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Psychosocial meetings

Psychosocial meetings. Dr Deepak Chowdhary Specialty Doctor Sandwell and West Birmingham hospitals. For Further enquiry, contact Dr Chizo Agwu, Consultant in Paediatric Diabetes, SWBH 0121 5073358. Introduction

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Psychosocial meetings

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  1. Psychosocial meetings Dr Deepak Chowdhary Specialty Doctor Sandwell and West Birmingham hospitals For Further enquiry, contact Dr Chizo Agwu, Consultant in Paediatric Diabetes, SWBH 0121 5073358

  2. Introduction • The psychosocial impact of diabetes in childhood is ubiquitous and involves the entire family, as well as schools and society as a whole. • Striking a balance among hypoglycemia / hyperglycemia, growth/development, and other life factors is not easy for health care providers, patients, or families. • Personal, family, or environmental conditions may compound the delicate balance needed to maintain good glycemic control

  3. At SWBH, to ensure we fully understand all the factors that may impact on a child’s diabetes control: • we hold monthly psychosocial meetings • Meetings last 1hour • Only 1 child is discussed

  4. Who is discussed? • Any child who is having difficulties with any aspect of their diabetes care • Any member of the team can put child forward for discussion

  5. Aims of Psychosocial meetings • To identify the psychosocial factors that may be having an impact on a young person’s diabetes control • To have a clearer understanding of family and school relationships • Review the patients notes and understand trends etc

  6. Organisation of the meetings • The Registrar • reviews and summarises medical case notes • reviews and summarises information from diabetes nurse specialists, psychologists, school teachers and school health nurse • Invites relevant stakeholders to meeting

  7. At end of meeting • All agree a formulation of what the relevant issues are • Agree an action plan • Action plans are discussed with parents if required • These are filed in notes and reviewed at monthly team meetings

  8. Advantage • Review of clinical notes reminds you of issues you may have forgotten over the years • Team has better understanding of child and factors affecting their diabetes control • It is a more structured approach to care • Can form part of High HBA1c policy

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