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Collaborative care for alcohol-related liver disease

Kieran J Moriarty, Helen Platt, Sandra Crompton, Wendy Darling, Martin Blakemore, Sue Hutchinson, David Proctor, Malcolm Brown, Burt Burtun, George Lipscomb and Kadukkavil Padmakumar
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DOI: https://doi.org/10.7861/clinmedicine.7-2-125
Clin Med April 2007
Kieran J Moriarty
Royal Bolton Hospital, Bolton
Roles: Consultant Gastroenterologist
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Helen Platt
Royal Bolton Hospital, Bolton
Roles: Project Nurse
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Sandra Crompton
Royal Bolton Hospital, Bolton
Roles: Lead Nurse in Liver Disease
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Wendy Darling
Royal Bolton Hospital, Bolton
Roles: Consultant Psychiatrist in Substance Abuse
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Martin Blakemore
Royal Bolton Hospital, Bolton
Roles: Charge Nurse
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Sue Hutchinson
Royal Bolton Hospital, Bolton
Roles: Sister
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David Proctor
Royal Bolton Hospital, Bolton
Roles: Alcohol Liaison Nurse
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Malcolm Brown
Royal Bolton Hospital, Bolton
Roles: General Practitioner
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Burt Burtun
Royal Bolton Hospital, Bolton
Roles: Director of Nurse Training
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George Lipscomb
Royal Bolton Hospital, Bolton
Roles: Consultant Gastroenterologist
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Kadukkavil Padmakumar
Royal Bolton Hospital, Bolton
Roles: Consultant Gastroenterologist
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Abstract

By implementing collaborative care for patients with alcohol misuse and alcohol-related liver disease, the Royal Bolton Hospital aimed to improve and coordinate their care by recruiting a multidisciplinary team and placing the patient at the centre of all efforts. There has been a marked improvement in the accuracy of the drinking histories taken, detoxification, dietary documentation, and patient and staff attitudes and confidence, with enhanced satisfaction in patients, their families and staff and improved accessibility and communication. We observed a considerable increase in the number of inpatient and outpatient referrals and believe that it is more effective to work together in a joint gastroenterology/psychiatry team. There is a critical national need to establish steering groups of key clinical, managerial and commissioning personnel to address the growing problem of alcohol misuse. The appointment of dedicated alcohol health workers is central to this strategy.

KEY WORDS
  • alcohol
  • collaborative care
  • liver disease
  • © 2007 Royal College of Physicians
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Collaborative care for alcohol-related liver disease
Kieran J Moriarty, Helen Platt, Sandra Crompton, Wendy Darling, Martin Blakemore, Sue Hutchinson, David Proctor, Malcolm Brown, Burt Burtun, George Lipscomb, Kadukkavil Padmakumar
Clinical Medicine Apr 2007, 7 (2) 125-128; DOI: 10.7861/clinmedicine.7-2-125

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Collaborative care for alcohol-related liver disease
Kieran J Moriarty, Helen Platt, Sandra Crompton, Wendy Darling, Martin Blakemore, Sue Hutchinson, David Proctor, Malcolm Brown, Burt Burtun, George Lipscomb, Kadukkavil Padmakumar
Clinical Medicine Apr 2007, 7 (2) 125-128; DOI: 10.7861/clinmedicine.7-2-125
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