Transcript Young Peoples Health *Adolescent Medicine

Young People Health
“Adolescent Medicine”
Dr Mamdouh Wahba
President, Egyptian Family Health
Society
Dr Ghada Anwar
Prof of Pediatrics/Cairo University
Outline
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What is adolescent medicine
Why in Egypt
The aim of the visit to UCLH
Our findings
What is adolescent medicine
• It provides state-of-the-art, comprehensive
primary care and specialty care to patient
aged 10 to 19 years old.
Why adolescent medicine
• The adolescent age group (young people)
faces a variety of threats to health, whose
origin lies increasingly in psychosocial and
environmental problems as compared to
traditional infectious and somatic diseases
alone.
• Also, due to the increasing survival of young
people with diseases that were formerly
lethal, the prevalence of chronic diseases in
adolescents has increased significantly.
Egypt Population Pyramid
Aim of the visit
• To get acquainted with the structure and
operational procedures of adolescent health
units in other countries in attempt to establish
an adolescent unit in our university hospitals.
University College London Hospital
Inpatient Department
Reception
The operating system
• It receives admission for the age group 10-19
years
• All specialties are included in the department
• Referral for admission: either from outpatient
clinic or from other departments
• If no available beds, an adolescent can be
admitted in other department till an empty
bed is available.
• There are separate rooms for boys and girls.
• Parents are not allowed to stay at night, they
are only visitors
• Visitors: only 2 are allowed at a time
• Admitted patients are not obliged to wear
hospital gowns
• Patients’ medications are put in a locked
drawer beside each patient (only nurse can
give the medicine to the patient)
• Doctors’ notes about patients are kept away
from patients they are not allowed to look
into them except on a submitted request
• Nurses working in the department should
receive training on how to deal with and
communicate with this age group (proper
listening and decision making sharing).
• Mental health nurse is one of the team
members
• Two social workers
• Consultants follow- up admitted cases
according to their specialties
• Registrars and house officers have rotation in
adolescent unit.
• No clinical director for the department
• The department composed of: separate rooms
with beds (admission and one day care),
storing room, procedure room, kitchen, drug
preparation room, entertainment room with
TV, DVD, and different activities, room for
disposable materials and meeting room.
• Meetings for cases discussion are carried put
on weekly bases, all doctors and nurses
involved in admitted patients’ care should
attend to discuss cases from all aspect.
• Psychiatrists play very important role in
patients’ medical care
Outpatient clinic
Waiting area
• There is a manger for the outpatient clinic
who is responsible for arranging of the
workflow, schedules of the physicians,
appointment of patients, and preparation of
files.
• Patients’ files are kept temporarily in a
separate building near the hospital till it is
transferred to their storage place outside the
town.
Thank You