How Well Is the Multidisciplinary Model Working?

Perinatal palliative care (PNPC) is a holistic multidisciplinary model of care for both baby and family in the event of a perinatal diagnosis of a life-limiting condition. It aims to provide optimal symptom control and end-of-life care to the baby as well as specialized support to families from diagnosis through to birth, death, and bereavement. This chapter aims to address the challenging clinical, ethical, and practical issues specific to perinatal palliative care. It describes antenatal life-limiting diagnoses, the role of anticipatory bereavement care, a palliative care approach to pregnancy, and outlines the complex planning and models of care required to optimally provide for the baby, mother, and family throughout. This chapter ultimately aims to provide management strategies to guide multidisciplinary teams (MDT) to deliver high-quality PNPC to the family as a whole.

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System Parameters Identifying and Performance Predicting of ICEs Combining Multidisciplinary Model With System Responding Data

Volume 2: Automotive Systems; Bioengineering and Biomedical Technology; Computational Mechanics; Controls; Dynamical Systems ◽

10.1115/esda2008-59384 ◽

2008 ◽

Author(s):

Xianghui Meng ◽

Youbai Xie

Keyword(s):

Structural Change ◽

Internal Combustion Engines ◽

Structural Parameters ◽

Internal Combustion ◽

Combustion Engines ◽

Piston Rings ◽

System Parameters ◽

Multidisciplinary Model ◽

Cylinder Sleeve

For complex equipments, the phenomena of system declining such as wear and fatigue often takes place and spreads after a period of running. So it is important to identify the interior structural change of system during maintenance to avoid the system to be broken abruptly. Traditionally there are two methods to analyze and predict the structural change of system. One is from the monitoring data of equipments. Another is from the mechanism of structural changing and the interior working process of equipments. In this paper a combining method, which combining the advantages of the above two methods, is used to identify the structural change of internal combustion engines. The principle of the method is to firstly build an analytical system model, in which the system parameters stand for the structural parameters or constraints. Then the current value of system parameters in the model can be identified by comparing the calculating responding results and the detected responding data. From the varying of system parameters the structural change of system can be deduced. For internal combustion engines (ICEs), the most important CPSR (combustion Chamber-Piston-cylinder Sleeve-piston Rings) system is taken as the research object. A multidisciplinary model is built to simulate the interior working processes, especially the combustion process, the structural dynamics process, the tribology process and the coupling processes among them. Then the seeking-roots method (SRM) is used to identify the value of system parameters. A case study on a low power gasoline engine verifies the above method. In the case study, the blow by gap, which stands for the wear of piston rings and cylinder sleeve, is identified with the detected combustion pressure. The case study shows that the method of this paper can identify the structural change of complex equipments. It can provide accurate information for equipments maintenance as well as the residual life prediction.

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An Investigation Into Former High School Athletes’ Experiences of a Multidisciplinary Approach to Sport Injury Rehabilitation

Journal of Sport Rehabilitation ◽

10.1123/jsr.2020-0094 ◽

2020 ◽

pp. 1-6

Author(s):

Damien Clement ◽

Monna Arvinen-Barrow

Keyword(s):

High School ◽

Sport Injury ◽

Multidisciplinary Approach ◽

School Level ◽

High School Athletes ◽

Model Of Care ◽

High School Level ◽

Injury Rehabilitation ◽

Multidisciplinary Model ◽

Injured Athletes

Context: A multidisciplinary approach is one of the many forms of professional practice that can be utilized by sports medicine professionals to provide care to injured athletes. While this approach has been empirically supported in the health care domain, studies supporting its utilization in the sport injury rehabilitation context—particularly at the high school level—are limited. Objective: To investigate former high school athletes’ experiences of a multidisciplinary model of care for sport injury rehabilitation. Design: Cross-sectional survey design. Setting: In-person, in a classroom setting at 2 Division I universities. Patients: A total of 186 former high school athletes. Main Outcome Measure: An author-constructed instrument developed using the multidisciplinary model of care for sport injury rehabilitation as a guide. Results: Family, athletic coaches, and athletic trainers were the closest professionals/individuals that injured athletes reported interacting with during sport injury rehabilitation. The data also revealed that these professionals/individuals had the closest and most direct relationships with the injured athletes. Conclusions: The findings from the present study provided support for the utilization of the multidisciplinary model of care for sport injury rehabilitation with high school athletes.

