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Dealing with isolation and medical uncertainty
Published in Peter Davies, Lindsay Moran, Hussain Gandhi, Adrian Roebuck, Clare J Taylor, The New GP′s Handbook, 2022
Phoning a friend works well and in the medical context your friends include primary and secondary care colleagues. Often a phone discussion will help you resolve your uncertainty, and although consultants are busy (as are you) they mostly enjoy discussing cases and deciding if they need to be in their clinic or not. Some versions of Choose and Book soft ware now have an advice option that can be used prior to launching a full referral. Consultants often find GPs difficult to get hold of. If you have left a message for a consultant to ring you back and you are then going to be away on some other activity, you would do well to give both the surgery number and your mobile number for the consultant to call you on.
Understanding the NHS
Published in Tony White, John Black, The Doctor's Handbook, Part 2, 2018
Choose and Book is the national electronic referral service provided through NHS Connecting for Health, which gives patients a choice of place, date and time for their first outpatient appointment in a hospital or clinic. It can be accessed at www.chooseandbook.nhs.uk. It has certainly progressed since I last wrote about it as an aspiration.
Decision making at the point of service delivery
Published in Russell Gurbutt, Pat Donovan, Decision Making and Healthcare Management for Frontline Staff, 2018
Bundles and pathways are relevant, but I want to focus on the centrality of the patient’s journey through the service. I will illustrate this with an example from a day case surgery service. The journey starts when a patient is seen in a community health centre by a general practitioner who decides whether or not a referral to a specialist is required. Let’s assume that this is made to a particular specialist surgeon. The patient attends an appointment with the surgeon and following consultation the patient is offered a treatment and a place on a waiting list. A choose and book service is accessed to select a specific date for the operation and preparatory information is provided for the patient. On the specified date transport services (if required) collect the patient and convey them to the surgical centre. On arrival, the patient undergoes an admission assessment, and following the pre-operation preparations (perhaps medication, specific skin preparation and a medical staff visit to obtain written consent and conduct anaesthetic assessment) they wait for their turn on the operating schedule. The next step is a staff check at theatre reception, transfer into the theatre, anaesthetic room care, the operation, transfer into a recovery suite and subsequent return to the ward. Health monitoring takes place until such time that the patient is assessed as being fit to be discharged. Post-operation advice and a surgeon’s report are provided, and transport arranged to take the patient home. Follow-up care is arranged and subsequent appointments made if required.
An inquiry into the effectiveness of bibliotherapy for children with intellectual disability
Published in International Journal of Developmental Disabilities, 2019
Mahsa Mehdizadeh, Zohreh Khosravi
The study results showed that it is not only the content of the book that can improve children’s skills, and as was pointed out before, a chain of strategies were used to improve each skill. The therapist’s duty is to choose a book according to the child’s cognitive needs, and to design, based on the book’s contents, plays, audio files, tactile books, and group activities to improve the social and personal development of the child. As Shechtman and Ben-David (1999) pointed out, children usually feel less threatened in group sessions, and in these sessions, children can model positive roles. Storytelling in a cooperative manner and in the form of different role-plays can foster a sense of belonging and mutual understanding between the child and their peers, and create an opportunity for the child to increase their understanding of the story themes.
Teaching primary care providers about parent-provider literacy communication
Published in Education for Primary Care, 2018
Tiffany Kindratt, Patti Pagels, Brittany Bernard, Jade Webb
We found significant improvements in knowledge of activities which foster a child’s reading/writing skills (p = .0074) and attitudes towards assessing literacy and providing parents with anticipatory guidance (p < .0001). All learners (100%) gave at least one recommendation on age-specific reading and books during the OSCE stations. Few learners instructed SPCs to use dialogic reading skills such as pointing at objects (27.3%; ages 6–12 months) and letters in the child’s name (30.8%; ages 4–5 years). Most (63.6%; ages 2–3 years) instructed the SPC to let the SP choose which book to read and were willing to read the same book multiple times. Only 9.1% recommended nursery rhyme books as age-appropriate reading material for the youngest SP (6–12 months). Despite limitations in skills, all learners (100%) spoke slowly and used words that caregivers could understand for all age groups.
Clinical outcomes and operational impact of a medical photography based teledermatology service with over 8,000 patients in the UK
Published in Journal of Visual Communication in Medicine, 2022
Ioulios Palamaras, Helen Wark, Billy Short, Omair Akhtar Hameed, Adil Ahmed Sheraz, Penelope Thomson, Kam Kalirai, Lisa Rose
From the 1st of January 2017, all lesions meeting the criteria (following triage by either a Consultant Dermatologist or trained GP triager) were referred directly to the TD service in a primary care setting. Patients then booked their own appointment with a medical photographer using the online ‘choose and book’ platform. Thereafter, with appropriate consent, high-quality images of the patients’ skin lesion(s) were taken by a medical photographer.