Taylor M P, Readman S, Hague B, Boulter V, Hughes L, Howell S
Doncaster Royal Infirmary, UK.
Seizure. 1994 Jun;3(2):121-7. doi: 10.1016/s1059-1311(05)80202-x.
In order to improve epilepsy services, Doncaster Hospital doctors and general practitioners agreed upon a collaborative approach. A district epilepsy service was inaugurated around specialist services based in a hospital clinic. Guidelines were produced to clarify respective roles and to assist non-specialist hospital doctors and general practitioners in epilepsy management. A novel feature of the new service was the appointment of a community-based specialist liaison nurse. The new service is perceived to be effective, and the contribution of the specialist nurse to represent an important advance in epilepsy care. It has been possible to supervise complicated changes in medication successfully at home with a reduction in the need to attend clinic or GP. Counselling and support for patients and families, previously lacking, has been a major contribution. Evaluation to determine the extent to which the service meets the needs of those in the local population with epilepsy is planned. This document describes the first 5 years of the service and the scope and content of the specialist liaison nurse's role.
为改善癫痫服务，唐卡斯特医院的医生和全科医生商定了一种协作方法。围绕医院诊所的专科服务设立了地区癫痫服务。制定了指南以明确各自的职责，并协助非专科医院医生和全科医生进行癫痫管理。新服务的一个新特点是任命了一名社区专科联络护士。新服务被认为是有效的，专科护士的贡献代表了癫痫护理的一项重要进展。在家中成功监督复杂的药物变化成为可能，减少了去诊所或看全科医生的需求。以前缺乏的对患者及其家庭的咨询和支持是一项重大贡献。计划进行评估，以确定该服务在多大程度上满足当地癫痫患者的需求。本文描述了该服务的头5年以及专科联络护士角色的范围和内容。
