scholarly journals Multidisciplinary team working in an adult male prison establishment in the UK

BDJ ◽  
2014 ◽  
Vol 217 (3) ◽  
pp. 117-121 ◽  
Author(s):  
E. Heidari ◽  
C. Dickinson ◽  
T. Newton
Keyword(s):  
Adult Male ◽  
Multidisciplinary Team ◽  
Team Working ◽  
The Uk

Multidisciplinary team working: is it both holistic and effective?

2004 ◽  
Vol 14 (2) ◽  
pp. 210-211 ◽  
Author(s):  
H. Jefferies ◽  
K. K. Chan
Keyword(s):  
Multidisciplinary Team ◽  
Clinical Management ◽  
Tertiary Care ◽  
Medical Model ◽  
Holistic Care ◽  
Disease Trajectory ◽  
Team Working ◽  
Cancer Services ◽  
The Uk ◽  
Seamless Service

Multidisciplinary team (MDT) working has been endorsed as the main mechanism to ensure truly holistic care for patients and a seamless service for patients throughout their disease trajectory and across the boundaries of primary, secondary, and tertiary care. However the effectiveness of each team needs to be continually evaluated to ensure that all the relevant disciplines are able to participate in the clinical management of patients. This article describes the work of the Cancer Services Collaborative at the Birmingham Women's hospital in the UK in promoting the development of a holistic MDT in parallel with the medical model.

scholarly journals Hot beds of general psychiatry

1997 ◽  
Vol 21 (3) ◽  
pp. 142-144 ◽  
Author(s):  
M. Dominic Beer ◽  
Carol Paton ◽  
Stephen Pereira
Keyword(s):  
Intensive Care ◽  
Multidisciplinary Team ◽  
Special Interest ◽  
Postal Survey ◽  
Support Network ◽  
General Psychiatry ◽  
Team Working ◽  
Local Support ◽  
The Uk ◽  
Very High

Little is known of the facilities available nationally to treat the most disturbed patients. A postal survey sent to all pharmacists in the UK known to have a special interest in psychiatry identified 110 psychiatric intensive care units. They varied in size from four to 30 beds, with the small units having low and the larger units very high occupancy levels. Many units accepted a mixture of informal patients directly from the community, detained patients and referrals from the prison service. Medical cover was variable, multidisciplinary team-working poor, and the existence of written policies unsatisfactory. Staff often felt undervalued with little control over admissions and discharges. There is currently no national or local support network for these units.

scholarly journals 17 Interprofessional mentoring: the key towards a better multidisciplinary team working model?

2020 ◽  
Author(s):  
Baguiasri Mandane ◽  
Shivanee Nakum ◽  
Jagraj Thandi ◽  
Jekaterina Jasina
Keyword(s):  
Multidisciplinary Team ◽  
Working Model ◽  
Team Working

scholarly journals An audit of UK audiological practice in specialist paediatric oncology centres regarding hearing assessment of children at risk of ototoxicity due to chemotherapy

2021 ◽  
Vol 135 (1) ◽  
pp. 14-20
Author(s):  
E C M Brown ◽  
C Caimino ◽  
C L Benton ◽  
D M Baguley
Keyword(s):  
High Frequency ◽  
Good Practice ◽  
Paediatric Oncology ◽  
Chemotherapy Drugs ◽  
Team Working ◽  
Platinum Based Chemotherapy ◽  
Hearing Assessment ◽  
Self Test ◽  
The Uk ◽  
Monitoring Service

AbstractObjectivePlatinum-based chemotherapy drugs are associated with substantial ototoxicity. The hearing of children treated with these drugs should be closely monitored.MethodA questionnaire was sent out to the 19 audiology departments associated with national paediatric cancer specialist centres in the UK looking at current practice in ototoxicity monitoring.ResultsResponses were received from 17 of 19 centres (89 per cent). All offered some form of audiometric monitoring service. Extended high-frequency testing (9–20 kHz) was only utilised by 7 services (29 per cent). A majority of respondents were reluctant to consider self-test devices in paediatric ototoxicity monitoring (n = 9; 53 per cent). Provision of long-term audiological follow up is sporadic with only 4 (23 per cent) respondents keeping all children with normal hearing under review once treatment is completed.ConclusionWhile some good practice in paediatric ototoxicity was identified, opportunities exist to improve clinical practice and protocols, promote multidisciplinary team working and to utilise technologies such as extended high frequency and self-test audiometry.

