Case Management of a Patient in an Interprofessional Environment (#1202B)

This simulation was developed in collaboration with Carolyn Loy and Debbie Gillis at Toronto East General Hospital and Tracey Dyer at Centennial College.

A patient with chronic COPD was discharged from the hospital 2 days ago. He is now back following an attack but wants to go home.

• Coordinate the needs of the patient within scope of the practice of the team members
• Identify and utilize overlapping scopes 
• Increase awareness of the ways in which team members can communicate their discipline-specific perspectives clearly to others
• Develop and practice skills necessary to be responsive to each other's assessment 
• ensure synthesis of interdisciplinary findings, 
• Create a comprehensive and collaborative plan of care

Mr. Deck was re-admitted to the hospital only two days after discharge. He has a long history of COPD and suffered exacerbation. He has been non-compliant with his medications at home and not coping well living alone.