The multidisciplinary team (MDT) approach: What does it look like and why does it matter? An illustration of a true MDT approach to provide holistic care for a child with severe and complex osteogenesis imperfecta

2019 ◽  
Author(s):  
Rebecca Jones ◽  
Alison Seasman ◽  
Caroline Marr ◽  
Team Metabolic Bone
Keyword(s):  
Osteogenesis Imperfecta ◽  
Multidisciplinary Team ◽  
Holistic Care

scholarly journals Osteogenesis imperfecta and pregnancy: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Felix Chamunyonga ◽  
Kudzaishe Lloyd Masendeke ◽  
Bismark Mateveke
Keyword(s):  
Osteogenesis Imperfecta ◽  
Multidisciplinary Team ◽  
Connective Tissue Disorder ◽  
Delivery Mode ◽  
Team Approach ◽  
Baby Girl ◽  
Case Presentation ◽  
Increased Risk ◽  
Case Basis ◽  
Live Baby

Abstract Background Osteogenesis imperfecta is a rare connective tissue disorder of varying phenotypic presentations. In pregnancies complicated by osteogenesis imperfecta, there is an increased risk to both the mother and fetus. Case presentation We present a case of a 34-year-old, wheelchair-bound, primigravid African (Zimbabwean) patient with short stature and skeletal deformities. Her care, requiring a multidisciplinary team approach, resulted in the delivery of a live baby girl with a birth weight of 2100 g, also with osteogenesis imperfecta. Conclusion Good outcomes are reported when a multidisciplinary team is involved in the care of patients with osteogenesis imperfecta. Pregnancies can be carried to term but require close antenatal surveillance. Prenatal diagnosis is possible with ultrasound and genetic testing. Delivery should be carefully planned by a multidisciplinary team. Decisions on delivery mode should be made on a case-by-case basis.

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.

5 Osteomyelitis

2021 ◽  
Keyword(s):  
Soft Tissue ◽  
Effective Treatment ◽  
Multidisciplinary Team ◽  
Diagnostic Methods ◽  
Holistic Care ◽  
Bone Reconstruction ◽  
Dead Bone ◽  
Eradication Of Infection ◽  
Collaborative Working ◽  
Disease Free

Osteomyelitis is a fascinating condition that can affect all parts of the human skeleton. It presents in several distinct ways, but all have varying degrees of inflammation, systemic ill health, bone death, and soft-tissue compromise. Understanding the components of the disease and the interplay between bacteria, biofilm formation, and the host response is critical to successful treatment. Recent advances in diagnostic methods, imaging, local delivery of antimicrobials, and bone reconstruction have greatly improved the outcome for many patients. Surgery remains central to the effective treatment of chronic osteomyelitis and many acute cases. Eradication of infection is largely dependent on the skill of the surgeon in identifying the areas of dead bone and removing them during surgery. Osteomyelitis is challenging and rewarding to treat, and most patients should enjoy prolonged disease-free periods or cure. Holistic care of the patient requires close collaborative working in a multidisciplinary team including physicians, surgeons, nurses, and therapists to achieve the best outcomes.

scholarly journals 851: PICS CLINIC MED REC AND SPECIALTY REFERRALS FROM A MULTIDISCIPLINARY TEAM ENHANCE HOLISTIC CARE

2021 ◽  
Vol 50 (1) ◽  
pp. 420-420
Author(s):  
Jason Makii ◽  
Janet Kloos ◽  
Kehllee Popovich ◽  
Michael Dzigiel ◽  
stephanie Kubec ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Holistic Care

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

Food for Thought

2012 ◽  
Vol 21 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Caryn Easterling
Keyword(s):  
Multidisciplinary Team ◽  
Clinical History ◽  
Team Members ◽  
Speech Language Pathologist ◽  
Expected Outcome

Our professional American Speech-Language-Hearing Association (ASHA) guidelines state, if a speech-language pathologist suspects on the basis of the clinical history that there may be an esophageal disorder contributing to the patient's dysphagia, then “An esophageal screening can be incorporated into most [videofluoroscopic swallowing studies, or] VFSS” (ASHA, 2004). However, the esophageal screen has not been defined by ASHA or by the American College of Radiology. This “Food for Thought” column suggests deglutologists work together to determine the procedure and expected outcome for the esophageal screen so that there is acceptance and consensus among the multidisciplinary team members who evaluate patients with dysphagia.

The effect of multidisciplinary team integration on treatment completion disparities in women undergoing treatment for cervical cancer

2020 ◽  
Vol 159 ◽  
pp. 179-180
Author(s):  
A.L. Beavis ◽  
A.F. Rositch ◽  
A. Romero-Sackey ◽  
A. Viswanathan ◽  
A.N. Fader ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Multidisciplinary Team ◽  
Treatment Completion ◽  
Team Integration
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