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Archives of Disease in Childhood 2007;92(Supplement 1):A6-A9
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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Childhood disability

The first 150 words of the full text of this article appear below.


G/TUES/DIS1 IMPROVING CARE FOR CHILDREN WITH COMPLEX DISABILITIES PRESENTING TO ACCIDENT AND EMERGENCY
N. Jones, K. Horridge.Sunderland Royal Hospital, Sunderland, Tyne and Wear, UK

Background and Aims: Attendance to Accident and Emergency (A&E) with an acutely unwell child with complex disabilities can be extremely stressful for parents, carers, nurses and doctors. Our experience is that parents can find it frustrating to meet staff in A&E who are unfamiliar with managing complex disabled children. Healthcare staff also describe feeling daunted by the challenge of assessing and managing children who may not show the usual cues to illness and may require specific or unusual treatments. We have developed a care pathway, designed to integrate with individual emergency care plans (where available), which we hope will improve the management of children with complex disabilities presenting to A&E.

Methods: Following discussion with nursing and junior medical staff working in our A&E department, a draft care pathway was developed. This was sent to all local hospital and . . . [Full text of this article]







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