Annual Health Checks for People in Substance Misuse Recovery
Explore the importance of annual health checks for individuals in substance misuse recovery to address high rates of morbidity and mortality. Learn about the reasons behind conducting health checks and tips for effective care plans. Dive into case discussions and understand the organizing needs for different scenarios.
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Presentation Transcript
A Supporting peoples health recovery: Annual Health Checks for those on NDTMS What has been your experience so far around care plans? Why are we doing health checks? Tips on annual health checks and plans Substance misuse recall template Case discussions Wrap up
Why do annual health checks High rates of morbidity and mortality amongst problematic drug and alcohol users Long term conditions copd, cancers, vascular disease, hepatitis C, cirrhosis, amputations, mental health etc Poor uptake of screening programmes Picking up these conditions and acting will make a difference
Case 1 what needs done and how to organise?? Mr FA 42 years old PHx using drugs and been in and out of treatment for past 18 years Acute pancreatitis 2015 Rx Methadone 100 mls/d supervised consumption Attends RESET worker in the practice , but often attends late, occasionally misses appointment but more often late. Gets script from GP after RESET appointment, often very rushed appointment as he late and wants to get to the chemist
Case 2 - what needs done and how to organise?? Miss IR 58 yr Crack and heroin user on and off since 1980 Phx copd, hep c Rx methadone 70 mls/d sdc, salbutamol, lansoprazole Attends RESET and mile end, prescription done by GP in practice attends but often late
Case 3 - what needs done and how to organise?? Mr WC 61 yrs recent hospital discharge mostly housebound, in a wheelchair, sister brings him to appointments when can, but often unable to do so Attends RESET keyworker in practice or else via phone Rx methadone 23 mls per day , insulin, Lisinopril, Dns dress legs new ulcers Date 21-Aug-2018 17-Aug-2018 23-Feb-2017 31-Jan-2017 16-Sep-2016 16-Sep-2016 Problem Drug addiction therapy C/O: itching Acute osteomyelitis Chronic kidney disease stage 3 Portal hypertension Oesophageal varices in cirrhosis of the liver Associated Text Date Ended mild hep C cirrhosis. grade 1 varix, not bleeding to foot following amputation and debridement 01-Sep-2016 Other graft of skin 27-Oct-2014 22-Oct-2014 25-Sep-2006 04-May-2004 13-Sep-2002 01-Mar-2002 12-Aug-1996 1984 Drug addictn therap-methadone Chronic obstructive pulmonary disease Essential hypertension Arthralgia of multiple joints Type 2 diabetes mellitus [X]Moderate depressive episode Drug dependence Admit psychiatric emergency pos cannabis related psychotic episode pleural effusion 1983 Pulmonary tuberculosis
Case 4 - what needs done and how to organise?? GG 27 yrs old Phx chlamydia, nil else Known on NDTMS receiving methadone prescription from RESET at Mile End Seen twice at the practice since joined in 2016 with foot pain and chest pain Not attended since dec 2017
Case 5 - what needs done and how to organise?? Miss PY 53 yrs Phx, depression, gastric bypass, alcohol dependence Rx lansoprazole, folic acid Attending RESET following referral May 2018 Audit C 12/12, Audit 28/40 Not seen since
