they need the attention of other caregivers (Reuben and Tinetti 2012). The fundamental capacity is well-defined by World Health Organization as an amalgamation of the person’s somatic and psychological state, including psychosocial abilities (Brown and Bussell 2011). A shift in the kind of attention the elderly ought to receive is also required. This is away from the sole focus on the managing of particular ailments and disorders and to care to enhance the intrinsic capacity of the elderly over their life course. The objective is not to devaluing respectable disease managing. Still, it is relatively to highlight that an older individual’s bodily and psychological aptitude ought to be the emphasis of, and the preliminary spot for, synchronized health interpolations.

Proper evidence-based patient-centred attention for the elderly with multimorbidity will necessitate the enhanced corporation various bodies. They include administration organizations, proficient establishments, and learning establishments, as well as resource investments in novel programs and preparation for all multi-agency affiliates for the enhanced care for the elderly (Morris et al.,2011).   In addition, clinical officers may need to know how to avoid the single-disease methodology to care and assimilate a household or support systems into actual health-care associations. This is as a result of the elderly individuals with multimorbidity may require help with particular health-care organization tasks and health-care pronouncements. Emergent evidence shows the prerequisite for the facilitation of care and backing for caregivers of elderly individuals with intricate health-related requirements.

According to Titzer Swenty and Hoehn (2012), preparation of clinicians ought to address communication abilities for consultations regarding diagnosis and inclinations, with the consciousness of cultural concerns to advance the adherence and outcomes of treatments. Challenging “mismatches” can transpire if a clinician and patients’ styles contrast. For instance, a practitioner with an authoritarian style may inadvertently alienate an individual that may prefer collective decision-making.  Healthcare literateness, proficiency, dialectal obstacles, and hearing and graphical deficiencies can similarly affect results. Published informative resources in desired dialects may not be accessible for each chronic condition. Therefore, it is important to enhance communication in order to address the barriers.

Importance of collaboration

In order to deliver quality health care, and effective collaboration can instantly and confidently impact the safety and outcome of a patient. The prerequisite for actual teams is growing as a result of an upsurge in co-morbidities and accumulative intricacy of specialism of care (Ploeg et al., 2019).  The development in health care and a world-wide request for superior patient care compels corresponding health care expert growth with great attention on patient-centred teamwork system. This may be accomplished by placing the patients in the axis of attention and by distribution of a wide-based culture of standards. This may assist in the establishment and development of an efficient team capable of delivering extraordinary attention to the patients. In order to achieve this objective, the urge by members of the team should be supported by policies and hands-on skills to accomplish objectives and overpower the difficulties. Currently, patients are hardly looked after by only one health practitioner. In an intricate health-care system setting, an active co-operation is vital for the safety of patients as it diminishes adverse happenings attributed to miscommunication with other members and misinterpretation of roles. Patients are undeniably engrossed in their care and ought to be also part of the communication process; their time and all through participation has also been illustrated to reduce faults and possible adversative happenings.

Teamwork turns out to be a significant health interpolation for various reasons. Foremost, clinical care is turning out to be more intricate and focused, compelling medical staff to try convoluted health services and rapidly acquire new methods (Brown and Bussell 2011). The upsurge of chronic ailments such as diabetes, cancer, and heart disease amongst the elderly population has compelled medical personnel to undertake a multi-agency method towards health care. In nations such as the United States, therapeutic teams ought to handle patients that suffer from various health-related issues.

Secondly, researchers have discovered that working together decreases the rate of medical faults and upturns the safety of the patient. Working as a team also decreases matters that result in exhaustion. A single individual is no longer accountable for the health of a patient person responsible for the patient’s health; nowadays, a complete group of health practitioners comes together to synchronize the well-being of a patient. Members of a team assist in breaking down the pyramid and consolidated authority of health institutions, offering more control to health practitioners. Since coordination is based on a robust communication, both the patient and their families occasionally feel more at ease and report consenting treatments and feel extra content with their state of health care (Fried Tinetti & Iannone 2011). In addition, health practitioners are known to be more content with their line of duty.

