https://padlet.com/c_burke/d3496w1l5l9t Upload your research, thoughts and questions for the group en-us 2018-08-30 15:46:25 UTC 2025-12-23 21:03:03 UTC hello@padlet.com eeima https://padlet.com/c_burke/d3496w1l5l9t/wish/421654054 Aimee
1) Who else do you want to talk to?
- I would want a MDT meeting: HV, family nurse, GP, social worker,  any other professionals involved in the families care.
- I think it is important to speak with Kirsty and David. It is important to understand David's background, medically, mentally, socially and to understand why he doesn't have contact with his other children has this been put in place by social services is this linked to the current aggressive behaviour he has been depicting.
- It is important to speak to Kirsty, is she self harming or  has David been physically abusing her? (cuts noted on her arms)
- The professionals have noted Kirsty has lost weight, explore her health including current diet and life style.  Could this be financial pressures to buy food or David controlling her portions or linked to a mental health condition like an eating disorder? Whichever the answer discuss support options available.

What would be the role of the professionals involved in the scenario be?
- HV - when witnessing the event where David had to be removed by security they have a responsibility to safe guard the baby and inform social services and encourage a MDT meeting to address concerns about the family. The HV also has a duty of care to Kirsty, so can explore her health, routine enquiries and refer the appropriate service e.g. mental health support, GP,
- The GP has a duty of care to review a patient if other professionals make a referral however maternal choice and consent is also important and if Kirsty does not want to make an appointment it can be difficult to get her to attend.
- The team all have a responsibility to share information with one another especially when safe guarding children, encouraging MDT meetings is an effective way of raising any concerns and supporting with management plans

What barriers exist?
- Consent from patients to share information e.g between GP/HV/family nurses
- maternal choice - even if a MDT advises a management plan for a women e.g. a M.H referral is recommended the woman should consent to the referral and has a choice on whether to attend. I feel it is important for professionals to inform each other on if appointments are missed for example if HV appointment is missed the social worker should be informed
- current work loads and different online systems used by the MDT to document reviews and medical/social/history on - busy work loads may make attendance to the MDT difficult e.g. GP's may not be able to attend due to busy clinics. Mental health services/family nurse/GPs/HV  may all use different online systems to document patient care therefore a they may struggle to obtain an update history if not able to access their records

Ideas to overcome barriers:
- one online system used by health professionals to document patient care to support MDT communication
How can we ever get this in the current climate? Cath
- Regular MDT meetings when various professionals are involved to ensure that there is opportunity for the professionals to raise concerns and support the family if their needs change. For professionals who can not attend they would submit a written statement highlighting a summary of their input with the family and any concerns that need addressing. 
To keep my skills updated and relevant:
- Continuous professional development, training days, experience working with other professionals e.g. work alongside learning disability nurse for a day
- Skills required: listening, approachable, communication, 

]]> 2019-12-09 15:34:55 UTC https://padlet.com/c_burke/d3496w1l5l9t/wish/421654054 https://padlet.com/c_burke/d3496w1l5l9t/wish/423761117 I believe liason with the GP, the Family Nurse and the Social Carer is absolutely key. Reports from all of them describing past and current issues regarding Kirsty, the home environment, and Betty's progress are imperative.
1) Kirsty's neglectful behaviour is of massive concern, and it needs to be undertood if it stems from a newly developed anxiety and or depressive disorder, or from her learning disability difficulties. It seems like Kirsty has difficulty attending appointments, so the input and intervention of the home carers is key.
2) I still believe it's too early to engage Kirsty in any kind of psychotherapeutic help or groups. I have mentioned in the prior exercise the importance of a Social Worker, an Occupational Therapist, a Clinical Psychologist, and a Perinatal Psychiatrist being part of the team. I would start by asking Kirsty how she feels and what she thinks she needs. How can we best help her as a team? What can we do to engage her? Small bits of psychoeducation might help.
3) Betty also needs to be taken care of. Firstly, a Paediatrician has to carry out a full assessment of her developmental milestones and weight loss. If any concerns are raised, with close liason with the mental health team, Social Work input might be needed.
I think you are correct about the groups with this new information.
BW
Cath]]> 2019-12-13 13:09:09 UTC https://padlet.com/c_burke/d3496w1l5l9t/wish/423761117