- Construct An Isbar Introduction Situation Background Assessment Recommendation Handover Approximately 5 Minutes I 1 (224.24 KiB) Viewed 72 times
Construct an ISBAR (Introduction, Situation, Background, Assessment, Recommendation) handover (approximately 5 minutes i
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Construct an ISBAR (Introduction, Situation, Background, Assessment, Recommendation) handover (approximately 5 minutes i
Construct an ISBAR (Introduction, Situation, Background,Assessment, Recommendation) handover (approximately 5 minutes inlength) on the following case study below. The ISBAR handover mustconsider the needs of each interprofessional team member andrelevant clinical information. The focus should also be onmaximising the person's quality of life and functioning whendischarging home. The handover must also be clear and succinct soyou are able to set the scene to initiate the collaborative teammeeting in the case study.
Situation/Stats: Mr. Michael Wilson is a 60-year-old engineer who has been admitted to the post- acute/transitional unit for management of dehydration and increased pain. Mr Wilson's condition has deteriorated, and his wife is no longer able to care for him in the home environment. He is day 1 and arrived on the ward at 14:00 hrs yesterday afternoon. Background/History: Mr Wilson's wife, Lyn has accompanied her husband to hospital and is his main support. They have three (3) teenage children who live in the family home. Mr Wilson has not eaten for three (3) days and has had very little in the way of fluids. Mr Wilson says that he feels extremely fatigued, cannot mobilise without assistance, or undertake Activities of Daily Living (ADL's) and his pain has increased. He is worried that his colostomy will "block up" once he starts eating again because he knows the effect the morphine will have on him. He has been managing to care for his colostomy himself but is worried how his wife will manage if he becomes more debilitated - he states, "She has always found it difficult to look at". His care has been managed by the local GP and he has previously refused community services (including community palliative care services and stomal therapy) to date. His pain has been managed by regular and PRN opioids. He has an ARP (Acute Resuscitation Plan) and is not for CPR. His prognosis is poor, with life expectancy being 6-months to one year. He has expressed that he just wants to make the most of the time he has by spending it with his family in the home environment. He knows he is unable to manage by himself and this has made things difficult for his wife so he is now open to considering support options for the home environment. We are anticipating discharge in four (4) days' time, so we have coordinated an interprofessional team meeting to be held today. Assessment & Actions: Since being on the unit he has indicated a significant amount of pain and has been too fatigued to mobilise to the toilet independently. He is unable to change his stoma bag or shower without assistance. He still shows disinterest in food but is tolerating minimal fluids. Ice chips provided and antiemetics administered with effect. He has had a visit from the physio for a mobility assessment, a social worker, a stomal therapist and tician. Recommendation/Request/Responsibility/Relevant Other: I understand that you are looking after Mr Wilson and will need to prepare an ISBAR handover so you can lead the collaborative team meeting today. The goal of the meeting will be to discuss strategies to manage Mr Wilson's current priority problems and plan discharge to the home environment. We will need to plan how we can support both Mr Wilson and his family from a collaborative, interprofessional perspective so Mr Wilson and his family are able to have quality of life and manage the changing requirements of care during this time.
Situation/Stats: Mr. Michael Wilson is a 60-year-old engineer who has been admitted to the post- acute/transitional unit for management of dehydration and increased pain. Mr Wilson's condition has deteriorated, and his wife is no longer able to care for him in the home environment. He is day 1 and arrived on the ward at 14:00 hrs yesterday afternoon. Background/History: Mr Wilson's wife, Lyn has accompanied her husband to hospital and is his main support. They have three (3) teenage children who live in the family home. Mr Wilson has not eaten for three (3) days and has had very little in the way of fluids. Mr Wilson says that he feels extremely fatigued, cannot mobilise without assistance, or undertake Activities of Daily Living (ADL's) and his pain has increased. He is worried that his colostomy will "block up" once he starts eating again because he knows the effect the morphine will have on him. He has been managing to care for his colostomy himself but is worried how his wife will manage if he becomes more debilitated - he states, "She has always found it difficult to look at". His care has been managed by the local GP and he has previously refused community services (including community palliative care services and stomal therapy) to date. His pain has been managed by regular and PRN opioids. He has an ARP (Acute Resuscitation Plan) and is not for CPR. His prognosis is poor, with life expectancy being 6-months to one year. He has expressed that he just wants to make the most of the time he has by spending it with his family in the home environment. He knows he is unable to manage by himself and this has made things difficult for his wife so he is now open to considering support options for the home environment. We are anticipating discharge in four (4) days' time, so we have coordinated an interprofessional team meeting to be held today. Assessment & Actions: Since being on the unit he has indicated a significant amount of pain and has been too fatigued to mobilise to the toilet independently. He is unable to change his stoma bag or shower without assistance. He still shows disinterest in food but is tolerating minimal fluids. Ice chips provided and antiemetics administered with effect. He has had a visit from the physio for a mobility assessment, a social worker, a stomal therapist and tician. Recommendation/Request/Responsibility/Relevant Other: I understand that you are looking after Mr Wilson and will need to prepare an ISBAR handover so you can lead the collaborative team meeting today. The goal of the meeting will be to discuss strategies to manage Mr Wilson's current priority problems and plan discharge to the home environment. We will need to plan how we can support both Mr Wilson and his family from a collaborative, interprofessional perspective so Mr Wilson and his family are able to have quality of life and manage the changing requirements of care during this time.