Abstract
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.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blackburn M., Bax M. Sex education provision for young adults with spina bifida and/or hydrocephalus--an evaluation of a pilot training video. Eur J Pediatr Surg. 1992 Dec;2 (Suppl 1):39–40. [PubMed] [Google Scholar]
- Castree B. J., Walker J. H. The young adult with spina bifida. Br Med J (Clin Res Ed) 1981 Oct 17;283(6298):1040–1042. doi: 10.1136/bmj.283.6298.1040. [DOI] [PMC free article] [PubMed] [Google Scholar]
- King A. C., Ahles T. A., Martin J. E., White R. EMG biofeedback-controlled exercise in chronic arthritic knee pain. Arch Phys Med Rehabil. 1984 Jun;65(6):341–343. [PubMed] [Google Scholar]
- Parker G., Hirst M. Continuity and change in medical care for young adults with disabilities. J R Coll Physicians Lond. 1987 Apr;21(2):129–133. [PMC free article] [PubMed] [Google Scholar]