SlideShare a Scribd company logo
The Role of the Clinical Nurse Specialist
within the Multi-professional
Endometriosis Team

Ms Catherine Dean
Endometriosis Nurse Specialist, Truro
@PainAllianceNI

#PANIendo
@PainAllianceNI

#PANIendo
The Role of The
Specialist Nurse

in
Endometriosis
Specialist Nurses










Are invaluable for people with long term
conditions
Save money through fewer hospital admissions
and GP appointments
Reduce post operative hospital stay times due to
enhanced support in the community
Provide faster access to appropriate
specialist/clinic thereby reducing waiting times
Free up Consultant Appointments
Provide direct specialist advice and management
to patients and families
Royal College of Nursing. Specialist Nurses.
Changing Lives, saving money.
Job Roles
 Nurse

Led Clinic
 Consultant Clinic
 Telephone Clinic
 Ward Work
 Non Clinical Duties
Vetting Referrals to Nurse Led
Clinic
 Prevent

booking of conditions other
than endometriosis i.e. endometrial
ablation
 Prevent referrals to health
professional who does not have the
expertise and or skills to deal with
the problem
 Reduce number of appointments for
remote referrals
Nurse Led Clinic












All day once weekly
1 hour new slots
30 minute follow up slots
To see all new referrals, both confirmed cases and women with
symptoms suggestive of endometriosis
Discussion re condition, previous investigations
Treatment (dependent on life stage, age, severity of symptoms
and impact on lifestyle, desire to conceive) CNS essential in
helping patient make choice
Perform Ultrasound Scan if necessary
Provide information on treatment and make recommendation to
GP if medical or hormone treatment chosen
Provide detailed information leaflet on benefits risks and
complications of surgery.
Follow up appointments to see post op patients at 6 months
Telephone/Postal Clinic
1

year and 2 years post op
 To input data onto BSGE database
Consultant Clinic
 Review

patients at 3 months post op,
see new patients from out of county
and review follow up patients from
nurse led clinic
 MDT meeting to establish those
requiring specialist input, bowel
specialist, urologist, pain team.
 Patient Satisfaction survey
Ward work










Familiar reassuring face for patients
Accompany Consultant and laparoscopic trainee fellow in
the morning. Review patients in the afternoon to establish
whether fit for discharge
See pre op patients prior to surgery
See post op diagnostic patients to deliver findings
Liaise with urology department to have urological stents
removed
Arrange follow-up at 3 months in Consultant Clinic
Take contact details to make post op phone call 1 week
later
Provide education and support for nurses and other health
professionals
Non face to face contact








Telephone Contact
E mail contact
Contact of General Public through Trust website
Weekly meeting with secretary, check and sign
letters, deal with patient queries
Weekly meeting with Inpatient co ordinators to
discuss timing of operation, administration of
GnRH analogues and bowel prep
Input data onto BSGE database at initial
appointment, 6 months, 1 and 2 year follow up
by telephone/postal questionnaire
Endometriosis UK









Invaluable role in the support of women with endometriosis
as health professional and specialist centre not always
available
Provide link between sufferers and specialist centres
Plays a vital role in helping women and their families learn
to cope with endometriosis
Helpline provides information, as well as emotional support
and a listening ear
Online community allows women to connect with other
endometriosis sufferers in a safe, online community
In conjunction with the Royal College of Nursing and the
BSGE provide specialist training for nurses and help in
defining the ideal role
Cornwall Support Group







gives those affected by endometriosis the
opportunity to meet and share their experiences
with others who understand their situation
Invaluable asset to the Endometriosis Nurse
Specialist Role especially in raising awareness of
the condition, providing support for sufferers
when the nurse not available
Help in promoting Endometriosis Awareness
Week
Nurse attends meetings and fundraising events
Recommended Role Developments









Band 7 reflects responsibilities and autonomy
within the service
Non medical prescribing prevents delay in
treatment
Consent
Gynaecological physical examination skills
Engage in and promote endometriosis research
activity
The Royal College of Nursing and Endometriosis
UK believe the ideal role to be as above and act
as an Advanced Nurse Practitioner
Counselling Skills
@PainAllianceNI

#PANIendo

More Related Content

What's hot

Credentialing
CredentialingCredentialing
Credentialingbodo-con
 
learning plan with 5 goals
learning plan with 5 goalslearning plan with 5 goals
learning plan with 5 goalsscott burnham
 
