Cultura

Interprofessional Collaboration In Healthcare: Integration Of Pharmacy, Laboratory Medicine, Nutrition, And Nursing Services For Enhanced Patient Outcomes

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Najeebah Reda Almoqbel, Fahad Hadi Mohammed, Ali Hassan Alahmadi, Latefah Eid Almtiry, Shaima Nasser Yahya Moafa, Hashem Mohammed Alsadah, Salem Yahya Salem Alyami
Saidah Mohammed Jafari Fagihi, Waleed Mohammed Alharbi, Rhma Salm Alazmi, Hejab Rabeh Al-Harbi, Khudair Talihan Al-Azmi, Mahdi Manea Ali Al Mansour, Habib Abdullah H Al Khamees, Jmila Ali Alqahtani

Abstract

The contemporary nature of the healthcare system calls for an unprecedented level of interprofessional collaboration. This paper presents an integrative review of the collaborative activities within the disciplines of pharmacy, laboratory, nutrition, and nursing. Using contemporary literature and evidence-based practice, this review ascertains the disciplines’ collaboration in refining patient care, clinical outcomes, and the efficacy of health systems. The review articulates communication models, integrated collaboration systems, and teamwork frameworks designed for interprofessional cooperation. However, the review also discusses the phenomenon of interprofessional collaboration through the prisms of professional silos, communication barriers, and systems analytic challenges, for which several evidence-based solutions are proposed. The review illuminates the positive impact of collaborative working relationships in interprofessional pharmacy, medicine, nutrition, and nursing on patient safety and the efficiency of care in medication management, diagnostic, and nutritional aspects. The study articulates outcomes of collaborative interprofessional work, the cost of healthcare resources, and the availability of modern technological solutions. The review’s main outcomes focus on improving interprofessional collaboration within health care institutions. For optimal integration of nursing, pharmacy, nutrition, and laboratory医学 in patient care and management, acute and primary care, comprehensive frameworks and models are proposed.

Interprofessional Collaboration, Pharmacy Services, Clinical Laboratory, Nutrition Care, Nursing Practice, Patient Outcomes, Healthcare Integration, Team-based Care, Medication Safety, Quality Improvement

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty