A case conference gives everyone on the team an opportunity to participate in the discussion about how we can help the patient.

A case conference is about creating a better future for the patient.

A case conference is not about being critical. A case conference is a reasoned discussion about the patient’s challenges and possible treatment pathways. It is the time to introduce new ideas. It gives everyone an opportunity to participate.

My role as a patient advocate is to facilitate the conversation amongst the doctors and nurses.

My role is very positive as the doctors come together as a team working together to help the patient.

Healthcare is complex and that is why the patient and family have asked RCM Health Consultancy to assist.

We have had 25 years of experience in organizing case conferences and advocating for patients.

The case conferences have been very important in helping the professionals involved in the patient’s care to express their thoughts and feelings about the case, to collaborate with the other doctors involved in the case and the case conference allows the family to express their concerns and gratitude to the doctors for helping.

We are very appreciative of the participation of the treating doctors involved in the patient’s care.

Raymond Rupert patient advocate and healthcare consultant.

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She has been in hospital for 2 weeks.

Because she is complex, a plan is required to manage her. And it is important that there be a multi-disciplinary team that is collaborating and keeping the family updated.

Unfortunately, there was no plan. That became very evident during and after the case conference.

The case conference involved 12 persons including a bio-ethicist, the MRP ( most responsible physician), the hospital’s 2 psychiatrists, GI medicine, the dieticians, the nursing team, the parents) and Raymond Rupert from RCM Health Consultancy as well as RCM’s nurse practitioner and RCM’s in house psychiatrist.

The MRP led the discussion. Each doctor provided commentary. The actions taken to date were reactive. The hierarchy was at work. Most others at the case conference were not allowed to comment.

It became very clear that the hospital did not have a plan. They disregarded assessments done elsewhere. The not invented here syndrome.

This case conference bordered on chaos. I was embarassed by it.

The attendees are going to be surprised when we ask for another case conference next week to see what the treatment plan is.

Persistence and collaboration will be important to get the best outcome possible for this patient.

Raymond Rupert patient advocate and healthcare consultant.

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