Nursing Homes: Making the Right Choice
Nursing Homes: Making the Right ChoiceNursing Homes: Making the Right Choice
Nursing Homes: Making the Right Choice
David Corman
 
Advance Directives
Advance DirectivesAdvance Directives
Advance Directives
Sunhee Park
 
Career in Nursing Powerpoint
Career in Nursing PowerpointCareer in Nursing Powerpoint
Career in Nursing Powerpoint
Savannah Henderson
 
Canada’s health care system
Canada’s health care systemCanada’s health care system
Canada’s health care system
Wendi Lee
 
Duties and responsibilities of various category of nursing personnel
Duties and responsibilities of various category of nursing personnelDuties and responsibilities of various category of nursing personnel
Duties and responsibilities of various category of nursing personnel
SMVDCoN ,J&K
 
Managing Patient & Family Rights and Responsibilities
Managing Patient & Family Rights and Responsibilities  Managing Patient & Family Rights and Responsibilities
Managing Patient & Family Rights and Responsibilities Ahmad Thanin
 
The doctor and home care
The doctor and home careThe doctor and home care
The doctor and home care
Chai-Eng Tan
 
Issues and Challenges in Nursing Profession
Issues and Challenges in Nursing ProfessionIssues and Challenges in Nursing Profession
Issues and Challenges in Nursing Profession
Smriti Arora
 
Staff development programme
Staff development programmeStaff development programme
Staff development programme
Rajeshwari Srinivasan
 
Job description
Job descriptionJob description
Job description
Tanoj Patidar
 
End of-life care
End of-life careEnd of-life care
End of-life care
Sheila Marie Oconer
 
Transitions of Care
Transitions of CareTransitions of Care
Transitions of Care
Think DCS
 
dutyroaster.pptx
dutyroaster.pptxdutyroaster.pptx
dutyroaster.pptx
ssuser331835
 
Nurse practitioners
Nurse practitionersNurse practitioners
Nurse practitioners
Nursing Hi Nursing
 
Hospital management protocols
Hospital management protocolsHospital management protocols
Hospital management protocols
shashank shaikhar
 
Nursing as a career
Nursing as a careerNursing as a career
Nursing as a career
Proofreading4all
 
Challenges Facing Healthcare Delivery Systems
Challenges Facing Healthcare Delivery SystemsChallenges Facing Healthcare Delivery Systems
Challenges Facing Healthcare Delivery Systems
Mid-Atlantic Telehealth Resource Center
 

What's hot (20)

Credentialing
CredentialingCredentialing
Credentialing
 
learning plan with 5 goals
learning plan with 5 goalslearning plan with 5 goals
learning plan with 5 goals
 
Nursing Homes: Making the Right Choice
Nursing Homes: Making the Right ChoiceNursing Homes: Making the Right Choice
Nursing Homes: Making the Right Choice
 
Advance Directives
Advance DirectivesAdvance Directives
Advance Directives
 
Career in Nursing Powerpoint
Career in Nursing PowerpointCareer in Nursing Powerpoint
Career in Nursing Powerpoint
 
Canada’s health care system
Canada’s health care systemCanada’s health care system
Canada’s health care system
 
Duties and responsibilities of various category of nursing personnel
Duties and responsibilities of various category of nursing personnelDuties and responsibilities of various category of nursing personnel
Duties and responsibilities of various category of nursing personnel
 
Managing Patient & Family Rights and Responsibilities
Managing Patient & Family Rights and Responsibilities  Managing Patient & Family Rights and Responsibilities
Managing Patient & Family Rights and Responsibilities
 
The doctor and home care
The doctor and home careThe doctor and home care
The doctor and home care
 
Issues and Challenges in Nursing Profession
Issues and Challenges in Nursing ProfessionIssues and Challenges in Nursing Profession
Issues and Challenges in Nursing Profession
 
Presentation of palliative care
Presentation of palliative carePresentation of palliative care
Presentation of palliative care
 
Staff development programme
Staff development programmeStaff development programme
Staff development programme
 
Job description
Job descriptionJob description
Job description
 
End of-life care
End of-life careEnd of-life care
End of-life care
 
Transitions of Care
Transitions of CareTransitions of Care
Transitions of Care
 
dutyroaster.pptx
dutyroaster.pptxdutyroaster.pptx
dutyroaster.pptx
 
Nurse practitioners
Nurse practitionersNurse practitioners
Nurse practitioners
 
Hospital management protocols
Hospital management protocolsHospital management protocols
Hospital management protocols
 
