HELPs Headache Education and Learning Programme Sessions Vicky - - PowerPoint PPT Presentation
HELPs Headache Education and Learning Programme Sessions Vicky Quarshie Headache Specialist Nurse Hull and East Yorkshire Hospitals NHS Trust UK Vision Statements HELPs Headache Education Learning Programme Sessions HELPs
Vicky Quarshie Headache Specialist Nurse
Hull and East Yorkshire Hospitals NHS Trust UK
Vision Statements – HELP’s Headache Education Learning Programme Sessions
control back into the patients hands.
collaboratively with their GP’s and provides individuals with the skills to become active managers of their own condition
diagnosis of primary headache and enable them to provide the most effective management plan in a timely manner, reducing the need for referral to secondary care as per NICE CG150.
at GP surgeries and A&E for headache consultations.
Vision Statements – HELP’s Headache Education Learning Programme Sessions
Objectives and Outputs
experience by educating patient’s experiencing frequent headaches
Primary Headache in the local population
headaches and Healthcare professionals involved in their care to enable them to become effective self-managers
present to their GP seeking treatment on a regular basis as often as weekly visits.
care for a consultation with a Consultant Neurologist.
Specialist Nurse who may see the patient a number of times on a follow up basis in telephone and/or
repeatedly complaining of headaches. These patients use valuable GP resources in search of a definitive diagnosis and effective treatment plan to manage their condition.
diagnosis, particularly due to the time constraints of their allocated consultation appointments and may not have the resources readily available to help patients manage their condition.
exacerbates rather than improves an individual’s condition and results in a worsening of the patient’s overall headache profile.
Accident and Emergency Departments and this can result in many unnecessary and costly investigations and in some cases the added cost of an inpatient stay which can often be up to 4-5 days.
HELPS programme*
Yes No Pt identified by GP as suitable for referral:
(NICE Guidelines CG150) www.nice.org.uk/guidance/cg150
Education to enable them to manage their condition more effectively.
GP Diagnoses Patient as per; International Headache Society Classification System ICHD-II http://www.ihs-classification.org/en/ and manages Patient as per; NICE Guidelines (CG150)
www.nice.org.uk/guidance/cg150
+/- Referral to Headache Service HEY Hospitals NHS Trust Pt booked into session via chose and book and also given follow-up appointment with GP to discuss headaches 6 weeks post attendance at education session
Pt to attend Planned Education Session to cover;
Pt advised to;
Before attending appointment to discuss Diary summary and further management with GP
Pt presents at GP Surgery with Headache GP decides if appropriate for referral to Headache Education Programme Session. Pt returns to GP Surgery after 6 weeks with completed headache diaries and summary: Diagnosis confirmed by patient diary GP to implement management plan as per NICE guidance on Headaches If Medication overuse identified plan detoxification then reassess with further headache diaries 6 weeks post detoxification. If a primary headache diagnosis is made manage as per NICE guidelines. If Chronic Migraine is identified and patient fulfils NICE criteria for treatment with Botox (botulinum toxin type A) consider referral straight to Chronic Migraine Service offering Botox as a treatment as this service is not available within the Headache Service at Hull and East Yorkshire Hospitals NHS Trust. If diagnosis remains unclear GP should consider referral to Headache Service, Hull and East Yorkshire Hospitals NHS Trust and ask patient to continue to maintain headache diaries.
*HELPs programme developed by Vicky Quarshie, Headache Specialist Nurse, Hull Royal Infirmary
NICE, Headaches in over 12s: diagnosis and management www.nice.org.uk/guidance/cg150.
Future State
management strategy identified and implemented early
to Headache Service
Primary Headache Disorders, Assessment, Diagnosis and Management
diagnosis
investigations
Future State