RESUMO
We describe the development of an innovative, nurse-led chronic pain clinic in primary care. Benefit of the structured intervention was seen in terms of overall patient pain (as measured by the short form McGill-Melzack pain scale) with no overall impact on drug costs. A significant proportion (54%) of patients taking non-steroidal anti-inflammatory drugs were deemed to be at risk of gastropathy and in need of gastroprotection as defined by the clinic protocol. Areas worthy of further study are discussed.
Assuntos
Enfermeiros Administradores , Clínicas de Dor/organização & administração , Dor/enfermagem , Atenção Primária à Saúde/organização & administração , Desenvolvimento de Programas/métodos , Atitude do Pessoal de Saúde , Humanos , Irlanda do Norte , Satisfação do Paciente , Projetos PilotoRESUMO
Three cases of colovaginal fistulae were recently diagnosed and treated. Colovaginal fistulae are not commonly reported and their diagnosis may be difficult to make. Our cases presented with a complaint of vaginal discharge, history of hysterectomy, and diagnosis of diverticulosis. The diagnosis and treatment of colovaginal fistulae are discussed.