Nursing as a career
Nursing as a careerNursing as a career
Nursing as a career
 
Challenges Facing Healthcare Delivery Systems
Challenges Facing Healthcare Delivery SystemsChallenges Facing Healthcare Delivery Systems
Challenges Facing Healthcare Delivery Systems
 

Similar to The Role of the Clinical Nurse Specialist within the Multi-professional Endometriosis Team - Ms Catherine Dean at #PANIendo

206410038 adenomyosis-complete
206410038 adenomyosis-complete206410038 adenomyosis-complete
206410038 adenomyosis-complete
homeworkping7
 
Patient experience: where can we improve?
Patient experience: where can we improve?Patient experience: where can we improve?
Patient experience: where can we improve?
Consumers Health Forum of Australia
 
1. social determ in health
1. social determ in health1. social determ in health
1. social determ in health
kgreine
 
How should the primary care system respond to people with chronic disease and...
How should the primary care system respond to people with chronic disease and...How should the primary care system respond to people with chronic disease and...
How should the primary care system respond to people with chronic disease and...
Consumers Health Forum of Australia
 
Early Pregnancy Clinical Study Group Presentation by the EPT
Early Pregnancy Clinical Study Group Presentation by the EPTEarly Pregnancy Clinical Study Group Presentation by the EPT
Early Pregnancy Clinical Study Group Presentation by the EPT
EctopicPregnancyTrust
 
Consumers' role in co-creation
Consumers' role in co-creationConsumers' role in co-creation
Consumers' role in co-creation
Consumers Health Forum of Australia
 
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
Towards a public understanding of nursing: Elsie Stephensonmemorial lecture ...Towards a public understanding of nursing: Elsie Stephensonmemorial lecture ...
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
Roger Watson
 
Invaluable Lesson Learned
Invaluable Lesson LearnedInvaluable Lesson Learned
Invaluable Lesson Learned
Christy Davis
 
Career Powerpoint
Career PowerpointCareer Powerpoint
Career Powerpoint
littlemadeline4
 
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docxRunning head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
toltonkendal
 
chapter 1 Naomi.docx
chapter 1 Naomi.docxchapter 1 Naomi.docx
chapter 1 Naomi.docx
AntierefaaPaul2
 
Patient Information Please see attachment for Rubrics and Soap T.docx
Patient Information Please see attachment for Rubrics and Soap T.docxPatient Information Please see attachment for Rubrics and Soap T.docx
Patient Information Please see attachment for Rubrics and Soap T.docx
ssuser562afc1
 
Uro-Gynaecology From Cambridge to UAE?
Uro-Gynaecology From Cambridge to UAE? Uro-Gynaecology From Cambridge to UAE?
Uro-Gynaecology From Cambridge to UAE?
Michelle Fynes
 
menstrual manipulation for adolescents with disability
 menstrual manipulation for adolescents with disability menstrual manipulation for adolescents with disability
menstrual manipulation for adolescents with disability
Mini Sood
 
ElsieStephenson Memorial Lecture 2016
ElsieStephenson Memorial Lecture 2016ElsieStephenson Memorial Lecture 2016
ElsieStephenson Memorial Lecture 2016
Roger Watson
 
Crimson Publishers-Telemedicine in Urology and Nephrology
Crimson Publishers-Telemedicine in Urology and Nephrology Crimson Publishers-Telemedicine in Urology and Nephrology
Crimson Publishers-Telemedicine in Urology and Nephrology
CrimsonPublishersUrologyJournal
 
Diagnosis & Management of Endometriosis: pathophysilogy to practice
Diagnosis & Management of Endometriosis: pathophysilogy to practiceDiagnosis & Management of Endometriosis: pathophysilogy to practice
Diagnosis & Management of Endometriosis: pathophysilogy to practice
Azizan Hanny
 
International Family Medicine Fellowship
International Family Medicine FellowshipInternational Family Medicine Fellowship
International Family Medicine Fellowship
ehetzel
 
1.1 - Multimodal consultation
1.1 - Multimodal consultation1.1 - Multimodal consultation
1.1 - Multimodal consultation
NHS England
 

Similar to The Role of the Clinical Nurse Specialist within the Multi-professional Endometriosis Team - Ms Catherine Dean at #PANIendo (20)

206410038 adenomyosis-complete
206410038 adenomyosis-complete206410038 adenomyosis-complete
206410038 adenomyosis-complete
 
Patient experience: where can we improve?
Patient experience: where can we improve?Patient experience: where can we improve?
Patient experience: where can we improve?
 
