Development of a new sialorrhea treatment service for patients with neurological disorders within a community and district hospital setting

Toxicon ◽  
2021 ◽  
Vol 190 ◽  
pp. S24-S25
Author(s):  
Beenish Feroz ◽  
Jonathan Mamo
2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Bhojwani ◽  
M Ahmed ◽  
F Mahmood ◽  
C Sellahewa ◽  
C Desai

Abstract Introduction Lower gastrointestinal bleeding (LGIB) accounts for 3% of all surgical referrals in the UK, with an in-hospital mortality of 3.4%. The BSG 2019 guidelines recommend risk stratification as per Oakland scoring, inpatient lower GI endoscopy for admissions and CT-angiography for unstable patients. This study evaluates the delivery of these outcomes in a district hospital setting. Method Retrospective audit assessing all acute LGI bleed admissions from 01-07-2019 to 28-02-2020 at Russells Hall Hospital. Shock Index (SI) and Oakland score used to stratify patients into unstable, stable-major and stable-minor LGIB. Compliance with BSG standards was assessed by review of investigations and emergent patient management. Results 143 patients (Median age = 70years) evaluated, with 64 admissions having no formal risk stratification (OAKLAND-score) documented. Only 12 admissions underwent inpatient LGI endoscopy with sigmoid diverticulosis the most common pathology (39.3%). CT-angiogram was the initial investigation for 75% of patients admitted with unstable LGIB. Conclusions OAKLAND-scoring is a sensitive tool to stratify LGIB patients based on clinical parameters. Application of BSG-2019 guidelines and developing consistency in management is challenged by the lack of routine access to LGI endoscopy and tools to manage bleeding endoscopically.


2014 ◽  
Vol 12 ◽  
pp. S102-S103
Author(s):  
K.A. Bailey ◽  
T.E.M. Morrison ◽  
M. Hilmy ◽  
S.C. Hagyard

2003 ◽  
Vol 13 (2) ◽  
pp. 73-76
Author(s):  
J. Ridley ◽  
P. Revell ◽  
M. Ainsworth ◽  
A. Pryce

QJM ◽  
2010 ◽  
Vol 104 (1) ◽  
pp. 49-57 ◽  
Author(s):  
S. M. M. Jenkins ◽  
N. Johnston ◽  
N. M. Hawkins ◽  
C.- M. Messow ◽  
J. Shand ◽  
...  

Author(s):  
Joshua Filer ◽  
Daniel Gheorghiu

AbstractObjectiveTo assess the uptake and use of the trial contact tracing app developed by NHSX by healthcare workers.DesignCross-sectional study using survey questionnaire.SettingHealthcare industry: St Mary’s Hospital, a small NHS district hospital on the Isle of Wight, United Kingdom.ParticipantsNHS staff members employed by the Isle of Wight NHS Trust.ResultsOf 3100 eligible staff members, 462 (~15%) responded to the survey. Of the respondents, 90% were aged between 31 and 65, and half had direct patient contact through their job role. Almost three quarters (73%) used social media apps on their smartphones. 421 out of 460 respondents had no trouble downloading and installing the NHSX Covid app on their smartphones. 20% of respondents were left confused by instructions to turn off Bluetooth when wearing PPE. Only 35 people either had to report symptoms or received an alert of contact with a suspected covid case. Of these over 20% were not clear what to do in such a situation.ConclusionsThe trial app has been embraced and adopted well. Many have experienced no problems with it. However, some healthcare workers have been unable to download or install the app due to compatibility issues and some have been left confused by having to turn off Bluetooth whilst wearing PPE.This raises questions as to the effectiveness of the app for its intended purpose in contact tracing efforts.RecommendationsWe recommend that the wording of alerts and guidance provided by the app be made clearer and more accessible. We also recommend developments to the app to facilitate use by healthcare workers in a clinical setting. We also propose that ‘app instructors’ be made available in hospitals to ensure that patients and staff can access help and advice on use of the app.


Sign in / Sign up

Export Citation Format

Share Document