Adults with spina bifida and/or hydrocephalus

Recent advances in medical technology enable many children with complex disabilities to survive into adulthood and to have certain expectations of life. One of these expectations is the continuity of specialist health care in an adult setting. This paper describes a new out-patient service which aim...

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Bibliographic Details
Published in:Postgraduate medical journal 1995-01, Vol.71 (831), p.17-21
Main Authors: Morgan, D. J., Blackburn, M., Bax, M.
Format: Article
Language:English
Subjects:
Adult
Ambulatory Care - organization & administration
Behavior
Continuity of Patient Care
Female
Hospitalization
Humans
Hydrocephalus - complications
Hydrocephalus - rehabilitation
London
Male
Outpatient Clinics, Hospital - organization & administration
Patient Acceptance of Health Care
Patient Care Team
Patient Satisfaction
Spinal Dysraphism - complications
Spinal Dysraphism - rehabilitation
Urinary Incontinence - etiology
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Summary:Recent advances in medical technology enable many children with complex disabilities to survive into adulthood and to have certain expectations of life. One of these expectations is the continuity of specialist health care in an adult setting. This paper describes a new out-patient service which aims to provide optimum care, continuity and consistency of service for adults with spina bifida and/or hydrocephalus. The need for specialist health input into this service, in order to monitor the neurological, urological and psychosocial complications often associated with spina bifida and/or hydrocephalus is recognised. In one year (1992), 86 young adults with spina bifida and/or hydrocephalus attended for annual or more frequent assessment, either independently or with their families or carers. A variety of health and social problems were treated. In response to demand, a multi-disciplinary assessment unit, which includes the services of both medical and nursing specialists, occupational and physiotherapists, psychologists and access to specialist surgical opinions has recently opened at the Chelsea and Westminster Hospital. This new service attempts to meet some of the needs described in the outpatient audit. Adults with other disabilities are requesting to use this service. A longitudinal study to monitor quality, and outcome is indicated from this initial survey.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.71.831.17