G533(P) A nurse-led behavioural sleep programme can reduce melatonin prescribing

Abstract

49 pupils had epilepsy, 36 had an annual review (73%). Across the five schools, weight was measured for 74% of school medical appointments. Height measurements varied significantly between the schoolsonly 4% in one school but up to 74% in another. These differences correlated with the extent of physical disability, equipment and school nursing shortages within special schools. Conclusions We implemented training to focus on improving the 3 key standards in managing our special school pupils and their complex needs.We identified the importance of a consistent school nursing service, with improved collaboration between nurses, doctors and administrators to help ensure pupil databases were updated and maintained. Several children require reassessments within the year so it is imperative that our limited appointment capacity is correctly allocated.In summary, by measuring our adherence to these 3 key indicators we aim to improve our multidisciplinary team working, benchmark across our integrated care organisation improving health outcomes for our pupils.Aims Previous studies and guidelines have highlighted the challenge of providing high quality multidisciplinary care for children and young people with cerebral palsy (CP). 1 2 Patterns of admissions for children with CP are concomitant with the severity of the condition. 3 Our aim was to examine the pattern of admission and highlight the provision gap from a DGH perspective for those under 18 as opposed to young people over 18. Methods We conducted a retrospective cohort survey of all patients admitted from 1 st October 2015 to 31 st October 2017 who had a coding of CP. A proforma based on the NICE guideline baseline assessment tool was completed. Data was analysed using Microsoft Excel. Results 55 cases were analysed. 36% were over 18 at the time of admission. Patients over 18 years with CP were more likely to be admitted for surgical and respiratory problems. Patients under 18 were more likely to have orthopaedic intervention as well as admissions for constipation and reflux. The median length of stay for patients with CP was 2 days (IQR 1-3) for patients over 18 years versus 1 day (IQR=0) for patients under 18 years. There was no significant difference in the range of severity of CP between the two groups. Poor compliance to NICE recommendations was identified in both groups. Conclusion The pattern of admission changes in the adult CP group which may reflect the natural progression of the condition. Further work needs to be done to highlight the needs of this vulnerable population within healthcare organisations. The authors would recommend the adoption of a national 0-25 year integrated pathway for young people with cerebral palsy.Aim Many children with sleep difficulties are prescribed melatonin, a hormone playing a key role in the timing of sleepwake cycle, however the drug is costly and evidence for its efficacy is limited.The aim of this study was to evaluate a nurse-led sleep clinic, in which a behavioural sleep programme is delivered, to look at outcomes in...