Josiah Eliot, 72 years old, is admitted to the hospital with medical
diagnoses of congestive heart failure (CHF), chronic renal failure, hypertension, and benign prostatic hypertrophy (BPH). The nurse admits him and develops his plan of nursing care, including the nursing diagnoses of Excess Fluid Volume, Urinary Retention, Impaired Gas Exchange, and Anxiety r/t hypoxia. Three days later Mr. Eliot has lost 18 pounds and is breathing more easily. He also denies feeling anxious and reports "I'm relaxed now that I can breathe!". The nursing diagnoses of Excess Fluid Volume, Impaired Gas Exchange, and Anxiety are all marked as resolved.
During morning rounds, the nurse provides the physician with an update on the patient's condition and questions the need to continue administering large doses of diuretics that were ordered when the patient was admitted. The physician agrees and reduces the dosage of the medications. The physician raises concerns about the patient's nutritional status and suitability for discharge to home. After some discussion, the nurse and physician agree to consult with a dietician and a social worker for further evaluation of the patient's care.
Answer the following questions:
-Describe the impact of the team's collaborative approach on Mr. Eliot's outcomes.
-How might Mr. Eliot's care have been different if the team had not collaborated?
-What further collaboration is indicated in providing care to Mr. Eliot?
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