Outline+of+Skit

June 7: What a great tune - I look forward to adding my strong operatic 'pipes' to the grand finale. Maybe we could do it like the The Village People did **YMCA** (although the letter E might be a tough one)! // The Divine Miss Olive //

The MP3 file for the little ditty I have written for the end of the video is: media type="file" key="No I in TEAM1.mp3" width="240" height="20" If you can get a feel for it I thought we could have a little practice on Monday as well as work on the skit. Here are the words:

//There;s no "I" in team, T-E-A-M There's no "I" in team, T-E-A-M What makes you think that you are all alone// //There's others here as we hope we have shown ​// //There's no "I" in team, T-E-A-M There's no "I" in team, T-E-A-M We need to work together, that much is clear It's all about patient centred care It's all about, patient centred care//
 * Title: There's no "I" in team**

Here is the content of the skit from our last meeting. Please add in your thoughts on the dialogue you think should be there for eahc professional and the patient:

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June 14th, 2010 Revised Outline Wendy Stewart and team


 * __Patient Profile__**

· 44 year old woman recently diagnosed with lung cancer · Single (separated from husband, no chance of reconciliation · Has 2 school-age children (10 and 9 years of age), and 3 year old child · Lives in Johns Island, in the Bay of Steeves · Unemployed; minds other people’s children in own home (“under the table”) · Mode of transportation provided by neighbour; patient does not know how to drive – husband was the driver of the family · Patient is a smoker x 26 years

Have a few visual cues - eg GED book. Chart IV pole Mask for the patient Bedside spirometry COuple of clipboards


 * __Disease Storyline

Order of Professionals: Doctor Nurse RT Pharmacist Clergy__**

· History of cough off and on for months and attributed to smokers cough (worsened in summer of 2009) · Experienced bouts of what was felt to be asthma and bronchitis · Patient treated with ventolin and inhaled steroids. · All above interventions worked short-tern, however, symptoms returned and she starts coughing up blood and she has lost weight · Finally agreed to so see physician whereupon after multiple tests she learns she has lung cancer Skit content: repetitive questions: How long have you had the cough? Do you have any allergies?

Focus on diagnostics. Ask about the cough? Tell me about your ventilation? Need to order a few tests: use a lot of letters and only letters. OMG WTF
 * Physician:**

What have the doctors told you is going on? WHat do you believe? Have you made any arrangements? How are your children? What tests have they got organized for you? What can we do to keep you comfortable? meaning rested and as well as possible?
 * Clergy:**

I am just going to get you hooked up to some oxygen and give you an aerosol for your pneumonia. How long have you had the cough? How are you feeling?
 * Respiratory therapist:**

I am just going to get your IV set up for your antibiotics for your infection How long have you had this cough for? Do you have any allergies? Have you stopped smoking?
 * Nurse practitioner**

Do you have any allergies? You will have this med which is called this and this We will have to give you a generic brand because your health plan doesn't cover the brand name I don't have time to go over the side effects of your chemotherapy Plastic bag full of drugs - patient says I know its one of these. Some with fasting, some at certains
 * Pharmacist:**


 * __Important highlights of Medical Process__**

· 4 PFTs · Multiple CXRs · Multiple bloodwork for CBC - ?infection · Continuous history taking (doesn’t the healthcare teamt trust one another or do they lose their information – appear very disorganized; how can **//I//** trust them?) · If my immune system is compromised, how can I be with my children, who will care for my children, and why is it permissible for me to enter a dirty hospital? · How am I going to get to the hospital if my neighbour is not available – what if the appointments run late – who will care for my children? · Medications – I don’t feel safe having all this stuff in the house with my children around – why do I need all this medication anyway – isn’t it dangerous to take it all? · Chemotherapy & Radiation – what is it, won’t that make me sicker? What about my hair?

Ipratropium Salbutamol Budesonide Nicotine patch Chemotherapy Radiotherapy Chemotherapy Bronchoscopy CT Sputum sample Barium enema Nuclear medicine scan PFTs Oxygen Blood gas Pre-assessment clinic for OR Everything planned on different days
 * Patient only reads at a grade 4-5 level.**
 * Possible medications and tests:**

Patient gets frustrated – you need to get your act together and start thinking about someone else. “Patient could say “Don’t these people ever talk to one another?” The last person patient is with – leans forward a pick up the baton and hit the desk. “I have had enough” Make the person with the patient disappear. Patient hits with the air with the baton and calls up each instrument. She could say something like “you people have got to start talking to one another” Patient stands in front of them: professionals start to think about one another. Offer to call others and arrange meetings. When the patient issues are discussed, the harmonies start. Have professionals in their instrument – their faces and the instrument is the body.
 * Bringing everything together:**


 * __Grand Manan Ferry Schedule__**
 * //Leaves Grand Manan Leaves Grand Manan//**
 * //May – June 22nd June 23rd - September//**

07:30 07:30 11:30 09:30 15:30 11:30 19:00 13:30 15:30 17:30 19:00


 * //Leaves Blacks Habour Leaves Blacks Harbour//**
 * //May-June 22nd June 23rd – September//**

09:30 07:30 13:30 09:30 17:30 11:30 21:00 15:30 17:30 21:00


 * Fares: $10.70/adult + $32.00 for car __only__**


 * __PERSONAL SCHEDULE FOR PATIENT__**

May 2008: - May 24th – dentist appointments for two oldest children - May 27th – vaccination for 18 month old

June 2008: - June 3rd: soccer begins for oldest child and will be every Tues. & Wed. at 6pm - June 8th: birthday party for oldest child - June 12th: Grade 5 concert 12noon - June 26th: Grade 5 “graduation” - June 28th: last day of school

__Additional:__

- patient must be home by 3:00pm each school day for when children (own and ones she cares for) arrive home after school. - patient volunteers in school library every Thursday 09:00am-11:00am