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Published on: December 9, 2015
Introducing high dose steroid therapy for MS relapses into the community
Barbara Cassia1, Melanie Ranford-Mills
1Community Intervention Team, South Staffordshire PCT. barbara.cassia@nhs.net
South Staffordshire Primary Care Trust (PCT) developed a home-based high-dose steroid therapy service for multiple sclerosis (MS) relapses. This initiative, supported by the Queen's Nursing Institute (QNI), aims to prevent crises and enhance community care.
Area of Science:
- Community Nursing
- Neurology
- Healthcare Management
Background:
- Increasing specialist nurses and intermediate care services in South Staffordshire.
- Existing Community Intervention Team (CIT) provides home-based intravenous therapies.
- Collaboration between MS Clinical Nurse Specialist (CNS) and CIT identified a need for proactive relapse management.
Purpose of the Study:
- To establish a community-based service for home administration of high-dose steroid therapy for multiple sclerosis (MS) relapses.
- To leverage existing PCT resources and QNI funding to support the new service.
- To explore strategies for preventing MS-related crises through enhanced community care.
Main Methods:
- Utilized an award from the Queen's Nursing Institute (QNI).
- Integrated high-dose steroid therapy into existing community-based services.
- Collaborated between MS CNS and Community Intervention Team (CIT).
Main Results:
- Successfully established a community-based service for home administration of high-dose steroids.
- Enabled MS patients to receive relapse treatment at home, reducing hospitalizations.
- Demonstrated effective use of existing PCT resources for specialized care.
Conclusions:
- Home-based high-dose steroid therapy is a viable and effective option for MS relapses.
- Interdisciplinary collaboration can enhance proactive management of chronic neurological conditions.
- Community-based services can improve patient outcomes and resource utilization within PCTs.
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