MedVET module 8 EN

1. MODULE 8:
INTERACTION WITH PROFESSIONALS
MedVET support
Training programme
Selena Hospital, Bulgaria

2. MedVETSUPPORT
2017-1-TR01-KA202-045932
CONTENTS:
I. Clinical case discussion: using a reflecting team
II. Teamwork
1. Who is Working in the Neonatology department?
2. General practitioner
3. Genetic Counsellor
4. Neurologist
5. Neurosurgeon
6. Paediatric Orthopaedic Surgeon
7. Physiotherapists
8. Ophthalmologist
9. Neonatologist
10. Gynaecologist
11. Audiologist & Speech Therapists
III. Common exercises and activities
IV. Professionals from Social Services
V. Long-term source of information and support
2

3. MedVETSUPPORT
2017-1-TR01-KA202-045932
CLINICAL CASE DISCUSSION: USING A
REFLECTING TEAM
Doctors discuss clinical cases every day. The routine way of doing this,
whether during ward rounds, team meetings or other conversations,
is so familiar that few give it any thought.
Generally speaking, one person presents a case, and then everyone else
chips in with questions, information and advice until some kind of
decision is reached: perhaps an investigation, diagnosis or treatment.
It combines the features of routine team conversations and collaborative learning groups,
and can be used for conversations lasting anything from a few minutes to an hour.
The method is known as “a reflecting team”. Reflecting teams originated in the world of
mental health care, but have been successfully adapted in order to train doctors and
health professionals in the skills needed for supervision and effective case discussions.
3

4. MedVETSUPPORT
2017-1-TR01-KA202-045932
TEAMWORK
Hospitalists (physicians whose primary professional focus is the general
medical care of hospitalized patients.) provide a unique history-taking
perspective that is useful to social workers in their work.
Foremost, social workers bring a rich understanding of the available
resources that patients need after discharge and a view of the patient’s
nonmedical circumstances.
Together, these professionals’ daily interactions generate more effective
discharge planning as a part of the multidisciplinary team.
There’s a pattern that develops whereby at some time in the morning the
hospitalist and social worker will get together and talk.
Perhaps the area where the social worker most teaches the hospitalist regards
available resources to solve problems over and above the purely medical.
4

5. MedVETSUPPORT
2017-1-TR01-KA202-045932
TEAMWORK
But nothing can replace the availability of the
hospitalist to discuss patient cases, not only with the
social worker but also as a team with the patient and
family.
Although everyone on a multidisciplinary team can
bring something to the discussion that makes the team
work better, social workers and hospitalists collaborate
well in painting a more comprehensive picture of the
patient’s lifestyle, living habits, and needs.
5

6. MedVETSUPPORT
2017-1-TR01-KA202-045932
WHO IS WORKING IN THE NEONATOLOGY
DEPARTMENT?
• Neonatologists (paediatricians specializing in newborns)
• Paediatricians with special attention to newborns
• Nurse specialist: this is a neonatology nurse with a master's degree, she is authorized to work in the
nursing and medical field, and works with neonatologists and paediatricians
• Ward doctors (assistants), have graduated as a basic doctor and want to specialize in paediatrics but are
not yet in training
• Co-assistants (medical students)
• Neonatology nurses, nurses with training in the care of premature and sick babies
• Paediatric nurses
• Nurses in training for neonatology or paediatric nurses
• Head of department, department assistants and secretaries
• Interns
• Employees of other departments, such as the social worker, physiotherapist, lactation consultant,
speech therapist, radiology assistant, specialists, etc. who introduce themselves if they are involved in
the treatment.
6

7. MedVETSUPPORT
2017-1-TR01-KA202-045932
GENERAL PRACTITIONER
The general practitioner (GP) is
a physician who provides both the first contact
for a person with an undiagnosed health
concern as well as continuing care of varied
medical conditions, not limited by cause,
organ system, or diagnosis.
7