scholarly journals Multidisciplinary team meetings in community mental health: a systematic review of their functions

2016 ◽  
Vol 21 (2) ◽  
pp. 119-140 ◽  
Author(s):  
Caoimhe Nic a Bháird ◽  
Penny Xanthopoulou ◽  
Georgia Black ◽  
Susan Michie ◽  
Nora Pashayan ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Community Mental Health ◽  
Multidisciplinary Team ◽  
Community Mental Health Services ◽  
Content Type ◽  
Team Members ◽  
Team Meetings ◽  
Unwarranted Variation ◽  
The Uk

Purpose – Previous research has identified a need for greater clarity regarding the functions of multidisciplinary team (MDT) meetings in UK community mental health services. The purpose of this paper is to identify the functions of these meetings by systematically reviewing both primary research and academic discussion papers. Design/methodology/approach – Papers relating to adult community mental health teams (CMHTs) in the UK and published between September 1999 and February 2014 were reviewed and appraised using NICE quality checklists. The search was broad in scope to include both general CMHTs and specialist CMHTs such as early intervention psychosis services and forensic mental health teams. A thematic synthesis of the findings was performed to develop an overarching thematic framework of the reported functions of MDT meetings. Findings – None of the 4,046 studies identified directly investigated the functions of MDT meetings. However, 49 mentioned functions in passing. These functions were categorised into four thematic domains: discussing the care of individual patients, teamwork, team management and learning and development. Several papers reported a lack of clarity about the purpose of MDT meetings and the roles of different team members which hindered effective collaboration. Practical implications – Without clearly agreed objectives for MDT meetings, monitoring their effectiveness is problematic. Unwarranted variation in their functioning may undermine the quality of care. Originality/value – This is the first systematic review to investigate the functions of CMHT MDT meetings in the UK. The findings highlight a need for empirical research to establish how MDT meetings are being used so that their effectiveness can be understood, monitored and evaluated.

scholarly journals PERCEPTIONS OF A MULTIDISCIPLINARY TEAM ON THE PSYCHOLOGICAL REPERCUSSIONS OF SEXUAL VIOLENCE AGAINST CHILDREN AND ADOLESCENTS

2021 ◽  
Vol 30 ◽  
Author(s):  
Marimeire Morais da Conceição ◽  
Breno de Oliveira Ferreira ◽  
Edsângela Thalita Passos Barreto ◽  
Carmen Lúcia Pereira Dias Nery ◽  
Jacilene Santiago do Nascimento Trindade dos Santos ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Children And Adolescents ◽  
Multidisciplinary Team ◽  
Depressive Disorders ◽  
Psychological Disorders ◽  
Daily Basis ◽  
Warning Signs ◽  
Health Team ◽  
Team Working ◽  
Institutional Review

ABSTRACT Objective: to understand the perceptions of a multidisciplinary health team in caring for hospitalized children and adolescents with psychological repercussions of sexual violence, in the light of Symbolic Interactionism Theory. Method: this is a qualitative study, carried out with 30 professionals from the multidisciplinary health team working in a general public hospital in Salvador, Bahia, Brazil. The interviews took place between June and July 2019, using a semi-structured questionnaire and, after being recorded, the reports were transcribed. In analysis, the data were categorized by similar themes following the steps: pre-analysis, material exploration, treatment of results and interpretation. The project was approved by an Institutional Review Board. Results: among the psychological disorders presented by children and adolescents are aggressiveness, mutism, eating disorders, infantilized behavior, hypersexualized behaviors, depressive disorders, anxiety disorders, psychotic episodes, and delusions. Conclusion: the study demonstrates the perceptions resulting from the interaction allowed in caring for the multidisciplinary team to children and adolescents who experienced sexual violence and developed psychological disorders. In this way, it raises warning signs for family members, health professionals, education, protective devices and the whole of society about the need to observe signs of these changes on a daily basis, seeking to investigate their possible relationship with sexual assault.

scholarly journals SUN-207 Modelling Long Term Glucocorticoid-Induced HPA Axis Suppression in Mice

