IPE Event by Molly Kanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1 Made with the strength to succeed en-us 2021-04-25 18:05:17 UTC 2024-11-21 21:19:48 UTC hello@padlet.com Group 1 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1456718496 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)



]]> 2021-04-25 18:07:19 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1456718496 Group 2 czook1uicedu https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1464931559 (Please add your group member's names here)

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Task 9 (5 mins):

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Task 6 (4 mins):

Task 5 (1min):

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Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)

]]> 2021-04-27 15:35:47 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1464931559 Group 3 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471188908 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

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Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:28:21 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471188908 Group 4 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471190342 (Please add your group member's names here)

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Task 9 (5 mins):

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Task 5 (1min):

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Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:28:57 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471190342 Group 5 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471191210 (Please add your group member's names here)

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Task 9 (5 mins):

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Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)

]]> 2021-04-28 21:29:21 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471191210 Group 6 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471191946 (Please add your group member's names here)

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Task 9 (5 mins):

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Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)

]]> 2021-04-28 21:29:42 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471191946 Group 7 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471193583 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

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Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)
 ]]> 2021-04-28 21:30:27 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471193583 Group 8 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471197353 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:32:13 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471197353 Group 9 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471198705 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:32:51 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471198705 Group 10 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471200217 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:33:35 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471200217 Group 11 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471203200 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins)

]]> 2021-04-28 21:34:15 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471203200 Group 12 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471204224 (Please add your group member's names here)

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:34:46 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471204224 Group 13 mollykanaley https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471204895 (Please add your group member's names here)

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):

Task 4 (5 mins):

Task 3 (4 mins):

Task 2b: (3 mins)

Task 2a: (4 mins)

Task 1: (6mins) ]]> 2021-04-28 21:35:06 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1471204895 Group 9 - Team Go Cats! brendenphung https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493666427 Kyra Ramsey, Brenden Phung, Victoria Bebber, Denise, Madeline Anderson, Sophie Mordini, Yumeng Dai, Kasten Robinson, Reese Sun

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins): GC- follow up on episodes of lightheadedness during PT
PT - no initial muscle strength or range of motion numbers, spasticity, if there was lightheadedness during a session, they would have taken vitals and possible referred out for followup, Psych eval is very barebones, Not a lot of info on UTI, urine analysis done?, no home exercise program recorded, Doesn't say when or for how long she's wearing the TLSO, Overall, vague and lacking a lot of important details

Task 6 (4 mins): Decide on one thing to talk about,
Didn't get anything done,
Talking over each other
Kind of a hostile environment, didn't answer each other's questions
Improve active listening skills
Falls were mentioned 3 times but not discussion was had about it,
Assign a facilitator, setting goals in the beginning of the meeting

Task 5 (1min):

Task 4 (5 mins): Looking to not being a burden
Possibly at risk of being like her uncle
Attend to psychosocial needs
Address working on independence, being able to use the bathroom herself or getting to her room
Think about financial burden, get referred to inpatient facility?
Refer to OT or a psychiatirist, remind her that she still have a lot of function

Task 3 (4 mins): -Depends on what sport she wants to play: With TLSO's you can play some sports, but maybe not high-contact sports
-ask specific goals of the patient
-See how often and in what context are the syncope episodes are occuring
-Figuring out where to discharge her next.
-Seeing where patient is at mentally and emotionally with her condition, assessing her support system
-Working w/ patient to establish realistic goals
-ask about their home environment, what do they need to do to get into their house, up the stairs, etc

Task 2b: (3 mins): didn't know what TLSO were, surprised that PTs were also present in the hospital. Learned what syncope episodes were and what it could be a hint of

Task 2a: (4 mins):  PA- would see the patient first then refer out, works with ongoing medical care and QoL management

P&O: Probably get a brace (TLSO) , looking for anything cervically related that might possibly change care.

PT. - try and get them walking, teach how to do mobility transfers, how to use assistance devices, deal with paraplegia, screen upper body functions by checking range of motion, strength in extremeties,

GC - do a genetics eval for long QT syndrome - could at least start w/ a personal and family history intake, may affect long-term patient/family goal

Task 1: (6mins) "None of us is as smart as all of us" - Denise]]> 2021-05-05 13:17:58 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493666427 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493674476 2021-05-05 13:19:39 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493674476 Group 11- THE AVENGERS cookea91 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493675224 Adelaide Cooke, Bri Berceau, Avery Carroll, Ellie Hoag, Matt Saulters, Tess Dokmanovich, Brianna Smith

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Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins): home environment, were goals met, has syncope resolved/ being taken care of, level of ROM and strength

Task 6 (4 mins): many successive questions without answering previous questions, focusing on what pertains to their profession and not the patient, talking over each other, rolling of the eyes (unprofessional), PT looked openly frustrated, gave up quickly on the conversation, pressured a decision, didn't see like anyone was in charge/organizing the meeting, multiple agendas

Task 5 (1min):

Task 4 (5 mins): validating feelings, admitting we don't know everything and time will tell how much function she will be able to get back, psych involved, PT figuring out extend of neuro injury (myotome, dermatome testing), Risk factor- death of mum's brother? CVP issue linked to syncope

Task 3 (4 mins): Prior level of function, what sports did she play, goals, how she's feeling, food today, understands the extent of her injury, current pain levels, pain with movement, pressure relief, asking how she's feeling in the orthosis, any other symptoms, whooley questions/support

Task 2b: (3 mins) spinal orthosis, PA can prescribe, wound care/ pressure relief with PT, collaboration with transfers

Task 2a: (4 mins) MD/PA- adjacent injuries, pain meds, nursing, P&O- spinal orthosis, PT-impairments, mobility , psych, OT

Task 1: (6mins) Better Together!!

]]> 2021-05-05 13:19:49 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493675224 Group 10 - CAMELL KV elenikioussis https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493678629 Kevin Soleimani, Eleni Kioussis, Vik, Meagan Gagnon, Andy Lopez, Li-Bin Chen, Lital Elfassi, Conor O'Donovan

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):
- what mobility devices and techniques where used to progress her
- know where the catheter is to decide the best type of brace
- would need more specificity with all aspects, we don’t know exactly what “intermediate” means, more specific activities and level of assistance would be better
- with what activities did the patient experience the lightheadedness


Task 6 (4 mins):
- could be better with active listening and collaborating with each other instead of only focusing on their own domain
- let each other finish talking before chiming in
- they were being passive aggressive by say “who did x”
- talk about main issues that are preventing the patient from being discharged to come to an agreed upon plan

Task 5 (1min): coordinating schedule, technology issues, how the team is going to communicate (email, phone, etc.), different members coming into and out of the team could change the dynamic

Task 4 (5 mins):
- cardio workup based off uncle’s death due to the genetics
- offer resources for mental health and talk about accepting help even though she was previously independent
- PT can explain and help MK through her change in mobility and help her to get back to being independent


Task 3 (4 mins):
- What sports/activities was she involved in and how much contact?
- Ask about pain, how she’s feeling, appetite, sleep
- Ask questions to understand the patient’s health belief. What does she think is going on?
- What is her home environment and home support?
- Start talking about adaptive sports
- Ask about her motivation level with returning to sports, depending on what she says we can ask her about her other interests and maybe provide other activities she could partake in   

Task 2b: (3 mins):
- learned about beta-lactams possibly making it harder to prescribe antibiotics
- different types of braces based on where in the spine the lesion is,  we would use a thoracolumbar brace
- can work on bed mobility even before we get patient moving out of bed
- from PA perspective talking about potentially referring to a fertility doctor for the future and PT could help teach positioning for being sexually active

Task 2a: (4 mins)
- PA: maintaining hemodynamic stability, and making sure there are no post-surgery infections
- P&O: fit patient with the brace and give extra pads to keep spine stable
- PT: rehab (no BLT), working with assistive devices

Task 1: (6mins) Teamwork is working together towards a common vision. ]]> 2021-05-05 13:20:33 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493678629 Group 1 allisonbyrne1 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493679579 Nicole Bakovich, Tessa Bachinski, Andy Drackley, Reanna Williams, Delany Liter, Victoria Springman, Megan McNett, Megan Mich, Francesca Abiusi, Allison Byrne

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

-Who is following her from a specialty perspective (neuro, PM&R, urology) -> continuation of care from current facility or does she need new providers?
-Because of concern for syncope and uncle's sudden death, levofloxacin is a QT prolonging drug which may place her at greater risk for SCD -> until genetic testing results return, avoid QT prolonging medications
-Referral to cardiology and GC
-Equipment -> what is a loaner, who is taking charge of getting permanent adaptive equipment
-How is she getting into the car/home?

Task 6 (4 mins):

-Give every discipline a chance to give their own SBAR and actually respond/listen before moving on to another team member's priority
-Don't cut each other off -> respond to each other's questions
-If there is a time constraint, prepare beforehand so each team member is able to share concisely
-Don't talk to each other in a condescending way -> keep in mind every person's contributions are important
-Assigning tasks and knowing which area is going to follow up would be helpful
-Prioritize the patient's concerns over your own

Task 5 (1min):

Task 4 (5 mins):

-For the uncle who passed away suddenly, this is a big red flag due to unknown cause and death while playing sports -> find out more FH and talk about genetic testing for parents and pt
-Discuss results of genetic testing can impact ability to play sports in the future
-psychosocial -> be aware that the pt just experienced a major trauma in addition to the death of her uncle and now may also be facing inability to participate in sports
-Discuss means of achieving pregnancy outside of biologic reproduction
-Pelvic floor concerns from PT + OT can work on cathing
-Sexual function/fertility still intact and PT and others can work on positioning, etc.
-Confidence to independently use orthoses
-Resources available for financial assistance, working with insurance companies to get things covered
-Transportation to/from school
-Initiating any necessary home adaptations/adaptive equipment for accessing home and self-care
-Inpatient rehab -> work on discharge planning with rehab/medical team

Task 3 (4 mins):

-What sports do you play?
-What do you like to do?
-What was the context behind her syncope episodes?
-What does your home environment look like?  Stairs?  What floor do you live on?
-Insurance?
-Family history related to sports; any history of fainting or collapse or sudden cardiac arrest while playing sports?
-What is your pain?  Is it well controlled?
-How involved is your family in your care?  Who is around to assist with ADLs?
-Can someone assist with donning orthoses?
-What are your goals for returning to sports?  Where can we meet her with those goals?
-Sharing resources for adaptive sports, support groups, child life/rec therapy
-Would you like to try a self-propel W/C and train pt in use

Task 2b: (3 mins)

-GC: thinking about family history/genetic cause of syncope instead of attributing it directly to recent SCI

Task 2a: (4 mins)

EMT/paramedic, ER physicians, nurses, techs, pharmacists, neurology, PAs, PT & OT, radiology, CPO, surgeons and OR staff, SW, psychology

PA - pain control, ASIA testing, discharge planning, pharmacologic spasticity management if needed
PT - bed mobility, transfers, W/C, discharge planning, pressure relief/prevention of pressure wounds
CPO - casting/fitting for custom TLSO, lower limb orthoses
GC - outpatient, syncope episodes (FH, personal history, genetic testing for inherited cardiac d/o, subsequent steps for family members)

Task 1: (6mins)

Paper cutout of people holding hands around the world



]]> 2021-05-05 13:20:45 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493679579 Group 2 danielleschur https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493683140 (Mackenzie Golub, Danielle Schur, Lizzie Van Doorn, Sofie Besser, Jimmy Jacinto, Nicole Kowalski, Tim Datema, Tracy Chun, Ariella Panos, Peng Fan, )

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins): Follow up about cardiac concerns with GC and cardiology. Patient education about medications. Prognosis?

Task 6 (4 mins): It would have gone more smoothly if the group addressed one question/concern at a time. Going into the meeting with an agenda that every team member is aware of. Lacking a common goal, not patient centered. SBAR = situation, background, assessment, recommendation.

Task 5 (1min):

Task 4 (5 mins): Assess cardiovascular history/set MK up with cardiology. Connect pt with a psychologist/social worker to address recent loss of her uncle, anxiety, financial concerns, etc. Help MK get set up with a mentor who is a wheelchair user to help her with expectations/set an example. Research wheelchair sports. Assess MK's home environment - important for discharge.

Task 3 (4 mins): Are you in pain/experiencing any other symptoms?  What are your goals (functional, social, etc.)? What is her understanding of SCI and her expectations of care? Psychosocial needs? What sport is she hoping to return to? Has she been moving around at all?
 

Task 2b: (3 mins) -

Task 2a: (4 mins) - PA: medical management, possibly on the surgical team that would follow up long term. P&O: orthosis for the post-surgical spinal stabilization
PT: bed mobility, transfers, w/c fit and mobility, pressure relief, possible respiratory training

Task 1: (6mins)  - Open and respectful communication
"individually we are a drop, together we are the ocean"

]]> 2021-05-05 13:21:32 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493683140 Group 3 catherinemorris2 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493691149 (Lydia Morris, Thea Bloom, Allison Grant, Rachel Matz, Susy Gutierrez, Logan Barnes, Arlene C.)

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):
Would like to see GC on the Discharge summary for referral because of the lightheadedness.
O&P follow ups to make sure the orthosis is fitting as she starts to move around more.

Task 6 (4 mins):
They kept interrupting each other
They were jumping all over the place rather than having structure and going from topic to topic.
Never finished a point
In order to improve they could use active listening skills.
Have an outline of concerns and the order of discussion going into the meeting.
Finish a topic before moving to the next one.

Task 5 (1min):

Task 4 (5 mins):
At Risk for PTSD, depression,
Mobility to get back to school and work
Transport to school


Task 3 (4 mins):
What sport? Position? Goals in sport?
Does the syncope occur while exercising and playing sport?
What are her expectations of returning to sport?
Psychosocial check-in
Family History

Task 2b: (3 mins)-
Did not know that PAs could be involved in every part.
PTs want to see the patients as soon as possible to make sure no other issues arise.

Task 2a: (4 mins) -
O&P- TLSO & AFOs if needed
PT- Bed mobility and helping getting the patient out of bed. Getting baseline measurements if mobility.
GC- Look in to syncope episodes and possibly refer later.
PA- Working in Trauma ER, First assist in surgery, Follow-ups as out-patient.

Task 1: (6mins)- ]]> 2021-05-05 13:23:10 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493691149 (Group) 8 is Great angiemillmeyer https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493692064 (Danikka Morrison, Angie Millmeyer, Felicia Farrar, Emily Weidensee, Nicole Gilbert, James Wyman, Megan Schwickert)

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):
want to know circumstances of lightheadedness, clarify vagueness of patient's limitations and injuries
need referral for cardio and fam hx

Task 6 (4 mins):
Actually listen to each other, don't interrupt, take a second to hear everyone's top concerns, then address each one together, set aside more time for that type of meeting

Task 5 (1min):

Task 4 (5 mins):
PTSD, Depression, Anxiety
Fam hx of sudden death in uncle
Thinking about the potential for a heart issue with going back to sports, doing her PT/recovery
To fulfill her goals, focusing on addressing MKs mobility, ADLs, ways to maintain independence
Insurance issues (what rehab, home equipment etc can she get)
Should be able to be pregnant but will have special considerations for birth

Task 3 (4 mins):
What type of sports she plays now? Expectations/timeline for the future? How involved was she in sports? Other hobbies/general activities we might need to help with adapting? Support system, community orgs, home environment? Does she drive? Referrals (psychiatry)?

Task 2b: (3 mins): GC roles, P&O roles

Task 2a: (4 mins): PA (post-op care), PT (mobility, recovery/rehab), PO (spine stabilization), OT (rehab), MD (in/out patient, surgery), GC (family history/etiology of syncope)

Task 1: (6mins) - ]]> 2021-05-05 13:23:22 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493692064 Group 4- SUPER VOLCANO peterfu https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493692965 Peter Fu, Jay Lynch, Sarah Delaney, Abbey Stepnitz, Brian Vance, Antonio Jameson, Brendan Seki

Task 9 (5 mins):

Task 8 (4 mins): rash? what should happen next? who should be involved?


Task 7 (5 mins): professional perspective, discharge summary
-PA: 1,4,5, acute stress disorder, medication, UTI
-P&O: 5 (where? and how much?)
-PT: 1,2,3,5, disability, mobility, ADL

Task 6 (4 mins): what strategies would you recommend to improve this teams' communication and/or collaboration
-not talk over each other
-have some sort of structure/guidelines
-get through the topic before jumping to another topic
-make top concerns known (for each specialty)
-make a leader for the meeting to help organization
-time to come to a conclusion
-"setting the stage": main issue, match expectation with the time allotted

Task 5 (1min): transition from acute > rehab

Task 4 (5 mins):
-psychosocial - refer to peer support group?, referral to psychiatrist, make sure she feels like she is able to utilize orthotics independently(!)
-further investigation - uncle's death (is it cardiac related, in addition to her syncope problems?, possible EKG, ECHO) hypertrophic cardiomyopathy
-fertility - concerns with sexual ability, is she still getting menstruation cycles. c-section for labor/delivery
-ability to toilet

Task 3 (4 mins): Questions to ask MK
- what activities are important to her? (leads into goals), ie: sports?
- "how is your pain"?/pain control
- what is your home like? (stories, steps/stairs, floor, etc)
- psychosocial - how is she doing mentally and emotionally (especially as an athlete)
- sexually active?/in the future
- social support - how are things at home, responsibilities at home, friends that could potentially help out
-toileting needs?

Task 2b: (3 mins) - what did you learn from others? "Break lines in orthotics", "I learned i have no idea what goes on after I see them (for medical reasons)", PAs are present in surgical setting

Task 2a: (4 mins) - Surgeon, ER (nurses, techs, PA, etc)
post-op: P&O (TLSO- stabilization and support, AFO), Therapy and Rehab (PT, OT, possibly speech, respiratory) with bed mobility, and return to independence

Task 1: (6mins) - "Teamwork makes the Dream work"
Like a whole puzzle coming together
]]> 2021-05-05 13:23:34 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493692965 Group 7 HannahTsai https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493697290 (Maddie, Michaela, Jayah, Karina, Claire, Bradley, Hannah) - The Dolphins


Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):

Task 5 (1min):
Allergies

GC: lack of genetic testing results, family history of SCD, any referral for genetic testing

P&O: What is the diagnosis, what brace was used, what is her wear schedule. Continue to test spasticity. Prescription of long-term brace?

PT: What was performed for her PT? What was her starting level? The exact therapy done for improvements. What are the future plans, recommendations, schedule? What are the patient's goals?

Task 4 (5 mins):
Strategies:
Allow each other to finish sharing their concerns (one person at a time).
Come up with an agenda.
They were on the same page (against her going home), but lack cohesiveness
The team was not collaborative and individuals should provide the space for others to  speak.

Task 3 (4 mins):
Potential risks that may require further investigation. How she can fulfill her goals?
P&O: MK won't be able to participate in daily activity and sports. Check-in on how this transition has affected her. Guilt of burden for her mom. Appropriate brace to allow for independent functions. Transfer movements.

GC: Clearance for sports based on her genetic testing result.

PT: what would be the best care for her to help gain more independence (i.e., pattern of walking, canes, walker). Work on transferring from the wheelchair to the toilet. introduce her to wheelchair sports.

Task 2b: (3 mins)
Questions to ask MK:
GC: family hx of sudden cardiac death, personal experience with exercise induced syncope (after and during sports).
PT: types of sport she plays, why she likes the sports, types of movement involved in the particular sports. Beliefs and what's important to MK
P&O: What goals MK has/expect (i.e., brace, time frame), find out patient motivation and compliance.

Task 2a: (4 mins) :
PT: acute care and long-term care
GC: recent syncope events
P&O: post-surgical stabilization of the spine (back brace)
Doctors, speech specialist, OT.

Task 1: (6mins) -
Image of a nicely constructed wicker chair
 ]]> 2021-05-05 13:24:27 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493697290 Group 13 jgnikolich https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493711444 Rosalia Garcia, Juliana Nikolich, Samantha Cerny, Daria Wilson, Anne Jelica, Emily Tompkin, Rachael Rienstra
Task 1:

Task 2: PA, P&O, PT, neuro, infectious disease, surgeon, social work, EMTs, OTs, pharmacy, pain management, imaging techs, radiologist, nurses

PT - evaluate and discharge to designated facility (probably day rehab or IP rehab)
P&O - post-op TLSO & AFO fitting
PA - imaging, lab workups, transfer to OR, assist & follow up with surgery (following patient from beginning to end if in the ER)

Learned from each other: TLSO, learning each others' lingo, what we each do in acute care (more comfortable with each others' roles in OP settings)

Task 3:
- How are you with everything that has happened? How are you feeling? 
- Do you know what happened? Are you familiar with the prognosis? 
- Are you having any pain or discomfort? 
- What kind of sports did you play? 
- What kind of activities do you do with your friends? Other hobbies?
- How long have you been in your relationship? And following questions to make sure it is a healthy one
- How does you like school?
- What does your home look like? Who lives at home with you? 
- Goals? Short and long term
- What's your biggest concern at this point? 
- Do you generally feel safe at home and in your relationships? 
- When you have fainted before, when does it happen? 
- Any other family or personal medical history?
- For parents: what is your insurance? 
- Any questions we can answer for you? 

Task 4:
- cardiac workup (EKG, echo, stress test?)
- PHQ - depression test; might be too soon but she might have been depressed before considering uncle's death; definite psych referral for coping strategies and PTSD 
- mother probably also needs psychological support considering two recent traumas
- family therapy to discuss MK's and her mother's life moving forward 
- support group for athletes with SCI
- W/C sports eventually
- discussion about assistive device options to be as independent as possible in goals ]]> 2021-05-05 13:27:23 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493711444 Group 6 stevenbusby https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493714043 (Cameron Do, Jasmine Le, Liah Turner, Augusta Mikalauskaite, Rosemary Shui, Katie Kesslering, Steven Busby)
Task 1: Gears of a clock working together. 
Task 2a: Surgeons and Physicians for immediate care.
Social workers /psychologists - psychosocial aspects of care
PT - Working on the patient's movement, bed mobility, transfers, wheelchair fit/mobility, discharge, functional ability, 
P&O: fit with TLSO
OT: work on daily tasks/activities  
PA: pre and post op care, assist in surgery, Hx of seizures, EKG, ECG's, consulting with pharmacy
Task 2b
There is a lot of similarities and collaboration that go into complex patients. 
Task 3:
what are your goals? 
What do you want to be able to do? 
How are you doing? pain?
Home environment? wheelchair accessible? social support, can anyone help assist at home? School environment? Explanatory model? 
How is mental health (Whooley depression screening)? Coping strategies? General sensation? 
Task 4: 
Psychosocial issues: coping with new life, coping with family death. Ask if her needs are being met. 
PHQ-2 depression screening. 
What problems is she having in her daily life, ADLs. 
SCI outcome measures to identify problem areas. 
Use the ICF model to identify environmental and social issues and how its impacting activity/participation limitations
Task 6: 
allow people to finish their thought uninterrupted. Start the meeting with an outline of topics to address, Answer questions first before asking a new question. Interdisciplinary rounds.
Task 7: 
Didn't address trauma, psychosocial aspects of care. 
Need for specific outline of future care. Pharmacy update/consultation, 
Task 8:

 ]]> 2021-05-05 13:27:56 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493714043 Group 12 - Sunflower Butter and Jelly paolojimenez2023 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493760685  Ravi Patel, Melanie Ziaziaris, Elizabeth Grobbel, Yiting Du, Emily Gandolfi, Paolo Jimenez

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):

Task 8 (4 mins):

Task 7 (5 mins):

Task 6 (4 mins):
address one problem at a time
respect everyone's turn to speak


Task 5 (1min):

Task 4 (5 mins):
Problems: mobility, socializing, independence, dressing, cooking, and other ADLs

Task 3 (4 mins):
Pain?
Prior level of function?
Goals?
ROM?
Who else can provide support?
Home environment?
Mental and emotional well-being?
General Health and whooley ?'s

Task 2b: (3 mins)

Task 2a: (4 mins)
P&O: would be involved in post ortho
PT: would be involved with patient and family education (wheelchair/bed mobility, transfers, ROM, Strength)

Task 1: (6mins)  "A Sunday Afternoon on the Island of La Grande" painting]]> 2021-05-05 13:37:16 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493760685 Group 5 brandonjohnson20 https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493771112 Shayna, Nour, Brandon, Alex, Monica, Kate, Raia, Emily

We will use this Padlet tab for all of your take aways today. Please type in the responses for the appropriate task number.

Task 9 (5 mins):


Task 8 (4 mins):


Task 7 (5 mins):
Overflow incontinence/needed Foley/UTI resolved with Abx
Consider suprapubic catheter (less interference with daily life)
Assessed for TLSO, what type? Is it custom or off the shelf?
What kind of rehab are we continuing? How is she responding? What will she be doing at home?
Has she been assessed/Family hx? What did they find?
Rash with Bactrim? Another allergy we don't know about?

Task 6 (4 mins):
Interrupting each other
Talking about many different issues with no focus or plan for each task/problem
Let people finish their thoughts! Don't interrupt! Don't be dismissive.
Tackle one topic at a time
Have some structure and stratify your discussion based on urgent/non-urgent needs
Remember that your #1 priority may not be the same for other members of the team --> be responsive
Think holistically about what she needs
Read the room, think about the personalities you're working with and try to adapt

Task 5 (1min):


Task 4 (5 mins):
Family Hx, inherited arrhythmia(?), what is the lifetime impact, impact on treatment, impact on having children
Find out how SHE wants to think about her recovery and progress --> don't avoid hard questions or difficult answers because they're uncomfortable
Problems --> Genetic concerns, mobility, functionality, possible infection, occupational/daily independence (stairs, school, ADLs)
Stick to your therapies! Braces, PT

Task 3 (4 mins):
What are your goals, both short and long term?
What are you most concerned about/afraid of?
How is your pain?
Let's look at your family history to try and shape your treatment and goals (medications, expectations for recovery, sports and activities, risk assessment)
How's your home environment? Safety? What kind of return to activity can we expect?
What are the biggest things you'd like to "get back to doing"? --> Patient autonomy
Language/word choice --> care and compassion when communicating

Task 2b: (3 mins)
We were surprised at how broad and collaborative each of the disciplines' roles were

Task 2a: (4 mins)
P&O --> Mobility, functional development, assistive devices, bracing
PT --> Working in real time with assistive devices and strength/flexibility/mobility progress and development
PA --> Surgery, ongoing inpatient/outpatient medical care, QoL/goal development over time
GC --> Family history (syncope), possible conditions to watch for down the road, medications to avoid

Also MD, Psychology/Counseling

Task 1: (6mins)
A team sport, with a bunch of people working together to accomplish a goal!]]> 2021-05-05 13:39:22 UTC https://padlet.com/mollykanaley/12xgm5uhhajjg3t1/wish/1493771112