Interprofessional Team for a patient with visible/ invisible disabilities

 

You are part of the Interprofessional Team for a patient with visible/ invisible disabilities who has been seen by the practice for the past 10 years. Your patient is a 57 year old female who has a progressive degenerative neuromuscular condition. She feels she is beginning to lose independence and has been thinking about how to mitigate her disabilities. One thing she is hearing a lot about is service dogs, she was very interested in President Bush being teamed with his service dog, Scully. She has been talking with all her providers in your practice about pursing this. You have been asked to participate in an IP team meeting to discuss your patient’s interest in pursuing a service dog as part of her plan of care.
Questions
1. How will you work with your patient, IP colleagues and others to address how to meet this patient’s needs?
2. What other professionals may be needed to complement your expertise in the care of this patient?
3. What do you know and what are your opinions about
• service dogs?
• this patient situation?
How will you effectively express your knowledge and opinions to your IP team?
4. How will your knowledge and expertise, and that of your IP team inform health and care decisions while respecting the patient’s values and priorities/ preferences for care?

Sample Solution

Figure 1. A cartoon demonstration of oil and gas reservoir geology and trap environment. The bright orange-coloured layer is the source rock, the yellow dotted layers are reservoir rocks (typically sandstones and limestones with high porosity and permeability level), and the peach-coloured layers are caprock with low porosity and permeability so that oil and gas cannot escape. The cartoon shows two different trapping environments: fault on the bottom left and antiform at the top.

(https://i.pinimg.com/736x/eb/33/1e/eb331eeb5eb5fa28a4015aea20fab4ed–oilfield-life-oil-industry.jpg)

When the world thought that we had hit the peak of oil and gas production in the 2000s and that we had to focus on developing alternative renewable energies, newly developed technology to extract unconventional reservoirs made the production of shale gas in the US jumped from 1% in 2000 to over 20% by 2010. (https://www.chathamhouse.org/publications/papers/view/185311) This rapid growth, predicted to by the US government’s Energy Information Administration, is going to continue that 46% of the US’ natural gas supply will be provided by shale gas. There is no doubt that the unconventional oil and gas exploration will continue to grow globally with the growing technology.

Unconventional drilling produces hydrocarbons directly from source rock layers or tight rocks (poor quality rock layers that contain migrated oil and gas) through horizontal wells. Although there is still an on-going debate on the precise definition of unconventional oil, in this essay we use the definition made by the IEA World Energy Outlook (WEO) in its 2011 report: “[u]nconventional oil include[d] extra-heavy oil, natural bitumen (oil sands), kerogen oil, liquids and gases arising from chemical processing of natural gas (GTL), coal-to-liquids (CTL) and additives.(https://www.iea.org/publications/freepublications/publication/WEO2011

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