support himself, bladder catheter, insulin injections, many drugs, and a lack of social life
in the hospital environment would have played roles in the composite and complicated
picture that Tom presented. He looked depressed, irritated. he would have emotional
lability, sometimes to the extent of extreme irritation when he would seek help, when he
would have a severe bout of coughing with respiratory distress, when someone would
approach him with blood sugar tests or insulin injection. He would object strongly to the
catheter, would ask to remove it, would pull it, and would express doubts in capability
and efficiency of the care professionals when told, perhaps, he will have to tolerate the
catheter throughout his life.
The Nurse’s Role
As a first year nurse, my role is limited in his care, except for making his beds.
repositioning him on the bed. assisting him in sitting up, bathing, toileting, and feeding.
and talking to him. As a result, I had enough time to observe the care of Tom and think
about it. He was cared for by a multidisciplinary team of physicians and healthcare
professionals: a neurophysician, a pulmonologist, an endocrinologist, a urologist, a
physiotherapist, a respiratory therapist, and the team of senior nurses were involved in his
care (Deber, R.B., 1996). As the youngest member of the team, it was a thrilling
experience for me to be included in the team, but to be honest, I had hardly anything to
say. I kept my thoughts to myself and took this opportunity to analyse Tom’s care to
explore whether a person-centric care in an interprofessional collaborative environment
happened or not.