Half of learning disability services do not meet minimum standards of care

BMJ ◽  
2012 ◽  
Vol 344 (jun27 2) ◽  
pp. e4402-e4402
Author(s):  
I. Torjesen

2018 ◽  
Vol 177 (7) ◽  
pp. 961-977 ◽  
Author(s):  
Tamás Constantin ◽  
Ivan Foeldvari ◽  
Clare E. Pain ◽  
Annamária Pálinkás ◽  
Peter Höger ◽  
...  


2020 ◽  
pp. flgastro-2020-101459 ◽  
Author(s):  
Christian Selinger ◽  
Nicola Carey ◽  
Shelley Cassere ◽  
Catherine Nelson-Piercy ◽  
Aileen Fraser ◽  
...  

BackgroundPregnant women with inflammatory bowel disease (IBD) are at increased risk of adverse pregnancy outcomes. Comprehensive guidelines on medical management have been published; yet, there is limited guidance on service set-up and minimum standards of care for pregnant women with IBD.AimTo develop a position statement on service set-up and minimum standards of care in the UK.MethodsA working group consisting of 16 gastroenterologists, obstetricians, obstetric physician, IBD specialist nurses and midwives was assembled. Initial draft statements were produced and a modified Delphi process with two rounds of voting applied. Statements were modified according to voters’ feedback after each round. Statements with ≥80% agreement were accepted.ResultsAll 15 statements met criteria for inclusion. To facilitate optimal care, regular and effective communication between IBD and obstetric teams is required. There should be nominated link clinicians for IBD in obstetric units and for pregnancy in IBD units. Preconception counselling should be available for all women with IBD. All pregnant women should be advised on the safety of IBD medication during pregnancy and breast feeding, the optimal mode of delivery, the management of biologics (where applicable) and safety of childhood vaccinations. Regular audit of pregnancy outcomes and documentation of advice given is recommended.ConclusionPosition statements have been developed that advise on the importance of joined-up multidisciplinary care, proactive decision-making with clear documentation and communication to the woman and other healthcare practitioners.



2012 ◽  
Vol 59 (7) ◽  
pp. 1275-1279 ◽  
Author(s):  
Raffaella Colombatti ◽  
Maria Montanaro ◽  
Fabiola Guasti ◽  
Patrizia Rampazzo ◽  
Giorgio Meneghetti ◽  
...  


2000 ◽  
Vol 22 (3) ◽  
pp. 22-28 ◽  
Author(s):  
Donald Kennerly ◽  
Mark Millard ◽  
Virginia Moore


1995 ◽  
Vol 8 (2) ◽  
pp. 48-56
Author(s):  
Michael J. Holleran

The Omnibus Budget Reconciliation Act of 1990 (OBRA 90) and the various state regulations enacted in response to that act have already required a substantial change in the daily activities of pharmacists while performing their professional duties. OBRA 90 requires pharmacists to engage in patient counseling efforts and sets forth specific topics that pharmacists must discuss with the patient or primary caregiver. From a civil liability perspective, however, OBRA 90 requires pharmacists to do far more than counsel patients with regard to those patients' pharmaceutical care. It is anticipated that the requirements of OBRA 90 will establish minimum standards of care which must be met by all pharmacists. Courts will likely view a pharmacist's failure to adhere to the requirements of OBRA 90 as a failure to meet the standard of care applicable to pharmacists. Such failure to meet the applicable standard of care may lead to civil liability under the tort theories of ordinary negligence and negligence per se. Although OBRA 90 mandates that certain records be created and maintained, the prudent pharmacist in today's litigious world must develop a more comprehensive, accurate, and detailed system for documentation of the various counseling activities in which he or she engages. Because most pharmacies employ more than one pharmacist, and because memories of both patients and pharmacists can fail, creating and maintaining accurate records that exceed the documentation requirements of OBRA 90 and are admissible in court may well be the key to avoiding civil liability for an alleged failure to comply with the requirements of OBRA 90. Copyright © 1995 by W.B. Saunders Company



2009 ◽  
Vol 37 (3) ◽  
pp. 213-220 ◽  
Author(s):  
Gurpreet Kaur ◽  
Katrina Scior ◽  
Suzanne Wilson


2019 ◽  
Vol 24 (4) ◽  
pp. 200-203
Author(s):  
Mark Andrew Haydon-Laurelut ◽  
Karl Nunkoosing

Purpose The purpose of this paper is to provide a commentary on the article by Flynn et al. Design/methodology/approach In this commentary, the authors will develop some further thoughts about the importance of empathy, its relational nature and place in practice. The authors use some examples from systemic practice to illustrate. Findings Social psychological research underlines the importance of empathy in practice. Systemic practice and other collaborative approaches that ask about the experiences and abilities of people with a learning disability and their networks can support new possibilities as network members are listened to, included and respected. Originality/value The relational nature of empathy and its connection with practice is explored in this paper.



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