ANP in mental health care in collaboration with obstetric health care

Transcription

1 ANP in mental health care in collaboration with obstetric health care Patricia Lok 12 oktober 2017 Accompanied by Nicole Snaphaan and Carlijn Beerepoot

2 Contains: Carrier and current job Rural context Regional context Our method Kind of health issues Role of nurse practitioner

3 Carrier and current job

4 The main road till now Positions/ roles Nurse Mother Teacher Nurse practitioner Grandma Educations (In dutch) HBOV Docentenopleiding verpleegkunde PABO MANP CGT

5 Rural context From question to answer

6 LKPZ Answer to a need Goals: Sharing knowledge Sharing expiriences Producing guidelines Same advices to clients Inform clients

7 Regional context Various problems so various pathways Nicole Snaphaan Midwife and PA

8 Screening all pregnant women Questionaire: Mind2 care Used by Kind of questions Ment to: prevent a lack of care, selection, explane, guiding

9 Several pathways/ specialy POP Choise for a pathway(s) depends on kind of problem(s) If necessary in consultation / making choices

10 Our method Collaboration and shared care

11 Two frontdoors Verloskunde Psychiatrie

12 And a big in-between-door For communication Consultation Collaboration Suggestions And so on

13 Kind of health issues All psychiatric illnesses in a special stage of live and special circumstances

14 Already existed or suddenly ocurring Mood diseases: depression / bipolar Anxiety diseases like panick disease/ PTSD/ OCD) Psychotic diseases ADHD / autism Personality diseases Addiction

15 Offer from obstetrics in POP care More time per cliënt More knowhow about psychiatry Excellent skills in communication Possibility to offer casemanagement More continuity Knowing network partners

16 Offer from psychiatry Preconceptional advise Treatment and guiding during pregnancy Treatment and guiding postpartum

17 Treatment and guiding Treatment: Education Support Cognitive Behaviour Therapy Mindfulness Medication Guiding: Organize rest and help as well from family as well professsional agencies Promote rithm and structure Balance activities and rest Drawing partner/family into range Preparing childbirth and postpartum / preventing overload Eventually step in also other kinds of help to complete good care

18 Feelings of guild and failure Thoughts as being a bad mother (Non-) acceptance of disease Sleep disturbances Own childhood Preparing being a parent Preparing pregnancy and delivery Preparing postpartum period Breastfeeding Perfection and adjustment Worries about adhesion Common themes

19 Nurse practitioner psychiatry Overview Centipede with knowledge, resolution and foresighted look

20 Building bridges Between nursing and medicine & Between psychiatry and gynecology / obstetrics & Between in hospital and outdoor

21 Building bridges (1) Between nursing and medicine From consultation to independence Wide view Upgrade and update your knowledge Common sense Dare to decide Growing trust Settle down old patterns in hierarchy Complement each other Growing in a new role

22 Building bridges (2) Between psychiatry and obstetrics Knowing the issues: literature and internship What do this woman need? How can we organize? Advocate needs to management How can we organize? Planning and implementation Sharing experiences/ consultation Evaluate and improve

23 Building bridges (3) Between in hospital and outdoor Collaboration: Discuss Referring (back) Shared dissision making Deviding tasks Formulate observation goals Organize good care Home visit

24 Researches Overzichtsartikel Tijdschrift voor Psychiatrie 57 (2015) 6, Angststoornissen tijdens de zwangerschap en post-partumperiode M. van der Veldt, P. Lok, M. Pop-Purceleanu, I. Tendolkar, P. van Eijndhoven Article in the Journal of Clinical Psychiatry 2017 Jul 18. pii: 16r11083 Infant-related harming intrusions in the postpartum period: a critical review Elke C Brok, * MD 2, Patricia Lok, MSc 1, Desiree B Oosterbaan, MD, PhD 1, Aart H Schene, MD, PhD 1,3, Indira Tendolkar, MD, PhD 1,3, Philip F van Eijndhoven, MD, PhD 1,3

25 Thanks for your attention Any questions? Also for my colleagues Nicole Snaphaan Carlijn Beerepoot