Brain Tumor



Ittakes one seizure, a tremor, a syncope episode, and a new onset ofheadaches for one to discover that they have a brain tumor and thattheir lives have changed. Patients go to the best and most reputableorganization to seek for medical care. It is important for patientsto be able to get a referral when they are first diagnosed with thislife changing illness. Apart from being attended by physicians,patients should be seen right away by a neurosurgeon. The facilitywhere I work is a neuroscience center for patients of all age groupswith brain and spinal cord diseases. We have surgeons who specializein full base surgery, epilepsy, spinal operation, surgicalneuro-oncology, neuromuscular, and functional neurosurgery. We arethe only facility that can accommodate the same day referrals and getthe patients have the patients served by one of our neurosurgeons.However, miscommunication in pre-operative care and the time ofsurgery are the major challenges affected the health care facility.The clinic has a checklist, but this is considered as an outdated wayof keeping track of patient statuses and care needs. Miscommunicationmainly affects the clinical team.

Integratingthe 5 Ps (purpose, patients, professionals, processes, and patterns)can result in greater efficiency. Planned care results in aproductive patient-provider communication. It also improves selfmanagement skills among patients (Nelson, Batalden, &amp Godfrey,149). The unit is comprised of a mixture of nurses and medicalassistants, who have been there for more than 10 years. I am thenewest member of staff in the department. Typically, patients seetheir surgeon for the first time and then come back in 3 separatepre-operative appointments within 30 days of the surgery date. Theythen undergo surgery where the hospital takes over. The care plan isquite confusing, especially when medical assistants, nurses, aphysician, and a neurosurgeon are required to work as a group.Effective communicating is critical in every step of the process inorder to ensure that the patients are satisfied with the treatment. Icame up with an educational template that provides patients with theinformation that they need in the pre-operative period. Patients areable to make a follow up and know what they have been taught or whatis pending. This template includes subjects like the number ofhospital stay days, pre-operative teaching that has been done, labsgetting drawn, who the patient going home with, and the signing ofthe consent, among others. Physicians, nurses, and medical assistantswill use this template.

Thereare different age groups in the system where some of them are not forthe change, but the younger ones are innovative and willing to learn.I joined hands with one of our tech staff and came up with thetemplate. We got it approved by the department’s manager before itcould be entered into everyone’s system. It was entered as asearchable template where everyone was able to access its content. Mycolleague and I carried out some training for a period of 8 weeks toensure that all members of staffs were able to use the template. Thenew template was used to enhance communication and guide the healthcare providers in the process of preparing the treatment plan. Thetemplate ensures that health care providers understand what thepatients require, instead of asking them over and over. This processforms a continuous cycle that also involves two interdependentplayers, namely the teacher and the learner. Together, they performteaching and learning activities, the outcome of which leads tomutually desired behavior changes (Bastable, p. 11.)

Ihave worked with my colleagues to develop a plan for members of themultidisciplinary team to work together and combine skills. Effectivecommunication leads to better treatment outcome that enhances thesatisfaction of the patients and their families.