Interprofessional Team Approach Research Articles

Utilization of the Keeping Hope Possible Toolkit with parents of children with life limiting and life threatening illnesses during the COVID-19 pandemic: Exploring pediatric nurses and allied healthcare provider opinions

BackgroundFor families with children diagnosed with complex illnesses, the COVID-19 pandemic added many challenges. In order to mitigate inevitable disruptions in pediatric care settings, caregivers may need added supports and resources. The Keeping Hope Possible (KHP) Toolkit is a self-administered intervention intended to enhance caregiving experiences of parents with a child with multiple needs. However, little is known about effectively disseminating the Toolkit. Purpose and methodsA qualitative, thematic analysis was conducted to explore the opinions and perceptions of pediatric nurses and allied healthcare providers (HCPs) in relation to the dissemination and use of the KHP Toolkit for use by families with complex medical needs. Structured interview data were analyzed from a sample of seven pediatric HCPs working in various care settings in one Canadian province. FindingsFive themes were developed including: Recognising Importance of the KHP Toolkit; Needing Support and Direction; Implementation and Use of the KHP Toolkit; Realizing Important Considerations for Success; and, Emphasizing Connection through Isolated Times. DiscussionParticipants recognized the importance of the KHP Toolkit for parents and extended family in a variety of settings to encourage self-care, daily structure, and connectedness. Thus, pediatric nurses' awareness and openness to the initial dissemination of the Toolkit is essential, and a subsequent interprofessional team approach will ensure consistent reminders and support for families. Application to practiceCareful assessment of family readiness for learning about and using the KHP Toolkit is essential, along with an interprofessional approach to consistent inquiry and support at each family encounter.

WHAT WE SHOULD DO FOR CROUZON SYNDROME ?

Introduction : Crouzon syndrome is a rare genetically disease characterized by craniosynostosis resulting in skull and facial deformities. Fortunately, not all patient requires surgery so we will review the workup of Crouzon syndrome and describes the collaboration of health professionals needed to manage this condition.
 Case Illustration : A 10 years old boy came to hospital with exophthalmos since birth. There is decreasing of visual acuity on RE caused by atrophy papil and leads to sensoric exotropia. There is also lagophthalmos 1 mm on the both eyes. Brain CT shown there are craniosynostosis and thickening of the rectus muscles. This patient also do a bone Survey with the result are asymmetrical calvarial thickening, cooper beaten skull, shallow orbits, depressed nasal bridge and hypoplasia maxilla. This case is managed by multidisciplinary to correct the maldevelopment of the midface and orbits to prevent blindness, airways obstruction and intellectual disability related.
 Discussion : The combination of detailed family history, the use of various imaging modalities and genetic testing help differentiate the spectrum of craniosynostosis syndromes. The management is complex and requires a team of subspecialists including pediatricians, oral maxillofacial surgeons, plastic surgeons, neurosurgeons, otorhinolaryngology, and ophthalmologists (pediatric and oculoplastics). Long-term follow up needed to monitor ocular development due to the propensity strabismic amblyopia and atrophy optic.
 Conclusion : An interprofessional team approach will provide the best outcomes and recognizing possible complications for crouzon syndrome.