According to Titzer Swenty and Hoehn (2012), the collaboration also ensures transparency concerning the role of patients as health team associates. Patients and care practitioners require transparency about responsibilities and prospects for patients as members of a team that identify discrepancies from patients in addition to a team-to-team discrepancy. Patients demand coordinated care and consider their real-world as a complete individual, not only as a patient described by the health conditions. In various instances, health care practitioners can engage patients from different locations since several seek to be engaged in active roles in their care; on the other hand, they are imprecise on ways of proceeding. In some instances, they may necessitate reactiveness and invite, expedite, and cultivate such lively associations with patients.

When patients and domestic caregivers are wholly included in care pronouncements and health care customs, the outcomes are enhanced, the rate of readmission and the threat of experiencing an adverse occurrence may decline. It is vital to classify and broadcast best customs that are appealing to patients to develop into dynamic cohorts with their health care teams to the level they wish. This calls for the constant association of health care groups with patients and family caregivers to guarantee comfort with sincere communications with health specialists (Titzer Swenty and Hoehn 2012). Additionally, it provides room for a response that reinforces the relation and their mutual comprehension of the needs of a patient and how best they can be addressed.

The enormous changes in technology in various practices in acute medication such as keyhole operation and evidence-based organization of postoperative situations have made the journey of the patients through ancillary health care shorter (Morris et al., 2011). Patients can be rapidly cleared following interventions that may aid the time of recovery and guarantee an all-out bed occupancy in wards. Such fluctuating practice signifies both the patients and the family much rely on the primary care team postoperatively. Multi-professional relations between ancillary and primary care health services are critical, as well as those in the primary care health group, post-discharge.

Practitioner’s role

In the current health mechanism, delivery procedures entail several interfaces amongst multiple practitioners with fluctuating stages of instructive and work-related preparation. Effective clinical practices, therefore, involve numerous cases where vital data must be precisely linked as the collaboration of team members is very important. When health-care practitioners fail to communicate effectively, the safety of patients is jeopardized for various s reasons. They include a lack of vital evidence, misapprehension of data, indistinct guidelines through the phone, and disregarded alterations in status.  Health providers must have consistent tools of communication and develop a surrounding in which persons have the chance of expressing their concerns. According to Lawless et al. (2020), when a group desires to convey intricate data in a short duration, it is beneficial for a health practitioner to offer organized communiqué systems to guarantee accuracy. Organized communication methods may serve a similar resolution that clinical practice recommendations do in helping practitioners to make pronouncements.

According to Okun et al. (2014), a health practitioner plays a critical role in helping and promoting collaboration amongst patients, caregivers, and families. This is achieved in specific ways. As health practitioners have emerged from a medical background, they are aware that communication, the aspect of coordinating, formulating a common objective and working towards a common objective is vital to providing a safe and an exceptional care. This helps in preventing medical errors, to guarantee the best fulfillment, to lessen the prolonged, and to meet the goals of the patient. In addition, health practitioners are aware of the best practice for a particular patient as well as what is wrong. Therefore, through the communication of information to other team members, they may inspire and offer backing for teamwork amongst the group members.

In Patient-centred care, the association is a vital aspect of achievements.  By undertaking bedside rounding, health practitioners can encompass other members of the team along with the patients in the formulation of goals, sharing the care plan, and encouraging them to take part in the delivery of extraordinary care to the patients. Bedside sequences also advance satisfaction and safety amongst the patients and, consequently, an enhanced outcome. By partaking in the promotion of interprofessional and interprofessional interaction, health practitioners have the role of encouraging and supporting the association. The health practitioner may act as the link between doctors and team members, can offer guidance to the patients in self-care to be self-regulating and self-reliant in certain stages in the period of recovery (Stone and Packer 2010). Collaboration is essential in the promotion of care through diverse health care institutions. By having active communication and good cooperation, by enlightening both patients and other team members and by acting as a model in conducting every activity, a health practitioner can encourage and support association amongst the patients, family, caregivers, and health care experts.

A health practitioner assists in enhancing the patient outcomes by resolving significant conflicts that may be experienced within the medical team (Titzer Swenty & Hoehn (2012)). This may be achieved by improving the management amongst health care personnel in coordinating care. For instance, Medical faults that may be as a result of lack of communication and management amongst health care experts may be terminated by incorporating the aspect of collaboration. Association assists in improving the effectiveness and superiority of offer patient care. Medical faults and adversative happenings may be minimalized or evaded through association which consecutively results in safe and better-quality patient results. For instance, communication in regards to a patient fall threat recorded at the end of shift report assists in preventing falls. Communicating through medicine resolution on discharge assists in averting errors and also aids in continuousness of care at diverse phases.

