Без темы
<<  From Empire to Independence 1750-1776 From Persuasion to Coercion  >>
From
From
From nirvana to navan
From nirvana to navan
WHY?
WHY?
TIME PASSES
TIME PASSES
From nirvana to navan
From nirvana to navan
PLANNING STAGES
PLANNING STAGES
FORMAT MAY 2009
FORMAT MAY 2009
TESTS USED
TESTS USED
TEETHING PROBLEMS
TEETHING PROBLEMS
OVER 18 MONTHS
OVER 18 MONTHS
From nirvana to navan
From nirvana to navan
REFERRALS NOT SEEN
REFERRALS NOT SEEN
DIAGNOSES
DIAGNOSES
FOLLOW THROUGH
FOLLOW THROUGH
PRACTICAL ISSUES
PRACTICAL ISSUES
From nirvana to navan
From nirvana to navan
From nirvana to navan
From nirvana to navan
POINTS TO PONDER
POINTS TO PONDER
FUTURE
FUTURE
From nirvana to navan
From nirvana to navan

Презентация на тему: «From nirvana to navan». Автор: user. Файл: «From nirvana to navan.ppt». Размер zip-архива: 3020 КБ.

From nirvana to navan

содержание презентации «From nirvana to navan.ppt»
СлайдТекст
1 From

From

FROM NIRVANA TO NAVAN

Dr. Aisling Denihan, Consultant Psychiatrist for Older People, Co. Meath

2 From nirvana to navan
3 WHY?

WHY?

My time in M.I.R.A. From M.I.R.A. To Navan Green-field site Lots of “no’s” Oh, and no office 2003-2010 MMSE, CDT, abbrev. CAPE Tertiary referral

4 TIME PASSES

TIME PASSES

...

Ceiling effect – MMSE Resources even scarcer Unmet need, late presentations Early 2009 – something new needed Enthusiastic SR, keen team Support of Robert Coen/M.I.R.A.

5 From nirvana to navan
6 PLANNING STAGES

PLANNING STAGES

Where? Who to contact? Cognitive Assessment team Clerical support? Pharma money? Referral form Exclusion criteria

7 FORMAT MAY 2009

FORMAT MAY 2009

Patient plus Doctor and S/W Informant plus Doctor and S/W Collateral Hx., NPI, PSMS, IADL S/W – supports, legal, financial Patient plus Nurses – neuropsych. testing MDT consensus meeting Feedback session

8 TESTS USED

TESTS USED

Addenbrooke’s Cognitive Examination Montreal Cognitive Assessment (MoCA) Delayed Word Recall Test (DWR) MMSE +/- Frontal Assessment Battery (FAB) Interesting observations

9 TEETHING PROBLEMS

TEETHING PROBLEMS

OPD unsuitable Too many chiefs... 2 locations do not work Quality-control issues Inappropriate referrals Incomplete referrals

10 OVER 18 MONTHS

OVER 18 MONTHS

..

48 referrals, 38(80%) met criteria Of 38, 28 via GP, 5 via Cons. Psychs., 5 via our community case load 38 assessments scheduled, 2 DNA’s, 4 pending 32 full assessments, most within 4/52 19 (59%) female, 13 male Mean age (range 51-85y)

11 From nirvana to navan
12 REFERRALS NOT SEEN

REFERRALS NOT SEEN

10 (20%) in total Reasons – Incomplete referrals - 5 Patient deceased - 1 Established dx., on Rx - 2 MMSE < 19 - 2

13 DIAGNOSES

DIAGNOSES

DIAGNOSIS

NUMBER

Alzheimer’s Disease

10 (early onset = 2) 31%

Mixed AD/VaD

6 19%

Pure VaD

3 (MID = 1) 9%

Frontal Dementia

1 3%

Alcohol- Related

1 3%

MCI

8 25%

Other Dx

3 9%

14 FOLLOW THROUGH

FOLLOW THROUGH

28/32 (88%) came for feedback 3 DNA, 1 did not want feedback 15/32 – drug Rx. Suggested Information folder provided Follow-up - GP 13 Us 11 Other 8

15 PRACTICAL ISSUES

PRACTICAL ISSUES

To scan or not? Blood dementia screen? No physical exam Copyright issues – MMSE Managing expectations - preseniles ADL in males?

16 From nirvana to navan
17 From nirvana to navan
18 POINTS TO PONDER

POINTS TO PONDER

Truth-telling or fudge? Driving advice – rural pop. Schiz/BAD neuropsych. No-shows for feedback? MCI is not a dx. Ref. Rate waxes and wanes No monitoring clinic

19 FUTURE

FUTURE

MCI Link up with GM regionally? Monitoring Clinic at 6/12? No S/W for 9/12 – buy sessions? Carer support – Zarit B.I., group Not in Vision for Change

20 From nirvana to navan
«From nirvana to navan»
http://900igr.net/prezentacija/anglijskij-jazyk/from-nirvana-to-navan-108967.html
cсылка на страницу
Урок

Английский язык

29 тем
Слайды