SAT566 A Rare Case Of Aggressive Anaplastic Thyroid Presenting As Thyrotoxicosis

Abstract Disclosure: A. Al-Juboori: None. Y. Al-Yousif: None. S. Fomin: None. M. Sundaram: None. Background:Anaplastic Thyroid cancer is a rare neoplasm with a poor prognosis and high mortality rate. Usually, it presents with symptoms like dysphagia and hoarseness. However, it is rarely presented with thyrotoxicosis from the rapid destruction of thyroid follicle cells, causing excessive leakage of preformed thyroid hormones into the circulation. Clinical presentation can vary from a subclinical state to a life-threatening thyroid storm. Management requires an inter-professional team approach. Clinical Case:77-year-old female patient, who visited the urgent care on August 12 complaining of sore throat, Amoxicillin was prescribed. Presented to ER 10 days later complaining of a headache, gum discomfort, shortness of breath, worsening sore throat, neck pain, and gradual worsening dysphagia to liquids and solids. Physical exam revealed anterior painful and firm neck mass upon palpation. Stridor was noted upon auscultation and was found to be in arterial fibrillation with a rapid ventricular rate for which Amiodarone drip and heparin drip were initiated. IV hydrocortisone 50 mg TID was added to the treatment right away for symptomatic relief. The results of the thyroid function test revealed an increased serum FT4 and FT3, and low serum TSH. Antibodies were normal. Clinical presentation increases the suspicion of undifferentiated thyroid cancer versus lymphoma. CT revealed leftward tracheal deviation along with a big undetermined right thyroid mass with accompanying cervical and supraclavicular adenopathy. IR was consulted urgently for a thyroid biopsy. High-grade anaplastic cancer was discovered after a biopsy with metastasis to the surrounding lymph. The decision was made to transfer the patient to a tertiary care facility for invasive interventions. Anaplastic thyroid cancer accounts for 2-3% of all thyroid gland neoplasm, it often affects persons over the age of 60, and the mean age at the time of diagnosis is 65 years, most common in female population compared to males with a ratio of 2:1. There have been only around 9 other cases reported in the literature in which thyrotoxicosis is the initial presentation of anaplastic thyroid cancer. Diagnosis is usually made via core needle biopsy. 70% of individuals with anaplastic thyroid carcinoma will have contiguous spread and distant metastasis at the time of diagnosis. It most commonly compresses the trachea and esophagus. Given the rapid progression of illness, patients can die from local airway obstruction. Average survival is just 6 months with only 1 in 5 people surviving after 12 months. Conclusion:Anaplastic thyroid cancer-induced thyrotoxicosis is an uncommon and rare presentation of thyroid neoplasm. Debulking surgery is the cornerstone for removing tumors and securing the patient’s airway along with controlling thyrotoxicosis. A low survival rate was reported in these patients. Presentation: Saturday, June 17, 2023

The Importance of Rebalancing Foot Biomechanics by Computerized Podoscopic Assessment - Study in Charcot Marie Tooth Syndroms

Abstract Charcot–Marie–Tooth disease (CMT) is one of the hereditary motor and sensory neuropathies, a group of varied inherited disorders of the peripheral nervous system characterized by progressive loss of muscle tissue and touch sensation across various parts of the body. Currently incurable, this disease is the most commonly inherited neurological disorder, and affects about one in 2,500 people. A CMT diagnosis involves clinical evaluation of muscle function and atrophy, testing of sensory responses, and electromyography and nerve conduction studies. Often, the most important goal for patients with CMT is to maintain movement, muscle strength, and flexibility. Therefore, an interprofessional team approach with occupational therapy, physical therapy, orthotics, podiatrist, and orthopedic surgeon is recommended. Physical therapy should be involved in designing an exercise program that fits a person’s personal strengths and flexibility, but also in a god evaluation podoscopic assessment. Due to the lack of good sensory reception in the feet, CMT patients need to see a physical therapist in order to stabilize their feet or correct progressive problems by rebalancing the biomechanics of the foot. The procedure involves a computerized assessment, the realization of the plant footprint in the foam and the creation of plantatory therapeutics on the mold. These plantar orthoses help control foot drop and ankle instability and often provide a better sense of balance for patient. Appropriate footwear is also very important for CMT case, but often with difficulty finding well-fitting shoes because of their high arched feet and hammer toes. The patient will use these plantatory proponents in the right shoes in order to: increase of planting support surface, reduction of varus, slowing down the retraction tendency of plant aponeurosis

The effect of touch on pain, anxiety, and the patient experience during bone marrow biopsies.

