Is Electroencephalographic Monitoring of Electroconvulsive Therapy Clinically Useful?

1989 ◽  
Vol 154 (2) ◽  
pp. 229-231 ◽  
Author(s):  
R. G. McCreadie ◽  
K. Phillips ◽  
A. D. T. Robinson ◽  
G. Gilhooly ◽  
W. Crombie
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Clinical Efficacy ◽  
Electroconvulsive Therapy ◽  
National Health ◽  
Medical Staff ◽  
Eeg Monitoring ◽  
Future Work

Electroencephalographic (EEG) monitoring was carried out in 169 bilateral and 114 unilateral applications of electroconvulsive therapy (ECT), given to 51 patients in an everyday setting within the National Health Service by junior medical staff. In 2.5% of bilateral and 8% of unilateral applications there was disagreement between clinical and EEG assessment as to whether a fit had occurred. When an EEG fit was said to have occurred only if it lasted longer than 25 seconds, then disagreement rose to 7% in bilateral and 28% in unilateral applications; disagreement was higher with unilateral applications, as they produced more short fits than bilateral applications. If future work shows duration of seizure is clearly associated with clinical efficacy, it is suggested the case for routine EEG monitoring is greatly strengthened.

scholarly journals The advanced clinical practice pharmacy role and its implementation to practice in England

2020 ◽  
pp. 215-224
Author(s):  
Tanvi Choudhary ◽  
Roger Newham
Keyword(s):  
Clinical Practice ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Integrative Review ◽  
Scope Of Practice ◽  
Current Role ◽  
Future Work ◽  
The Impact ◽  
Role Implementation

Objectives: Advanced clinical practice (ACP) (pharmacy) aims to address workforce challenges within the rapidly changing, complex National Health Service (NHS) landscape in England. This review explores the current role, scope of practice and impact of ACP, with a focus on pharmacists. Methods: An integrative review across three databases from April 2019 to June 2019. Key criterion for inclusion was ACP and pharmacist in England. Key findings: Thirteen articles were used. Four key themes identified: ACP scope of practice and benefits; facilitators, challenges and barriers to ACP role implementation; role implementation and sustainability; and the patient’s perspective. Most studies found it difficult to formally evaluate the impact of ACP. Positive anecdotal feedback was often reported. Conclusion: To further develop and sustain ACP, it is essential for future work to focus on evaluating impact of the role.

scholarly journals Appraisal for consultant medical staff

2003 ◽  
Vol 9 (2) ◽  
pp. 152-158 ◽  
Author(s):  
Nick Brown ◽  
Elizabeth Parry ◽  
Femi Oyebode
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Medical Staff ◽  
Societal Context

There is a requirement that appraisal of consultants will have been introduced by all National Health Service (NHS) trusts from April 2001. The implication is that all consultants would have had their first annual appraisals by the end of March 2002. In this paper, the authors discuss the development of appraisal as a concept and the societal context in which it has arisen in medicine. They introduce the format for conducting appraisal within NHS trusts and discuss the likely benefits and possible limitations of appraisal.

scholarly journals Trends in the administration of electroconvulsive therapy in England

2009 ◽  
Vol 33 (2) ◽  
pp. 61-63 ◽  
Author(s):  
David Bickerton ◽  
Adrian Worrall ◽  
Robert Chaplin
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Electroconvulsive Therapy ◽  
National Health ◽  
Clinical Implications ◽  
Mental Health Act ◽  
Number Of Patients

Aims and MethodWe measured the use of electroconvulsive therapy (ECT) over 3 months in England in 2006 and compared that with studies from 1999 and 2002. Questionnaires were completed by hospital ECT staff and returned by post with data collected prospectively on ECT use from National Health Service organisations.ResultsTwo-thirds (56 of 76) of the trusts providing ECT at 109 clinics responded. the number of clinics providing ECT and the number of patients receiving ECT has declined. There has been an increase in the proportion of people receiving ECT when detained under the Mental Health Act 1983.Clinical ImplicationsThe number of ECT clinics is likely to continue to decrease and psychiatrists may have decreasing experience of treating patients with ECT.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

76-OR: UK 1st National Health Service (NHS) EndoBarrier (EB) Service for Uncontrolled Diabesity: 2-Year Outcomes for All 62 Treated Patients

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 76-OR
Author(s):  
ROBERT E.J. RYDER ◽  
MAHENDER YADAGIRI ◽  
SUSAN P. IRWIN ◽  
WYN BURBRIDGE ◽  
MELANIE C. WYRES ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health
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