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A case study in interdisciplinary care of the critically ill
AACN Clinical Issues
|December 18, 1998
Summary
This case study highlights the critical role of nurse case managers and interdisciplinary teams in improving outcomes for long-term critically ill patients in a special care unit (SCU). Effective care coordination is key for this vulnerable population.
Area of Science:
- Critical care medicine
- Nursing case management
- Health services research
Background:
- Established in 1989, the Special Care Unit (SCU) at University Hospitals of Cleveland manages critically ill patients requiring prolonged intensive care, often due to ventilator dependency.
- The SCU focuses on long-term care for patients with complex medical needs.
Observation:
- This case study details the care of a patient with complications who was a long-term resident of the SCU.
- The patient's complex condition necessitated extensive medical intervention and support.
Findings:
- Successful outcomes for chronically critically ill patients depend on interdisciplinary collaboration.
- The nurse case manager coordinator plays a pivotal role in integrating and directing patient care efforts.
Implications:
- Emphasizes the importance of a coordinated, interdisciplinary approach for managing the chronically critically ill.
- Highlights the value of specialized units and dedicated case management in improving patient care and outcomes.
- Suggests a model for effective care delivery in long-term intensive care settings.