e24131 Background: Many patients report severe pain and anxiety during bone marrow biopsies (BMBx), but there is no formal consensus on the best approach to managing these symptoms during the procedure. The aims of this study were to evaluate the effect of simple foot touch on pain and anxiety during BMBx, and to describe the patients’ experience during the procedure. Methods: A single-center randomized control trial using permuted block randomization was conducted at a rural academic cancer center. Nursing assistants without specialized massage training performed simple foot touch on patients in the intervention arm, while the BMBx was performed by advanced practice registered nurses. The patients in the control arm received usual care. Patients rated pain and anxiety levels before and after BMBx using the Visual Analog Scale (VAS) and Spielberger State-Trait Anxiety Inventory (STAI) scales, respectively. All participants completed a post-intervention survey about their experience. Results: 46 patients were enrolled in the study; 21 in the intervention arm (median age 64.1 years) and 25 in the control arm (median age 64.4 years). There was no difference in the use of anxiolytics (p = 0.51) or opioids (p = 0.48) during the procedure between the two arms. There were no statistically significant differences on the VAS (p = 0.37) or STAI (p = 0.40) between the intervention and control arms. Participants in the intervention arm reported more positive feedback and had fewer suggestions for improving the patient experience compared to the control arm (table 1). Conclusions: This is the first study to use an interprofessional team approach to evaluate the impact of touch on pain, anxiety, and the patient experience during BMBx. While the intervention did not impact pain or anxiety scores, it may be a feasible, minimal-risk, and no-cost intervention to improve patients’ overall experience during BMBx. Clinical trial information: NCT04935775 . [Table: see text]

Adult migraine: More than a headache

Accurate diagnosis and treatment require an interprofessional team approach.

The Effect of Home Care on Metabolic Profile and Blood Pressure in Type 2 Diabetic Patients who Underwent General Surgeries.

The stress of surgery itself results in metabolic disturbance. Few studies have mentioned how to manage the metabolic profile of diabetic patients after discharge from the hospital. The present study aimed to determine the effect of home care on metabolic profile and blood pressure in type 2 diabetic patients who underwent general surgeries. Seventy type 2 diabetic patients who were undergoing surgery were assigned to the intervention and control groups via blocking order. The intervention group received a 3-month home care with an interprofessional team approach. The levels of fasting blood glucose, glycosylated hemoglobin (HbA1c), total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterols, systolic blood pressure, and diastolic blood pressure were measured before and three months after the intervention in both groups. In the control group, only routine care was performed in the postsurgery period. Data were entered in SPSS software version 23 and were analyzed. Results: There were no significant differences between the intervention and control groups for background characteristics. Systolic blood pressure (P < .001), diastolic blood pressure (P = 0.005), lipid profile (P = 0.001) [except for triglycerides level], fasting blood glucose (P = .001), and HbA1c (P = .003) decreased significantly in the intervention group. After controlling baseline data by applying analysis of covariance, a significant increase in HDL-c (P = .032) was seen. Also, the difference between the mean percentage of variations in HbA1c levels between intervention and control groups was significant. Our study showed improvement in HbA1c and HDL-c levels with home care programs in patients with diabetes who underwent general surgeries. More studies with longer follow-ups are necessarily addressing the effects of home care on other metabolic parameters in these patients.

Intra-aortic Balloon Pump Securement.

Intra-aortic Balloon Pump Securement.

Virtual interprofessional team care planning and communication for chronic pain management: An educational model

Ideal patient care involves interprofessional collaboration and therefore emphasizes the importance of communicating how roles and responsibilities differ to create a team environment critical for providing optimal patient care. In light of the ongoing opioid epidemic associated with chronic pain, this interprofessional simulation focused on utilizing an interprofessional team approach to recognize the biopsychosocial and pharmacologic aspects of chronic pain management through creation of a patient-centered care plan using a virtual platform. Virtual IPE events can be performed by institutions with limited access to other healthcare disciplines for remote learning opportunities and can be adapted to develop comprehensive strategies to evaluate effectiveness of learning interventions among varied disciplines. Participants from the Schools of Medicine, Nursing, Pharmacy, and Health Related Professions, including occupational and physical therapy, participated in the virtual simulation event. The format was chosen to adhere to current COVID-19 safety guidelines and facilitate easier scheduling between disciplines. The event included individual pre-work through an online learning management system leading to a 2-h virtual simulation event. Interprofessional Education Collaborative, or IPEC developed competencies focused on communication and teamwork to establish activity objectives. International Association for the Study of Pain, or IASP, pain curriculum outlines provided additional objectives and guided presented information on best practice approaches for interprofessional pain management. Objectives were evaluated through peer team feedback, peer discipline feedback, and assessment of the comprehensive team care plan that consisted of pharmacologic and nonpharmacologic pain management strategies. Programmatic review demonstrated students were able to have effective communication that led to a holistic patient care plan at the end of this activity.