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Implementation of a Multidisciplinary Allied Health Optimisation Clinic for Cancer Patients with Complex Needs

Journal of Clinical Medicine ◽

10.3390/jcm9082431 ◽

2020 ◽

Vol 9 (8) ◽

pp. 2431

Author(s):

Hannah Ray ◽

Anna Beaumont ◽

Jenelle Loeliger ◽

Alicia Martin ◽

Celia Marston ◽

...

Keyword(s):

Quality Of Life ◽

Occupational Therapy ◽

Cancer Patients ◽

Allied Health ◽

Program Completion ◽

Complex Needs ◽

Patient Interviews ◽

Health Model ◽

Multidisciplinary Model

This study examined the feasibility of implementing a multidisciplinary allied health model of care (MOC) for cancer patients with complex needs. The MOC in this retrospective study provided up to eight weeks of nutritional counselling, exercise prescription, fatigue management and psychological support. Implementation outcomes (acceptability, adoption, fidelity and appropriateness) were evaluated using nine patient interviews, and operational data and medical records of 185 patients referred between August 2017 and December 2018. Adoption, including intention to try and uptake, were acceptable: 88% of referred patients agreed to screening and 71% of eligible patients agreed to clinic participation. Fidelity was mixed, secondary to inpatient admissions and disease progression interrupting patient participation. Clinician compliance with outcome assessment was variable at program commencement (dietetic, 95%; physiotherapy, 91%; occupational therapy, 33%; quality of life, 23%) and low at program completion (dietetic, 32%; physiotherapy, 13%; occupational therapy, 10%; quality of life, 11%) mainly due to non-attendance. Patient interviews revealed high satisfaction and perceived appropriateness. Adoption of the optimisation clinic was acceptable. Interview responses suggest patients feel the clinic is both acceptable and appropriate. This indicates a multidisciplinary model is an important aspect of comprehensive, timely and effective care. However, fidelity was low, secondary to the complexities of the patient cohort.

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Clinical Laboratory Engineering in a Multidisciplinary Platform: A Perspective from France

Laboratory Automation News ◽

10.1177/221106829700200108 ◽

1997 ◽

Vol 2 (1) ◽

pp. 24-28

Author(s):

A. Truchaud ◽

T. Le Neel ◽

S. Perrier ◽

H. Brochard ◽

S. Malvaux ◽

...

Keyword(s):

Open Space ◽

Clinical Laboratory ◽

Manufacturing Processes ◽

Service Network ◽

Sample Handling ◽

Disassembly Process ◽

Start Up ◽

In Vitro Diagnostic ◽

Multidisciplinary Model

The clinical laboratory is moving from an activity focused on the analysis to an in vitro diagnostic service network. Laboratory analysis is a disassembly process, very different from manufacturing processes which are assembly processes. Specific quality goals must be discussed before adopting robots. As an example, in order to achieve the ultimate quality goals in our laboratory, it was necessary to use automation for sample handling. We developed automation in a new multidisciplinary model at the Institute of Biology of Nantes. Our multidisciplinary laboratory included clinical laboratories, research laboratories, and start-up companies in an open space of 10,000 m2 shared between two floors. Sample transportation is automated from clinical wards to laboratory workstations.

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Orofacial motricity in temporomandibular dysfunctions: an integrative approach to interdisciplinary intervention

Revista CEFAC ◽

10.1590/1982-0216201820318917 ◽

2018 ◽

Vol 20 (3) ◽

pp. 265-270

Author(s):

Daniela Francisca Guzmán Baquedano ◽

Carla Giovanna Rimassa Vásquez ◽

Giselle Andrea Castañón Sanz ◽

Carla Stefanía Flores Hernández

Keyword(s):

Integrative Approach ◽

Scientific Publications ◽

Temporomandibular Dysfunction ◽

Stomatognathic System ◽

Speech Pathologist ◽

Work Model ◽

Intervention Team ◽

Multidisciplinary Model ◽

Relationship Of

ABSTRACT Objective: to describe the speech-language therapist role in the interdisciplinary team in the intervention of Orofacial motricity in the temporomandibular dysfunction documented in scientific publications. Methods: the search was conducted in well-known databases using the following terms or terminological associations: Temporomandibular dysfunction (TMD), stomatognathic system and TMD, Mastication, Speech and TMD. Interventions related to voice or temporomandibular joint indemnity were not included. Results: the interventions indicated in the scientific publications are described, giving an account of the role of the speech pathologist in the TMD intervention team. Conclusion: the therapist’s intervention in Orofacial Motricity restores the stomatognathic system by addressing its functions. An isolated treatment approach from professionals overlooks the relationship of interdependence between function and structure. An appeal for an integrated and interdisciplinary work model, setting it free from the traditional fragmentary and multidisciplinary model, is made.

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