Cultura

Interprofessional Collaboration AMONG Physiotherapy, Nursing, AND Pharmacy IN Healthcare: A Comprehensive Review

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

Hasel Mohamed Ahmed Alahmari, Maray Ali Mohammed Holal, Ghaliah Awwadh Alsuwat, Abdullah Awadh Saleh Alfaraj, Hussain Mana Ali Almansour, Ahmad Samran Ali Aldosari, Tahani Ramadan Abdullah Altayeb
Batool Abdu Alasmari, Saad Abdulaziz Ali Al-Ahmari, Mubarak Salem Mishaan Al-Otaibi, Naif Khalaf O Alanazi, Abdulaziz Rbaya Saad Alrbaya, Eissa Abdullah Bo Sarour, Mahdi Hassan Alyami

Abstract

Integrated Health Care Delivery with Interprofessional Collaboration among Health Care Professions and Disciplines - Physiotherapy, Nursing, and Pharmacy - Are Vital, And Are The Focus And Purpose Of This Review. Interprofessional Collaboration And The Range Of Applications And Benefits Are Theoretical Elements Under Consideration. The Transition From The Earlier Systems With Siloed Structures And Disciplines In Health Care Delivery To Systems With Collaborative Care Has Been Brought About By Rapid Changes In The Environment, The Increased Complexity And Demand Of Patients And The Understandings Of More Favorable Health Results When Care Is Collaborative; Participation Of Various Disciplines Is Coordinated. This Report Discusses Interprofessional Education (IPE) As The Launching Pad For This Type Of Collaborative Approach, Reviews The Clinical Uses (Applications) Of This Collaborative Practice On Varied Patient Groups Across The Continuum – Chronic Disease, Pain, Geriatrics, Rehabilitation, And The Various Disciplines And Health Professions Of Nursing, Pharmacy And Physiotherapy, And The Interprofessional Collaboration Practiced In Health Care Delivery Systems. This Review Presents Evidence From Previous Research Documenting Increased Patient Outcomes And Positive Clinical Outcomes In Health Cost For Health Care And In Pharmacy Denial Of The Health Care System And Decreased Re-Admittance Rate Of Patients From The Evidence. Health Care Organizations Are Still Struggling With The Implementation Of This Evidence Due To Complexity, System Hierarchy, Role Assumptions, Basic Interprofessional Collaboration In Health Care Delivery Systems, And Other Health Professions Implementation Gaps, As They Are Focused Beyond Pharmacy. To Move Forward With The Evidence Available To Optimal Interprofessional Collaboration To Achieve Patient-Centered Care, This Review Will Contribute To Health Care Administrators, Educators, And Clinicians.

Keywords : Interprofessional collaboration, physiotherapy, nursing, pharmacy, interprofessional education, patient outcomes, healthcare teams.
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