Identification and management of cancer cachexia in patients: Assessment of healthcare providers' knowledge and practice gaps.

Cancer cachexia negatively impacts patient outcomes, quality of life and survival. Identification and management of cancer cachexia remains challenging to healthcare professionals (HCPs). The aim of this assessment was to identify current gaps in HCPs' knowledge and practice for identifying and managing adults with cancer-related cachexia. Results may guide development of new educational programmes to close identified gaps and improve outcomes of cancer patients. An international assessment was conducted using a mixed-methods approach including focus group interviews with subject matter experts and an electronic survey of practising HCP. The assessment was led by the Society on Sarcopenia, Cachexia and Wasting Disorders (SCWD) and was supported by in-country collaborating organizations. A quantitative survey of 58 multiple-choice questions was completed by physicians, nurses dietitians and other oncology HCP (N=2375). Of all respondents, 23.7% lacked confidence in their ability to provide care for patients with cancer cachexia. Patients with gastrointestinal, head and neck, pulmonary cancers and leukaemia/lymphoma were reported as those at highest risk for cachexia. Only 29.1% of respondents recognized a key criterion of cancer cachexia as >5% weight loss from baseline, but many (14.4%) did not utilize a standardized definition of cancer cachexia. Despite this, most clinicians (>84%) were able to identify causes of weight loss-reduced oral intake, progressive disease, side effects of therapy and disease-related inflammation. Of all respondents, 52.7% indicated newly diagnosed patients with cancer should be screened for weight loss. In practice, 61.9% reported that patient weight was systematically tracked over time, but only 1125 (47.4%) reported they weigh their cancer patients at each visit. Treatment of cachexia focused on increasing the patient's nutritional intake by oral nutritional supplements (64.2%), energy and protein fortified foods (60.3%) and counselling by a dietitian (57.1%). Whereas many respondents (37.3%) considered cachexia inevitable, most (79.2%) believed that an interprofessional team approach could improve care and that use of standardized tools is critical. Findings from this international assessment highlight the challenges associated with the care of patients with cancer cachexia, opportunities for interventions to improve patient outcomes and areas of variance in care that would benefit from further analysis.

Shared Decision-Making as a Genuine Interprofessional Endeavor

Shared Decision-Making as a Genuine Interprofessional Endeavor Abstract. In parallel with the growing complexity of decision-making processes, also the complexity of communication increases. This phenomenon requires adapted communication skills from all professions involved in the treatment of the patient. Consequently, the process of shared decision-making (SDM) also requires the continuous and active involvement of all the professions involved in the care process. Like the concept of interprofessional collaboration (IP), also SDM pursues the goal of creating the best possible framework conditions for the clinical context (in this case, treatment that is "tailored" to the person and agreed with him or her on the basis of his or her preferences and values). The numerous positive effects of both SDM and IP make the integration of both approaches in clinical practice not only an ethical necessity, but also a prerequisite for optimal treatment quality. The specific structure of SDM helps not only in a dyadic decision-making situation between physician and patient. It also encourages the interprofessional team to move away from an individualistic view of a single best solution to a more interprofessional team approach, which benefits both the patient and all the involved caregivers.

Reducing external ventricular drain associated ventriculitis: An improvement project in a level 1 trauma center

External ventricular drain (EVD)-associated infections have a negative impact on healthcare cost and patient outcomes. Practice variation in EVD management may place patients at increased risk for EVD-associated infection. This project aimed to evaluate the impact of implementing an interprofessional evidence-based EVD bundle of care on reduction of EVD-related ventriculitis rates. An interprofessional team developed an evidence based EVD care bundle and order set to eliminate practice inconsistencies. Standardization of EVD equipment and optimization of the electronic health record occurred. Education and competency validation were completed with neurosurgical providers and nurses. Interprofessional rounds occur weekly for observation, recognition, and in-the-moment education. A pre/post intervention design was used to show that the rate of EVD-associated ventriculitis decreased from 8.8 per reported EVD days in 2019 to 0 per reported EVD days in 2021 after implementation of the EVD care bundle. Through an interprofessional team approach, reduction in EVD-associated infection rates is feasible with implementation of an evidence based EVD care bundle.

The Past, Present, and Future of Podiatry.

The Past, Present, and Future of Podiatry.

"What Matters Most" to Older Adults With Cancer: Advance Care Planning.

Approximately 1 in 3 adults have some type of advance directive. Advance care planning (ACP) is associated with greater use of supportive care services and decreased patient and family stress. Despite this, organizations continue to have difficulty in implementing effective programs for increasing ACP. Increasing knowledge and comfort of the health care team with end-of-life discussions and ACP is essential. Educational efforts should focus on decreasing known barriers to ACP discussions such as discomfort, unclear role, lack of experience, and limited education. Role playing and case discussions taught by geriatric resources nurses can help increase staff knowledge and comfort regarding ACP. Role playing allows staff to think about their own mortality and what will happen in various situations if ACP is not complete. Team members find that once they have completed their own ACP, they are more comfortable discussing ACP with patients and caregivers. Nurses should collaborate with social workers and chaplains for ACP education and discussing what matters most to them. Patients are encouraged to make sure that they provide advance directives to their health care providers. This article shares an interprofessional team approach to improving processes for ACP as a component of "what matters most" to older adults with cancer.

A patient with femoral osteitis fibrosa cystica mimicking bone neoplasm: a case report

BackgroundOsteitis fibrosa cystica is a rare, benign and osteolytic lesion attributed to hyperparathyroidism. The high level of parathyroid hormone cause rapid bone loss.Case presentationThe patient is a 50-year-old male complaining of severe and persistent pain in the right knee joint. Imaging studies were suspicious for a benign tumor in the right distal femur. Biopsy under CT guidance showed numerous osteoclast aggregation and hemosiderin deposition around the bone trabeculae. Blood tests disclosed significantly elevated parathyroid hormone, serum calcium, serum alkaline phosphatase. Parathyroid ultrasonography and CT scan showed a solid mass in front of the trachea at the thoracic entrance plane. After resection of the mass, the clinical symptoms were relieved and the radiological results were significantly improved, which further confirmed the diagnosis.ConclusionsMetabolic diseases-associated bone lesions require a comprehensive diagnosis of multiple inspection items. An interprofessional team approach to the diagnosis and treatment of osteitis fibrosa cystica will provide the best outcome.

Evaluation of a Multidisciplinary Integrated Treatment Approach Versus Standard Model of Care for Functional Gastrointestinal Disorders (FGIDS): A Matched Cohort Study

BackgroundFunctional gastrointestinal disorders (FGID) are linked to a variety of potential causes, and treatments include reassurance, life-style (including diet), psychological, or pharmacologic interventions.AimsTo assess whether a multidisciplinary integrated treatment approach delivered in a dedicated integrated care clinic (ICC) was superior to the standard model of care in relation to the gastrointestinal symptom burden.MethodsA matched cohort of 52 consecutive patients with severe manifestation of FGID were matched with 104 control patients based upon diagnosis, gender, age, and symptom severity. Patients in the ICC received structured assessment and 12-weeks integrated treatment sessions provided as required by gastroenterologist and allied health team. Control patients received standard medical care at the same tertiary center with access to allied health services as required but no standardized interprofessional team approach. Primary outcome was reduction in gastrointestinal symptom burden as measured by the Structured Assessment of Gastrointestinal Symptoms Scale (SAGIS). Secondary outcome was reduction in anxiety and depressive symptoms as measured by the Hospital Anxiety and Depression Scale (HADS).ResultsMixed models estimated the within ICC change in SAGIS total as −9.7 (95% CI −13.6, −5.8; p < 0.0001), compared with −1.7 (95% CI −4.0, 0.6; p = 0.15) for controls. The difference between groups reached statistical significance, −7.6 (95% CI −11.4, −3.8; p < 0.0001). Total HADS scores in ICC patients were 3.4 points lower post-intervention and reached statistical significance (p = 0.001).ConclusionThis matched cohort study demonstrates superior short-term outcomes of FGID patients in a structured multidisciplinary care setting as compared to standard care.