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Nicola Romano ◽  
Peter James Duncan ◽  
Oscar Nolan ◽  
Paul Roussel Le Tissier ◽  
Mike Shipston ◽  
...  
Keyword(s):  
Drinking Water ◽  
Mouse Model ◽  
Hpa Axis ◽  
Adult Male ◽  
Male Mice ◽  
Dexamethasone Treatment ◽  
Mortality And Morbidity ◽  
Fold Reduction ◽  
The Uk

Abstract Glucocorticoids are prescribed for >3 months to 1% of the UK population. 10-50% of these long-term glucocorticoid treated patients develop persistent HPA axis suppression associated with mortality and morbidity. We have developed a mouse model of glucocorticoid-induced HPA axis dysfunction to determine the mechanisms resulting in persistent HPA axis suppression. Experiment 1: 36 C57BL/6 adult male mice received Dexamethasone (DEX,~10µg/day) or vehicle (CTL) via drinking water for 28 days, following which treatment was stopped and tissues were harvested at 0, 7 and 28 days. DEX suppressed waking serum corticosterone at days 0 and 7, recovering by day 28. Adrenal size remained lower 28 days following DEX withdrawal. DEX had no effect on whole pituitary pomc, nr3c1 or crhr1 expression, although avpr1b was increased at day 0. In the adrenal, hsd3b2 and cyp11a1 expression were reduced at time 0; normalising by 28 days. Experiment 2: 24 POMC-GFP male mice were treated as above. Tissues were collected at day 0 (n=6), 7 (n=3) and 10 (n=3) following withdrawal. Pooled corticotrophs (groups of 3) were isolated by FACS and RNA extracted for qPCR. DEX reduced corticotroph pomc expression at time 0 (x20 fold reduction), with x5 fold suppression at day 7, which recovered with evidence of compensation by day 10. DEX increased expression of avpr1b but not crhr1. CONCLUSION: 28 days dexamethasone treatment in mice suppresses the HPA axis. HPA suppression is evident 7 days following withdrawal of dexamethasone in the adrenal, corticotroph population and corticosterone production. Further analysis will determine mechanisms for delays in HPA axis recovery.

Bowel Adenocarcinoma in a Patient with Cystic Fibrosis

1986 ◽  
Vol 31 (2) ◽  
pp. 109-109 ◽  
Author(s):  
J.A. Roberts ◽  
W.M. Tullett ◽  
J. StJ. Thomas ◽  
D. Galloway ◽  
B.H.R. Stack
Keyword(s):  
Cystic Fibrosis ◽  
Adult Male ◽  
Growth And Development ◽  
Autosomal Recessive ◽  
Malignant Tumours ◽  
Live Births ◽  
Bronchopulmonary Infection ◽  
Autosomal Recessive Condition ◽  
Resistance To Infection ◽  
The Uk

Cystic fibrosis (CF) is an autosomal recessive condition affecting one in 2,000 live births in the UK. There are few reports of malignant tumours in this condition probably because, until recently, the majority died before the age of 30 years as a result of recurrent and chronic bronchopulmonary infection with impaired growth and development and resistance to infection due to pancreatic malabsorption. We describe an adult male with CF who died from an adenocarcinoma affecting the ileocaecal region of the bowel.

Why work in respiratory nursing?

2021 ◽  
pp. 7-12
Author(s):  
Terry Robinson ◽  
Jane Scullion
Keyword(s):  
Thoracic Surgery ◽  
General Practitioners ◽  
Multidisciplinary Team ◽  
Occupational Therapists ◽  
Respiratory Medicine ◽  
Medical Conditions ◽  
Team Working ◽  
Ample Opportunity ◽  
Training Courses ◽  
Specialist Nurses

Working in the specialty of respiratory medicine and thoracic surgery offers an interesting, diverse, and wide-ranging choice of excellent opportunities for an appealing and fulfilling career. The specialty includes over 30 different medical conditions of which some are common and some relatively rare so there is ample opportunity to subspecialize as well as to take a more generalist pathway. Nurses in this specialty are often members of a multidisciplinary team working with other specialist nurses, consultants, general practitioners, physiotherapists, occupational therapists, pharmacists, and respiratory technicians. This chapter gives a brief overview of the nurse’s role in respiratory medicine and thoracic surgery and their position in a multidisciplinary team in acute settings or within the community. The desirable qualities for a respiratory nurse are outlined, and the relevant training courses and study days are covered.

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