As I was performing my duties this week at the hospital, I encountered a Sinusitis patient complaining of nasal congestion, discharge, and inflammation. Prior to his visit to the hospital, the patient had been diagnosed with chronic and acute sinusitis. The patient had red swollen nasal cavities and consistently complained of severe pains. I decided to examine the patient's medical records and found that the patient had just been discharged a week earlier of chronic sinusitis. The patient was however still showing the symptoms of all the types of sinusitis infection. I decided to use this opportunity to have a collaboration experience with a respiratory therapist.
I communicated with the nurse that had administered his dose and found out that the reason he was experiencing rebound severe symptoms is that he was only given oxymetazoline as a nasal decongestant spray. The spray's effects were only effective for a maximum of 3 days. What the patient needed was a steroid nasal spray such as mometasone with the right dose instructions (Wagenmann & Naclerio, 2012). We then communicated with a respiratory therapist to help with the situation. The therapist vividly explained that fluticasone was going to be more effective than the oxymetazoline. He sprayed a good amount of it into the patient's nose and further prescribed some dose. Immediately he administered the spray, the patient's nasal congestion stopped and a few days later I learnt that the infection had stopped completely.
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The features that made this collaboration effective in my view are effective communication with my collaborator, conflict handling with care and information sharing in a safe space (Lasker, 2017). There are however specific features that I feel made the collaboration a bit uncomfortable. There was a sex difference as the therapist was not of the same sex, the status and qualification of the therapist also made me a bit uncomfortable and the aspect differences in our schedules and daily professional routines. Generally, the collaboration improved the patient's health status and I believe there is always room for improvement.
References
Lasker, R. D. (2017). Medicine and public health: the power of collaboration.
Wagenmann, M., & Naclerio, R. M. (2012). Complications of sinusitis. Journal of allergy and clinical immunology , 90 (3), 552-554.