Establishment and evaluation of scalable COVID-19 vaccine clinics at a large university

BackgroundPrevious large-scale vaccination clinics have been successful before the coronavirus disease 2019 (COVID-19) pandemic; however, owing to the strict storage requirements and pharmaceutical preparation needed for the COVID-19 vaccines, careful thought and planning were necessary to successfully deploy these clinics immediately after vaccine availability. The focus of this manuscript is to describe the development and implementation of COVID-19 vaccination clinics in a large public university, using professionals from within and outside of its health sciences schools. ObjectivesThe primary objective of this project was to (1) implement COVID-19 vaccination clinics for university faculty, staff, students, and community members. Additional objectives of the clinics were to (2) actively incorporate pharmacy, nursing, and medical students into the clinic workflow; (3) promote interprofessional collaboration among faculty and students; and (4) assess patient satisfaction. Practice descriptionThe School of Pharmacy faculty, in conjunction with the Office of Strategic Initiatives, planned and coordinated COVID-19 vaccination clinics from December 2020 to July 2021. Students and faculty from schools of pharmacy, nursing, and medicine were used. COVID-19 vaccinations were offered to university faculty, staff, and students and community members based on the Centers for Disease Control and Prevention priority groups. The clinic processes were designed such that they could be scaled from 100 to 2,000 participants per day. Practice innovationThe School of Pharmacy led approach was adjustable depending on the number of patients, continuously monitored and adaptable. The importance of pharmacists as part of the interprofessional health care team was exemplified by faculty and students involved. Evaluation methodsAll patients receiving COVID-19 vaccinations at the clinics were e-mailed anonymous surveys for assessment of the quality of the vaccination encounter after completion of their primary vaccine series. ResultsMore than 15,000 COVID-19 vaccinations were provided through the clinics from December 2020 to July 2021. Professional staffing totaled 3352 hours for the 48 clinics. Thirty-eight percent of the vaccinated patients responded to the clinic satisfaction survey with predominately excellent ratings. ConclusionCOVID-19 vaccination clinics can be successfully planned and implemented in a scalable fashion in a large university setting using an interprofessional team approach.

Responding to vulnerable patients with multimorbidity: an interprofessional team approach

BackgroundPeople with multimorbidity, who may be more vulnerable to certain social determinants of health, often require care by an interprofessional primary healthcare (PHC) team that can tailor their approach to address the multiple and complex needs of this population. This paper describes how the needs of vulnerable patients experiencing multimorbidity are identified and provided care by innovative interprofessional PHC teams during an innovative one-hour consultation, outside of usual care.MethodsThis was a descriptive qualitative study. Forty-eight interviews were conducted with 20 allied healthcare professionals: (e.g., social work, pharmacy); 19 physicians (e.g., psychiatry, internal medicine, family medicine); and 9 decision makers. The thematic analysis was iterative using an individual and team approach to identify the main themes and exemplar quotations for illustration.ResultsParticipants described patients with multimorbidity who were vulnerable as those experiencing major challenges accessing and navigating the healthcare system. Mental health issues were a major contributor to being vulnerable and often linked to common social determinants of health. Cultural factors were identified as potentially causing patients to be vulnerable. Participants articulated how the collaborative nature of the team generated new ideas and facilitated creative recommendations designed to meet the specific needs of each patient.ConclusionsThis one-time consultation went beyond the assessment of a patient’s multimorbidity by including a psycho-social-contextual understanding of vulnerability within the healthcare system. Findings may have important clinical and policy implications in the adoption and implementation of this approach and further assist vulnerable patients with multimorbidity in having their complex needs addressed.

