A260 An Interdisciplinary Team Approach for Bariatric Surgery Candidate Selection: 5-Year Outcomes

AbstractEndometriosis-associated chronic pelvic pain can at times be a complex problem that is resistant to standard medical and surgical therapies. Multiple comorbidities and central sensitization may be at play and must be recognized with the help of a thorough history and physical examination. If a complex pain problem is identified, most endometriosis expert reviews and guidelines recommend multidisciplinary care. However, there are no specific recommendations about what should be the components of this approach and how that type of team care should be delivered. There is evidence showing the effectiveness of specific interventions such as pain education, physical therapy, psychological therapies, and pharmacotherapies for the treatment of chronic pain. Interdisciplinary team models have been well studied and validated in other chronic pain conditions such as low back pain. The published evidence in support of interdisciplinary teams for endometriosis-associated chronic pain is more limited but appears promising. Based on the available evidence, a model for an interdisciplinary team approach for endometriosis care is outlined.

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An Interdisciplinary Team Approach to Reduce Psychotropic Medications In a Community Based Nursing Home: Tackling F-Tag 329 (A 2013 Update)

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2013.12.040 ◽

2014 ◽

Vol 15 (3) ◽

pp. B14-B15

Author(s):

Sandra L. Oakes ◽

Felecia Washington ◽

Laura E. Garcia

Keyword(s):

Nursing Home ◽

Interdisciplinary Team ◽

Psychotropic Medications ◽

Team Approach ◽

Community Based

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Interdisciplinary approach to the treatment of rare visual illusions in a veteran

BMJ Case Reports ◽

10.1136/bcr-2020-238362 ◽

2021 ◽

Vol 14 (1) ◽

pp. e238362

Author(s):

Michelle Zeller ◽

Wilhelmina Stamps

Keyword(s):

Vertical Plane ◽

Interdisciplinary Approach ◽

Interdisciplinary Team ◽

Visual Illusions ◽

The Body ◽

Hip Surgery ◽

Coronal Plane ◽

Team Approach ◽

Physical Medicine ◽

Rare Form

Upside-down reversal of vision (UDRV) is a rare form of metamorphopsia, or visual illusions that can distort the size, shape or inclination of objects. This phenomenon is paroxysmal and transient in nature, with patients reporting a sudden inversion of vision in the coronal plane, which typically remains for seconds or minutes, though occasionally persists for hours or days, before returning to normal. Distorted egocentric orientation (ie, the patient perceives the body to be tilted away from the vertical plane) is even more rare as a co-occurring phenomenon. To the best of our knowledge, this is the first reported case of a veteran who presented with UDRV and distorted egocentric orientation during hospitalisation on an inpatient physical medicine and rehabilitation setting following an elective hip surgery. This case serves not only to document the presence of rare visual illusions, but also illustrates the importance and value of an interdisciplinary team approach.

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