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You are the primary care physician caring for Grace, a 79-year-old woman, who is a resident in a long-term care facility. You are a board certified internist with a Certificate of Added Qualification in Geriatric Medicine. Grace has a history of moderate dementia and right-sided hemiplegia from a stroke at age 68. You are new to the practice and are seeing Grace for the first time. The nursing team leader of Grace’s floor has listed “oral care” as one of three primary concerns of her family, along with choking on solid foods and poor sleep.
Which behavior best exemplifies the mutual respect and trust that are foundational to interprofessional collaborative practice?
You perform an oral examination and encounter severe gingival recession and several loose teeth. You note that Grace has significant xerostomia. You determine that Grace requires the urgent intervention of her dentist, who, after your call, agrees to see her in a few days. You also feel there would be benefit from the involvement of a social worker as a member of her health care team. You notify the nursing home social worker using the flag system in your EMR and ask the nursing team leader to communicate this plan with the patient’s family.
Antonio Moretti, DDS, MS
Which behavior best exemplifies effective communication among participating members of the healthcare team?
During the initial visit with Grace, you perform a thorough medical history including an oral health history. You determine that even though Grace has hemiplegia and dementia that prevents her from adequately caring for her own teeth, she has had excellent oral care, provided by a trained clinical assistant. She was seen by a dentist 8 months ago (6 months after being admitted to this facility). At that time the dentist recommended that she increase her brushing frequency, use fluoride gel on the exposed roots that had been developing, and return in 3 months for a recheck to document changes in her oral health.
Which behavior best exemplifies effective teamwork among participating members of the healthcare team?