1. social determ in health
1. social determ in health1. social determ in health
1. social determ in health
 
How should the primary care system respond to people with chronic disease and...
How should the primary care system respond to people with chronic disease and...How should the primary care system respond to people with chronic disease and...
How should the primary care system respond to people with chronic disease and...
 
Early Pregnancy Clinical Study Group Presentation by the EPT
Early Pregnancy Clinical Study Group Presentation by the EPTEarly Pregnancy Clinical Study Group Presentation by the EPT
Early Pregnancy Clinical Study Group Presentation by the EPT
 
Consumers' role in co-creation
Consumers' role in co-creationConsumers' role in co-creation
Consumers' role in co-creation
 
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
Towards a public understanding of nursing: Elsie Stephensonmemorial lecture ...Towards a public understanding of nursing: Elsie Stephensonmemorial lecture ...
Towards a public understanding of nursing: Elsie Stephenson memorial lecture ...
 
Invaluable Lesson Learned
Invaluable Lesson LearnedInvaluable Lesson Learned
Invaluable Lesson Learned
 
Career Powerpoint
Career PowerpointCareer Powerpoint
Career Powerpoint
 
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docxRunning head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docx
 
chapter 1 Naomi.docx
chapter 1 Naomi.docxchapter 1 Naomi.docx
chapter 1 Naomi.docx
 
Patient Information Please see attachment for Rubrics and Soap T.docx
Patient Information Please see attachment for Rubrics and Soap T.docxPatient Information Please see attachment for Rubrics and Soap T.docx
Patient Information Please see attachment for Rubrics and Soap T.docx
 
Uro-Gynaecology From Cambridge to UAE?
Uro-Gynaecology From Cambridge to UAE? Uro-Gynaecology From Cambridge to UAE?
Uro-Gynaecology From Cambridge to UAE?
 
menstrual manipulation for adolescents with disability
 menstrual manipulation for adolescents with disability menstrual manipulation for adolescents with disability
menstrual manipulation for adolescents with disability
 
ElsieStephenson Memorial Lecture 2016
ElsieStephenson Memorial Lecture 2016ElsieStephenson Memorial Lecture 2016
ElsieStephenson Memorial Lecture 2016
 
Crimson Publishers-Telemedicine in Urology and Nephrology
Crimson Publishers-Telemedicine in Urology and Nephrology Crimson Publishers-Telemedicine in Urology and Nephrology
Crimson Publishers-Telemedicine in Urology and Nephrology
 
Diagnosis & Management of Endometriosis: pathophysilogy to practice
Diagnosis & Management of Endometriosis: pathophysilogy to practiceDiagnosis & Management of Endometriosis: pathophysilogy to practice
Diagnosis & Management of Endometriosis: pathophysilogy to practice
 
Topic 6 Team Approach
Topic 6  Team ApproachTopic 6  Team Approach
Topic 6 Team Approach
 
International Family Medicine Fellowship
International Family Medicine FellowshipInternational Family Medicine Fellowship
International Family Medicine Fellowship
 
1.1 - Multimodal consultation
1.1 - Multimodal consultation1.1 - Multimodal consultation
1.1 - Multimodal consultation
 

Recently uploaded

basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
planning for change nursing Management ppt
planning for change nursing Management pptplanning for change nursing Management ppt
planning for change nursing Management ppt
Thangamjayarani
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
MedicoseAcademics
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
ShashankRoodkee
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
263778731218 Abortion Clinic /Pills In Harare ,
263778731218 Abortion Clinic /Pills In Harare ,263778731218 Abortion Clinic /Pills In Harare ,
263778731218 Abortion Clinic /Pills In Harare ,
sisternakatoto
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
Dr. Vinay Pareek
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Dr. Madduru Muni Haritha
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
addon Scans
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
Little Cross Family Clinic
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
Jim Jacob Roy
 

