Morgan Betty D, Rossi Anne P
University of Massachusetts Lowell School of Health and Environment, Department of Nursing, Lowell, Massachusetts, USA.
J Assoc Nurses AIDS Care. 2007 Nov-Dec;18(6):77-84. doi: 10.1016/j.jana.2007.06.001.
Complex clients with comorbid HIV disease, other medical illness, psychiatric illness, and substance abuse problems present tremendous challenges to providers. Medication adherence and case management become vital issues in providing comprehensive care to this population. This report describes the practice of two advanced practice psychiatric registered nurses who worked collaboratively with each other and with nurse practitioners to provide care to such complex clients. Description of collaborative practices and the model of collaboration used by the two practitioners are highlighted through three case studies. Conclusions about the practice and its use with complex clients are provided.
患有合并症的艾滋病患者、其他内科疾病患者、精神疾病患者以及药物滥用问题患者给医疗服务提供者带来了巨大挑战。在为这一群体提供全面护理时，药物依从性和病例管理成为至关重要的问题。本报告描述了两位高级执业精神科注册护士的实践情况，他们相互协作，并与执业护士共同为这类复杂患者提供护理。通过三个案例研究突出了协作实践的描述以及两位执业者所采用的协作模式。并给出了关于该实践及其在复杂患者中的应用的结论。
