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Journal of Neurology Neurosurgery and Psychiatry 2003;74:5
© 2003 BMJ Publishing Group

EDITORIAL COMMENTARY
Multidisciplinary care

Assessment of health needs in multidisciplinary care

C A Young

Walton Centre for Neurology & Neurosurgery, Lower Lane, Fazakerley, Liverpool L9 7LJ

Correspondence to:
Correspondence to:
C A Young;
carolyn.young@thewaltoncentre.nhs.uk

Comprehensive care for people with disabling neurological disease—finding the best approach

Keywords: multidisciplimary care; health needs; multiple sclerosis; neurological disease

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

Comprehensive care for people with disabling neurological illnesses is widely acknowledged to require input from many specialisms. The foundation of such multifaceted care should be a detailed assessment of physical and psychosocial function and health needs, ideally by experienced individuals able to work in a transdisciplinary way and possessing excellent communication skills. Such individuals would be capable of both identifying a clinical problem, such as impaired heel strike, and determining the most appropriate treatment, such as stretches from the physiotherapist, botulinum toxin from the physician or orthopaedic release. Clearly clinicians with the wide training and experience for such global assessment are in short supply. In their absence, other approaches to identifying health needs for multidisciplinary care have been assessed. Asking each discipline to independently assess the patient in case his or her input could be relevant is a poor use of resources and burdensome to the patient. Being . . . [Full text of this article]


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J. Neurol. Neurosurg. Psychiatry 2003 74: 20-24. [Abstract] [Full Text] [PDF]





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