Through communication, a health practitioner is able to come up with new inventions that may assist the team members and the patients. Since health practitioners spend more time with the patients, communicating the needs of the patients helps in meeting the requirements of a patient quicker (Brown & Bussell 2011). For instance, prescription of therapy by a health practitioner while other members administer and monitor, and if the members fail to communicate in case of any adverse occurrences as a result of treatment, no adjustments can be in the procedure, then it may delay the effect.

Task 2

Part of the evaluation is the determination of the level of flexibility of the patients and the necessity to offer extra sustenance or alterations in his home setting to enable conscription. In various surroundings that comprise of a patient with lessened mobility, a caregiver may be employed to offer extra support. Nonetheless, if a member of a family may be able to provide extra support, it is fortified that care ought to come from a person that the service user has faith in and finds comfort in.

Meanwhile, I evaluated the elderly individual that suffered from a stroke. Research has indicated that those that offer care to patients with chronic ailments have an increased chance of suffering from depression (Brown and Bussell 2011). The challenging job of taking care of an ailing family member and viewing loved ones suffer as a result of an ailment are some of the aspects that lead to the danger. According to Brown and Bussell (2011), caregivers should receive psychological support to avert any cases of depression. Upon the completion of an evaluation on the patient, I acclaimed for the patient’s social support. It was revealed that social support is vital in the prevention of social segregation, which is typical amongst those that provide care to the ailing individuals. Social support will also assist caregivers in interactions with others that may be encountering the same predicaments. Engaging in a support group will aid the formation of friendships and relationships with persons undergoing a similar experience. Presently, there exist various support groups for people that survive from cases of stroke in the society. Being a member of any of the groups will assist in providing emotional and social assistance.

As a result of my evaluation, I discovered that the patient does not require any extra amenity in the care pack. This vital care occurrence turned out to be a problem as I was torn between adhering to recommendations by my colleagues and reporting my outcomes that the service user may not require any rise in his care package. Upon reflecting, I initiated a series of questions regarding why I felt disinclined to holding a discussion with my colleagues concerning my findings. I comprehended that they did not contend that the care package ought to be enlarged. As an alternative, they asked me to finalize an evaluation on social care to authenticate their commendations. On inquiry, my unwillingness was entrenched in my wish to gratify my associates. This may not be astonishing as members of the team would wish to enhance harmony within the group and avert conflicts.

Upon consideration, I ought to have discussed my results instantaneously with members of my team and offer an explanation of why the patient may not require additional aspects to his treatment package. Efficient interactions necessitates that members to pay attention to the verbal and non-verbal interactions. Even though there were no challenges in communication, I may have alleviated my hesitations and convey my concerns with team associates. According to Lawless et al. (2020), actual interactions are required to effectively collaborate with others. Because I may have a prospective interaction, I should utilize the programmes acquired from this occurrence to guarantee that optimum attention is accorded to the patient. I also comprehended that I ought to monitor the professionalism domains when integrating with the team and in the evaluation of service users. Professionalism is labeled as the aptitude of a health care specialist to implement his role founded on the procedures offered in his line of work.

The precise critical care occurrence in this instance is my unwillingness to deliberate my findings with members of my team. Pondering upon this incident, I noticed that as a competent health care provider, I ought to validate my awareness and management when evaluating the requirements of the elderly.  I must not fear that my colleagues would not respect my findings. I likewise realized that I must progress my self-esteem to efficiently support the elderly individuals. To carry on with my proficient growth, I would get involved in training on ways of communicating efficiently with other members. Moreover, I must advance my knowledge on social evaluation to assist in deciding on the utmost suitable care for my service user.

After the occurrence, I started making modifications to my duties. I enhanced my knowledge of social evaluation and also started being extra assertive in the dissemination of my results with other members. During an observation, I deliberated this incident with my administrator. The administration is vital in growing job gratification of social care employees turn out to be more valuable (Brown and Bussell, 2011). These consultations were significant as they facilitated the clear to recognize the difficulties of my service user and consider the greatest resolution for his situations. I likewise believed in the consultations that I was consented to think critically through the challenge and generate a possible resolution for the members of the team and the client.




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