8. MedVETSUPPORT
2017-1-TR01-KA202-045932
GENETIC COUNSELLOR
A genetic counsellor is a professional that advises individuals
and families affected by or at risk of genetic disorders to help
them understand and adapt to the medical, psychological and
familial implications of genetic contributions to disease.
The goals of genetic counseling are to increase the
understanding of genetic diseases, discuss disease
management options, and explain the risks and benefits of
testing.
8

9. MedVETSUPPORT
2017-1-TR01-KA202-045932
NEUROLOGIST
A child neurologist, or pediatric neurologist, is a doctor who treats children who have problems
with their nervous system.
The neurologist treats disorders that affect the brain, spinal cord, and nerves, such as:
cerebrovascular disease such as a stroke, Demyelinating diseases of the central nervous system
such as multiple sclerosis, headache disorders, infections of the brain and peripheral nervous
system, etc.
Some common neurologic tests used to complete the
evaluation include:
• Computed tomography (CT) or
computer-assisted tomography (CAT) scans
• Magnetic resonance imaging (MRI)
• Electroencephalography (EEG)
• Nerve conduction studies and electromyography (NCS/EMG)
9

10. MedVETSUPPORT
2017-1-TR01-KA202-045932
NEUROSURGEON
A paediatric neurosurgeon devotes his or her
practice to the neurosurgical care of children.
Paediatric neurosurgeons concentrate on the
special surgical problems of children involving the
brain, spine or peripheral nerves.
They care for infants, children, and adolescents,
and also help to counsel parents expecting a baby
who may have been diagnosed before birth with a
neurosurgical problem.
10

11. MedVETSUPPORT
2017-1-TR01-KA202-045932
PAEDIATRIC ORTHOPAEDIC SURGEON
This specialty covers the diagnosis and treatment of a
wide range of problems of the joints, bones, ligaments,
tendons, muscles and nerves affecting babies, and
children up to 18 years of age.
Paediatric orthopaedic surgeons work with children,
using both surgical and non-surgical techniques.
A multi-disciplinary orthopaedic team incorporates
highly experienced consultants and advanced
diagnostic equipment such as MRI and CT scans, done
by expert technicians.
11

12. MedVETSUPPORT
2017-1-TR01-KA202-045932
CONDITIONS THE ORTHOPAEDIC SURGEONS
TREAT INCLUDE:
•foot and ankle conditions including congenital foot deformities and flat foot
•club foot
•hand deformities
•hip disorders
•dysplasia
• fractures and dislocations
•irritation
•Perthes disease
•infections of the bone and joint
•knock knees (genu valgum)
•bowed legs and slipped upper femoral epiphysis
•spinal deformities including scoliosis
12

13. MedVETSUPPORT
2017-1-TR01-KA202-045932
PHYSIOTHERAPISTS
Physiotherapists (or PTs) are health care professionals
who know a lot about how the body moves and how to
improve movement.
During the sessions, the PT teaches the person exercises
and special stretches. This therapy can strengthen
weak muscles and show the person new ways of getting
around.
The PT also teaches the child's parents about using
crutches safely on flat surfaces and stairs. It's important
for kids to wear good supportive shoes, like sneakers,
when using crutches.
13

14. MedVETSUPPORT
2017-1-TR01-KA202-045932
OPHTHALMOLOGIST
Ophthalmologists are allowed to use medications to
treat eye diseases, implement laser therapy, and
perform surgery when needed.
Ophthalmologists may participate in academic
research on the diagnosis and treatment for eye
disorders.
14

15. MedVETSUPPORT
2017-1-TR01-KA202-045932
NEONATOLOGIST
Neonatologist are taking care for the
prematurely newborns or those who are
critically ill at birth.
Some of the problems that these critically
ill babies face could range from premature
birth and low birth weight to birth defects,
underdevelopment and lack of oxygen at
birth.
15
Neonatologists work with these babies from the time they are born till the time that they leave the
neonatal intensive care unit.
The neonatal intensive care unit or NICU as it is more commonly called is the intensive care unit for
newborn babies who are born with major health issues.

