scholarly journals Establishing the aims, format and function for multidisciplinary team-driven care within an inflammatory bowel disease service: a multicentre qualitative specialist-based consensus study

2017 ◽  
Vol 9 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Pritesh S Morar ◽  
Nick Sevdalis ◽  
Janindra Warusavitarne ◽  
Ailsa Hart ◽  
James Green ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Care Plan ◽  
Consensus Building ◽  
Overall Design ◽  
Prospective Multicentre Study ◽  
Colorectal Surgeons ◽  
Inflammatory Bowel ◽  
And Function ◽  
Improve Patient

ObjectiveTo obtain a specialist-based consensus on the aims, format and function for MDT-driven care within an inflammatory bowel disease (IBD) service.DesignThis was a prospective, multicentre study using a Delphi formal consensus-building methodology.SettingParticipants were recruited nationally across 13 centres from July to August 2014.Participants24 participants were included into the Delphi Specialist Consensus Panel. They included six consultant colorectal surgeons, six gastroenterologists, five consultant radiologists, three consultant histopathologists and 4 IBD nurse specialists.InterventionsPanellists ranked items on a Likert scale (1=not important to 5=very important). Items with a median score >3 were considered eligible for inclusion.Main outcome measuresConsensus was defined with an IQR ≤1. Consensus on categorical responses was defined by an agreement of >60%.ResultsA consensus on items (median; IQR) that described the aims of the MDT-driven care that were considered very important included: advance patient care (5;5-5), provide multidisciplinary input for the patient’s care plan (5;5-5), provide shared experience and expertise (5;5-5), improve patient outcome (5;5-5), deliver the best possible care for the patient (5;5-5) and to obtain consensus on management for a patient with IBD (5;4-5). A consensus for being a core MDT member was demonstrated for colorectal surgeons (24/24), radiologists (24/24), gastroenterologists (24/24), nurse specialists (24/24), dieticians (14/23), histopathologists (21/23) and coordinators (21/24).ConclusionsThis study has provided a consensus for proposed aims, overall design, format and function MDT-driven care within an IBD service. This can provide a focus for core members, and aid a contractual recognition to ensure attendance and proactive contribution.

PHOTOVOICE AS A TOOL TO IMPROVE PATIENT - PROVIDER COMMUNICAITON IN INFLAMMATORY BOWEL DISEASE CLNIIC: A PILOT OF FEASIBILITY STUDY

2021 ◽  
Vol 160 (3) ◽  
pp. S73-S74
Author(s):  
Ksenia Gorbenko ◽  
Alexa Riggs ◽  
Sydney Phlegar ◽  
Brooke Koeppel ◽  
Marla Dubinsky ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Feasibility Study ◽  
Bowel Disease ◽  
Inflammatory Bowel ◽  
Improve Patient

scholarly journals N29 Application of the AREA model to a standard care plan for patients with inflammatory bowel disease

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S670-S671
Author(s):  
M I Mateos Hernandez
Keyword(s):  
Inflammatory Bowel Disease ◽  
Nursing Care ◽  
Bowel Disease ◽  
Multidisciplinary Care ◽  
Holistic Approach ◽  
Care Plan ◽  
Average Hospital ◽  
Area Model ◽  
Inflammatory Bowel ◽  
Institutional Model

Abstract Background The clinical characteristics of the inflammatory bowel disease (IBD), its psychosocial/occupational impact and the increase in its incidence and prevalence, justify the proliferation of Multidisciplinary Care Units (with reference nurses for patients). The standardisation of care and the recording of the performance of the professionals that integrate them are necessary to give continuity to the care, to value the role of each of them in these, to reduce the variability in clinical practice and the collection of data that allow decision-making at the management and research assistance level. All of the above plus the existence in our country of legal regulations that define and regulate the records of mandatory existence and completion in the medical records, of our patients has made us set ourselves as a general objective: Develop a standard nursing care plan for the care of patients with IBD. Methods A literature review of the literature published in the last 10 years in the Medline, Cocharane, Cinahl and Cuiden databases is carried out. The search criteria establish the existence of the words ‘Care plan’ ‘nursing care’ and ‘nursing diagnoses’, all of them combined with IBD. Natural words bounded by the limits determined in the inclusion criteria. The needs model of Virginia Henderson (Institutional model) is used for the assessment and for the diagnosis, objectives and planning of nursing interventions the taxonomies NANDA, NOC, and NIC (NNN). Finally, in order to achieve a realistic and applicable plan of care taking into account, criteria of average hospital stay per process, and average time of outpatient care, we apply the AREA model (Analysis of Current State Outcomes) of Pesut1. Results The assessment highlights the altered needs: food, disposal, safety mobility, self-realisation, values and communication beliefs. In relation to the diagnoses, we classify them into clinical, psychosocial and secondary to the treatment, discriminating those written as diagnosed by nurses and therefore resolved or minimised autonomously by the nurses from whom they should be considered as collaborative problems. Normality characteristics are defined by protocol. Conclusion The model favours a broad and comprehensive view of the situation, leading to the selection of the diagnosis (or more than three) that allows the holistic approach to be effective and efficient. It would allow us to know the prevalence and incidence of diagnoses and agree on objectives and activities to establish comparison patterns.

scholarly journals Changes in Human Mucosal γδ T Cell Repertoire and Function Associated with the Disease Process in Inflammatory Bowel Disease

1997 ◽  
Vol 3 (3) ◽  
pp. 183-203 ◽  
Author(s):  
Laila D. McVay ◽  
Baiqing Li ◽  
Renée Biancaniello ◽  
Mary Anne Creighton ◽  
Dale Bachwich ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
T Cell ◽  
Bowel Disease ◽  
Disease Process ◽  
T Cell Repertoire ◽  
Γδ T Cell ◽  
Cell Repertoire ◽  
Inflammatory Bowel ◽  
And Function

Fr140 G9A MODULATES CHOLESTEROL METABOLISM TO PROMOTE REGULATORY T-CELL DEVELOPMENT AND FUNCTION: IMPLICATIONS TO VACCINE-BASED THERAPIES IN INFLAMMATORY BOWEL DISEASE

2021 ◽  
Vol 160 (6) ◽  
pp. S-235-S-236
Author(s):  
Guilherme Piovezani Ramos ◽  
Adebowale O. Bamidele ◽  
Mary R. Sagstetter ◽  
Emily Klatt ◽  
Robyn Laura Kosinsky ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
T Cell ◽  
Bowel Disease ◽  
Regulatory T Cell ◽  
Cholesterol Metabolism ◽  
T Cell Development ◽  
Cell Development ◽  
Inflammatory Bowel ◽  
And Function

NKG2D Expression and Function of T Cells Differs in Inflammatory Bowel Disease

2012 ◽  
Vol 107 ◽  
pp. S658
Author(s):  
Jacob Bjerrum ◽  
Birgitte Ursoe ◽  
Tatjana Albrektsen ◽  
Mille Holse ◽  
Pernille Usher ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
T Cells ◽  
Bowel Disease ◽  
Nkg2d Expression ◽  
Inflammatory Bowel ◽  
And Function
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