Breaking a cycle of stigma: An interprofessional team approach to building trust for hospitalized patients with substance use disorder.

Journal of Hospital MedicineEarly View PERSPECTIVES IN HOSPITAL MEDICINE Breaking a cycle of stigma: An interprofessional team approach to building trust for hospitalized patients with substance use disorder Richard Bottner DHA, PA-C, Corresponding Author Richard Bottner DHA, PA-C richard.bottner@austin.utexas.edu orcid.org/0000-0003-4110-1628 @RichBottner Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA Correspondence Richard Bottner, DHA, PA-C, Dell Medical School, The University of Texas at Austin, 1601 Trinity Street, Bldg. B, Stop Z0900, Austin, TX 78712, USA. Email: richard.bottner@austin.utexas.edu; Twitter: @RichBottnerSearch for more papers by this authorAlanna Boulton MSHA, Alanna Boulton MSHA alanna.boulton@austin.utexas.edu Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorBlair Walker MD, Blair Walker MD Department of Psychiatry, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorJananie Ramesh MD, Jananie Ramesh MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorHemali Patel MD, Hemali Patel MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorEvan Solice BCC, Evan Solice BCC Department of Chaplain Services, Ascension Texas, Austin, Texas, USASearch for more papers by this authorSlade Skaggs RSPS, Slade Skaggs RSPS Communities for Recovery, Austin, Texas, USASearch for more papers by this authorChristopher Moriates MD, Christopher Moriates MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this author Richard Bottner DHA, PA-C, Corresponding Author Richard Bottner DHA, PA-C richard.bottner@austin.utexas.edu orcid.org/0000-0003-4110-1628 @RichBottner Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USA Correspondence Richard Bottner, DHA, PA-C, Dell Medical School, The University of Texas at Austin, 1601 Trinity Street, Bldg. B, Stop Z0900, Austin, TX 78712, USA. Email: richard.bottner@austin.utexas.edu; Twitter: @RichBottnerSearch for more papers by this authorAlanna Boulton MSHA, Alanna Boulton MSHA alanna.boulton@austin.utexas.edu Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorBlair Walker MD, Blair Walker MD Department of Psychiatry, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorJananie Ramesh MD, Jananie Ramesh MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorHemali Patel MD, Hemali Patel MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this authorEvan Solice BCC, Evan Solice BCC Department of Chaplain Services, Ascension Texas, Austin, Texas, USASearch for more papers by this authorSlade Skaggs RSPS, Slade Skaggs RSPS Communities for Recovery, Austin, Texas, USASearch for more papers by this authorChristopher Moriates MD, Christopher Moriates MD Department of Internal Medicine, Dell Medical School at The University of Texas at Austin, Austin, Texas, USASearch for more papers by this author First published: 27 March 2022 https://doi.org/10.1002/jhm.12814Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Early ViewOnline Version of Record before inclusion in an issue RelatedInformation

An Interprofessional Skills Workshop to Teach Family Caregivers of People Living with Dementia to Provide Complex Care.

The purpose of this study was to evaluate the acceptability of and satisfaction with an interprofessional educational workshop to teach family caregivers of persons living with dementia to provide complex care. The workshop was developed by a team that included nursing, occupational therapy, speech-language pathology, nutrition and dental hygiene. Caregivers who attended the workshop completed an evaluation to describe their satisfaction and acceptability using a Likert-type scale, as well as open ended comments about their learning needs and feedback about the workshop. Semi-structured interviews were conducted with family caregivers and members of the interprofessional team to analyze and evaluate how the workshop may have improved their confidence in performing complex tasks and to obtain their perspectives on offering this program as a virtual workshop in the future. Family caregivers (n=171) reported high satisfaction with the workshop and strongly agreed that the workshop provided them with useful information to support their caregiving roles. Themes identified from the content of the interviews were: i) building understanding; ii) mastering new skills; and iii) learning skills together. Our results suggest and emphasize the importance and the benefits of an interprofessional team approach to support family caregivers and build confidence with complex care.