Recently uploaded (20)

basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
planning for change nursing Management ppt
planning for change nursing Management pptplanning for change nursing Management ppt
planning for change nursing Management ppt
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
263778731218 Abortion Clinic /Pills In Harare ,
263778731218 Abortion Clinic /Pills In Harare ,263778731218 Abortion Clinic /Pills In Harare ,
263778731218 Abortion Clinic /Pills In Harare ,
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
 

The Role of the Clinical Nurse Specialist within the Multi-professional Endometriosis Team - Ms Catherine Dean at #PANIendo

  • 1. The Role of the Clinical Nurse Specialist within the Multi-professional Endometriosis Team Ms Catherine Dean Endometriosis Nurse Specialist, Truro @PainAllianceNI #PANIendo
  • 3. The Role of The Specialist Nurse in Endometriosis
  • 4. Specialist Nurses        Are invaluable for people with long term conditions Save money through fewer hospital admissions and GP appointments Reduce post operative hospital stay times due to enhanced support in the community Provide faster access to appropriate specialist/clinic thereby reducing waiting times Free up Consultant Appointments Provide direct specialist advice and management to patients and families Royal College of Nursing. Specialist Nurses. Changing Lives, saving money.
  • 5. Job Roles  Nurse Led Clinic  Consultant Clinic  Telephone Clinic  Ward Work  Non Clinical Duties
  • 6. Vetting Referrals to Nurse Led Clinic  Prevent booking of conditions other than endometriosis i.e. endometrial ablation  Prevent referrals to health professional who does not have the expertise and or skills to deal with the problem  Reduce number of appointments for remote referrals
  • 7. Nurse Led Clinic           All day once weekly 1 hour new slots 30 minute follow up slots To see all new referrals, both confirmed cases and women with symptoms suggestive of endometriosis Discussion re condition, previous investigations Treatment (dependent on life stage, age, severity of symptoms and impact on lifestyle, desire to conceive) CNS essential in helping patient make choice Perform Ultrasound Scan if necessary Provide information on treatment and make recommendation to GP if medical or hormone treatment chosen Provide detailed information leaflet on benefits risks and complications of surgery. Follow up appointments to see post op patients at 6 months
  • 8. Telephone/Postal Clinic 1 year and 2 years post op  To input data onto BSGE database
  • 9. Consultant Clinic  Review patients at 3 months post op, see new patients from out of county and review follow up patients from nurse led clinic  MDT meeting to establish those requiring specialist input, bowel specialist, urologist, pain team.  Patient Satisfaction survey
  • 10. Ward work         Familiar reassuring face for patients Accompany Consultant and laparoscopic trainee fellow in the morning. Review patients in the afternoon to establish whether fit for discharge See pre op patients prior to surgery See post op diagnostic patients to deliver findings Liaise with urology department to have urological stents removed Arrange follow-up at 3 months in Consultant Clinic Take contact details to make post op phone call 1 week later Provide education and support for nurses and other health professionals
  • 11. Non face to face contact       Telephone Contact E mail contact Contact of General Public through Trust website Weekly meeting with secretary, check and sign letters, deal with patient queries Weekly meeting with Inpatient co ordinators to discuss timing of operation, administration of GnRH analogues and bowel prep Input data onto BSGE database at initial appointment, 6 months, 1 and 2 year follow up by telephone/postal questionnaire
  • 12. Endometriosis UK       Invaluable role in the support of women with endometriosis as health professional and specialist centre not always available Provide link between sufferers and specialist centres Plays a vital role in helping women and their families learn to cope with endometriosis Helpline provides information, as well as emotional support and a listening ear Online community allows women to connect with other endometriosis sufferers in a safe, online community In conjunction with the Royal College of Nursing and the BSGE provide specialist training for nurses and help in defining the ideal role
  • 13. Cornwall Support Group     gives those affected by endometriosis the opportunity to meet and share their experiences with others who understand their situation Invaluable asset to the Endometriosis Nurse Specialist Role especially in raising awareness of the condition, providing support for sufferers when the nurse not available Help in promoting Endometriosis Awareness Week Nurse attends meetings and fundraising events
  • 14. Recommended Role Developments        Band 7 reflects responsibilities and autonomy within the service Non medical prescribing prevents delay in treatment Consent Gynaecological physical examination skills Engage in and promote endometriosis research activity The Royal College of Nursing and Endometriosis UK believe the ideal role to be as above and act as an Advanced Nurse Practitioner Counselling Skills