16. MedVETSUPPORT
2017-1-TR01-KA202-045932
GYNAECOLOGIST
The gynaecologist is a doctor with specialist
qualifications in delivering babies and providing medical
care to women during pregnancy (antenatal
care) and after the birth (postnatal care).
Obstetricians have the skills to manage complex or high-
risk pregnancies and births, and can perform
interventions and caesareans.
Many have also trained in women’s reproductive health
(gynaecology).
16

17. MedVETSUPPORT
2017-1-TR01-KA202-045932
AUDIOLOGIST & SPEECH THERAPISTS
The audiologist is a doctor of audiology who is
extensively trained in the science of hearing.
Speech therapists can help a child understand how to
talk, interact, engage, play and communicate with
both children and adults.
17

18. MedVETSUPPORT
2017-1-TR01-KA202-045932
DEVELOPMENTAL PAEDIATRICIAN
Developmental paediatricians have a specialty
interest, training and experience in the
development of children:
• how they grow,
• how they acquire knowledge and skills,
• how they learn to behave and socialise.
They use their training to understand children
from a medical point of view, in order to
determine the reasons for different problems of
development and behaviour.
18

19. MedVETSUPPORT
2017-1-TR01-KA202-045932
OCCUPATIONAL THERAPIST
Occupational therapists help babies with sensory processing delays and disorders by first
diagnosing the disorder, and then applying various exercise techniques to help the baby or child
become more comfortable and adapt easier to daily living.
19

20. MedVETSUPPORT
2017-1-TR01-KA202-045932
COMMON EXERCISES AND ACTIVITIES
• Relaxing bath time activities, using soft soaps and gentle massages
• Specialized toys and activities to help babies learn how to deal with sounds, lights, and
touch appropriately
• Sand and water therapy
• Joint and brushing compressions
• Proprioceptive input activities
• Vestibular input activities
• Feeding therapy
• Olfactory input activities
20

21. MedVETSUPPORT
2017-1-TR01-KA202-045932
PROFESSIONALS FROM SOCIAL SERVICES
The main aim of social care is to enable individuals to live a comfortable and independent live as
long as possible, supporting those who need a degree of additional physical and practice support.
Its central role is the provision of care and support to children or adults in time of need, or elderly
with needs emerging from illness or disability.
Social care is provided by a range of different types of individuals and organisations.
Informal carers represent the majority of providers of support to (older) people in their own homes.
In addition, local authorities play an important role, primarily in terms of provision and assigning
and meanwhile as commissioners of services from a variety of providers.
Third sector and private organisations also have a key role in terms of social care, including both
those who are charged by local authorities to provide this care and also those who are financed
through self-funding or charity.
21

22. MedVETSUPPORT
2017-1-TR01-KA202-045932
LONG-TERM SOURCE
Siblings and other family members can find comfort in end-
user/parents communities as well, since their needs are
often sidelined but their perspectives provide important
contributions.
Parents are able to ask questions and compare experiences,
and “veteran” parents can ease the worries for them a little
bit.
This bonding process can greatly help medical practitioners
as the stress level of their patients and the parents is
reduced, and the information given to them is reiterated by
their peers.
Of information and support
22

23. MedVETSUPPORT
2017-1-TR01-KA202-045932
SUPPORT GROUPS
Support groups hold potential for mutually beneficial
relationships with academia as families are often
eager to provide insight to studies which may help
epidemiologists find answers for their children.
Support groups are an excellent source of
empowerment for all family members and can help
families dealing with the bio-psychosocial
ramifications of birth defects and find their light in
the darkness.
23

24. MedVETSUPPORT
2017-1-TR01-KA202-045932
THANK YOU!
24

25. MedVETSUPPORT
2017-1-TR01-KA202-045932
https://medvet-project.eu
https://www.facebook.com/Medvetproject
This work is licensed under a Creative Commons Attribution-NonCommercial
4.0 International License.
All images included in this ppt have been retrieved from:
https://www.flickr.com
https://pixabay.com
Archive photos of Selena Hospital
The European Commission support for the production of this publication does not constitute an endorsement of the contents which
reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the
information contained therein.
25

26. Selena Hospital, Bulgaria