Book Contents
- About the Authors
- Lucille Leader
- Dr Geoffrey Leader
- Dr Serena Leader
- Professor Leslie Findley
- Foreword
- Message from the General Practitioner: Dr Serena Leader
- From the Desk of the Consultant Neurologist: Prof Leslie Findley
- From The Office of the Editor, Consultant Anaesthetist: Dr Geoffrey Leader:
- Introduction by the Nutritional Therapist: Lucille Leader
- What is Collaborative Medicine?
- Establishing Contact with the General Practitioner (GP) Options
- Option 1
- Clinic Information Examples for the GP
- Option 2
- Request to the GP for Information about a Client/Patient
- Biochemical Tests (NHS and Private)
- Examples of Communication with the GP
- request to the GP for biochemical tests within NHS remit
- report to the GP of test results
- request to the GP for review of drug side-effect
- request to the GP for trial of drug to facilitate dietary flexibility
- request to the GP for referral to speech therapist
- request to the GP for assessment of newly presenting symptoms
- urgent alert to the GP about presenting problems
- relinquishing responsibility for nutritional management
- alert to the GP about a case that is possibly "at risk"
- patient confidentiality
- duty of care and confidentiality
- When the Oral Route Fails
- Part 1:
- Enteral Feeding (Oral-Elemental)
- Enteral Feeding (Tube-Elemental)
- Examples of Communication with the GP
- Request to the GP for oral elemental feeding
- Recommendation for tube feeding/relinquishing responsibility
- Part 2:
- Total Parenteral Nutrition (TPN)
- Letter to GP Reporting Malabsorption of Individual Nutrients
- Anaesthesia/ Surgery and Nutritional Aspects
- Letter to surgeon requesting elemental oral nutrition
- When to Relinquish Responsibility for Nutritional Care
- References
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