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Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams
BACKGROUND: Elderly patients with pain and falls are commonly seen in family practice. AIMS: (1) Highlight the role of a physiotherapist in the primary care team; (2) Discuss the collaboration between a family physician clinical pharmacist dyad and the physiotherapist that emerged; and (3) Share pra...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730976/ https://www.ncbi.nlm.nih.gov/pubmed/36505655 http://dx.doi.org/10.4103/jfmpc.jfmpc_2282_21 |
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author | Anwari, Colis Balasubramanian, Swaathi Sawant, Prathamesh S. Kuri, Ushnaa Anand, Ashoojit K. Rao, B. C. Prasad, Ramakrishna |
author_facet | Anwari, Colis Balasubramanian, Swaathi Sawant, Prathamesh S. Kuri, Ushnaa Anand, Ashoojit K. Rao, B. C. Prasad, Ramakrishna |
author_sort | Anwari, Colis |
collection | PubMed |
description | BACKGROUND: Elderly patients with pain and falls are commonly seen in family practice. AIMS: (1) Highlight the role of a physiotherapist in the primary care team; (2) Discuss the collaboration between a family physician clinical pharmacist dyad and the physiotherapist that emerged; and (3) Share practice tools that emerged from our teamwork. SETTINGS AND DESIGN: Home Based Primary Care Practice (a core component of family practice). We have described our home based primary care practice model in earlier publications. Our model utilizes a team based approach to address the prevention of diseases, promotion of health, provision of care for acute and chronic conditions (especially concurrent multi morbidity), and delivery of rehabilitation services in the home setting. METHODS AND MATERIALS: Selection of three cases from our daily practice. Reflective discussion and learning towards arriving at novel insights and improving our care model. RESULTS: Case discussion from the perspectives of the family physician, clinical pharmacist, and physiotherapist reveal important insights on the roles, responsibilities, benefits and tensions. A process flow to facilitate team based care is also outlined along with a referral communication tool. CONCLUSION: For our population of the elderly with falls and pain, there was a need for a physiotherapist, as part of the team, instead of a mere referral service. This was felt because of the growing needs of patients, multiple gaps in communication with external referrals, mismatch of values and approaches, and missed opportunities for high quality care. This enhances access, optimizes clinical outcomes, delivers patient centred care, reduces unnecessary hospitalizations, and avoids catastrophic and unwarranted costs. The paper highlights the critical need for interprofessional collaboration between family physicians, clinical pharmacists and Physiotherapist in elder care. |
format | Online Article Text |
id | pubmed-9730976 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-97309762022-12-09 Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams Anwari, Colis Balasubramanian, Swaathi Sawant, Prathamesh S. Kuri, Ushnaa Anand, Ashoojit K. Rao, B. C. Prasad, Ramakrishna J Family Med Prim Care Original Article BACKGROUND: Elderly patients with pain and falls are commonly seen in family practice. AIMS: (1) Highlight the role of a physiotherapist in the primary care team; (2) Discuss the collaboration between a family physician clinical pharmacist dyad and the physiotherapist that emerged; and (3) Share practice tools that emerged from our teamwork. SETTINGS AND DESIGN: Home Based Primary Care Practice (a core component of family practice). We have described our home based primary care practice model in earlier publications. Our model utilizes a team based approach to address the prevention of diseases, promotion of health, provision of care for acute and chronic conditions (especially concurrent multi morbidity), and delivery of rehabilitation services in the home setting. METHODS AND MATERIALS: Selection of three cases from our daily practice. Reflective discussion and learning towards arriving at novel insights and improving our care model. RESULTS: Case discussion from the perspectives of the family physician, clinical pharmacist, and physiotherapist reveal important insights on the roles, responsibilities, benefits and tensions. A process flow to facilitate team based care is also outlined along with a referral communication tool. CONCLUSION: For our population of the elderly with falls and pain, there was a need for a physiotherapist, as part of the team, instead of a mere referral service. This was felt because of the growing needs of patients, multiple gaps in communication with external referrals, mismatch of values and approaches, and missed opportunities for high quality care. This enhances access, optimizes clinical outcomes, delivers patient centred care, reduces unnecessary hospitalizations, and avoids catastrophic and unwarranted costs. The paper highlights the critical need for interprofessional collaboration between family physicians, clinical pharmacists and Physiotherapist in elder care. Wolters Kluwer - Medknow 2022-09 2022-10-14 /pmc/articles/PMC9730976/ /pubmed/36505655 http://dx.doi.org/10.4103/jfmpc.jfmpc_2282_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Anwari, Colis Balasubramanian, Swaathi Sawant, Prathamesh S. Kuri, Ushnaa Anand, Ashoojit K. Rao, B. C. Prasad, Ramakrishna Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title | Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title_full | Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title_fullStr | Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title_full_unstemmed | Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title_short | Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams |
title_sort | elder care: the need for interprofessional collaboration between family physicians, clinical pharmacists, and physiotherapists in home-based primary care teams |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730976/ https://www.ncbi.nlm.nih.gov/pubmed/36505655 http://dx.doi.org/10.4103/jfmpc.jfmpc_2282_21 |
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