1. International program Sara Blücher Stefanie Eigenraam Ausra Gedmintaite Karel Hejduk Aiga Reneslâce - Klovina Nele Vanmulders

2. Presentation Introduction Introduction Brainstorm Brainstorm Case Case Process Process Conclusion Conclusion

3. Introduction Goal of the project: Work together with different nationalities and sharing your own perception on nursing

4. Introduction Questions which should be answered: 1. What care is given by the nurse? 2. Is there going to be transmural care? 3. Which stakeholders are involved?

5. Brainstorm

6. Brainstorm Category one: Care Prevention; Prevention; Healing; Healing; Suppression. Suppression.

7. Brainstorm Category two: Ethics See possibilities, not only disabilities; See possibilities, not only disabilities; Respecting patient’s autonomy; Respecting patient’s autonomy; Ethics; Ethics; Empathy; Empathy; Holistic view; Holistic view; ‘Being there’ for the patient. ‘Being there’ for the patient.

8. Brainstorm Category three: Specialist knowledge Know what you’re doing and why you’re doing it; Know what you’re doing and why you’re doing it; Specialist knowledge; Specialist knowledge; Responsibility; Responsibility; Comfort / safety / confidence; Comfort / safety / confidence; Observe; Observe; Multicultural knowledge; Multicultural knowledge; Medical / technical skills; Medical / technical skills; Psychology knowledge. Psychology knowledge.

9. Brainstorm Category four: Communication skills in the team Inform Communication Motivation Multidisciplinary collaboration; Multidisciplinary collaboration; Communication with the patient; Communication with the patient; Delegation; Delegation; Common goal / view; Common goal / view; Innovator; Innovator; Continuity; Continuity; Coordination. Coordination.

10. Brainstorm Category four: Communication skills to the patient Inform Communication Motivation  Communication with the patient;  Family participation;  Link between patient and doctor and patient and family.

11. Brainstorm Inform: Intra professional Intra professional Other professionals (M.D) Other professionals (M.D) Patient and family: Patient and family: Medication; Medication; treatment / options; treatment / options; patients organization; patients organization; disease; disease; prevention; prevention; the health care system: other professions skills and tasks. the health care system: other professions skills and tasks.

12. Case Egberdien Vaartstra, 52 years old Single for 20 years Single for 20 years Children; one daughter (32) and one son (30); live nearby Children; one daughter (32) and one son (30); live nearby Owner of her own snack bar Owner of her own snack bar

13. Medical diagnoses Extensive small-cell carcinoma Extensive small-cell carcinoma Lung cancer, spread to the liver Lung cancer, spread to the liverPrognosis Total recovery is not possible Total recovery is not possible Heightened BSE, high leucos and differentiation, abnormal liver function Heightened BSE, high leucos and differentiation, abnormal liver function

14. Medical treatment 5 chemotherapy treatments 5 chemotherapy treatments Suppression and keeping the tumor under control Suppression and keeping the tumor under control

15. She’s thinking…. Am I going to die? What is going to happen after chemotherapy? What are the alternatives? What happens if I get sicker.. And my business? Are my children also at risk for lung cancer? ….

16. Process

17. Process

18. Process

19. Process

20. General conclusion What is best for the patient? What is best for the patient? Should we involve a lot of professions around the patient or just gather a few? Should we involve a lot of professions around the patient or just gather a few? When should the professions meet? When should the professions meet? How often and under what circumstances should we meet? How often and under what circumstances should we meet? How and when shall the M.C. – group approach the patient? How and when shall the M.C. – group approach the patient? When can we speak of ‘multidisciplinary collaboration’ ? When can we speak of ‘multidisciplinary collaboration’ ?

21. Finally we did it… Finally we did it…