Nursing

This section guides you to the contact information for the clinical nurse specialists in multiple sclerosis at St Georges, and other hospitals, and to the Wandsworth nursing services. There is local clinical guidance in specific areas, such as pressure care, with documents on incontinence and end of life care. Links to local and national guidelines are provided and more information is available through the MS Trust and MS Society websites.

The Wandsworth community nursing service

The Community nurses work closely with the GPs and are based within the GP Practices or Health centres. To contact the nurses and to access information about clinics please use the following links:

Pressure care pathway

The tissue viability specialist nursing team

This nursing team focuses on the maintenance of skin integrity of people living in the community and in the management of chronic wounds and chronic oedema. They have an important role in the education of community workers, both nursing and care givers and collaborate with other teams, such as the wheelchair service.

In Wandsworth, the occurrence of pressure ulcers (grade 2 and above) are to be reported as a clinical incident and a completed adverse incident report form is sent to clinical governance. This complies with the recommendations of the Royal College of Physicians’ audit of the NICE guidelines for MS 2008 when it was highlighted that pressure ulcers are a sentinel marker of quality and thus incidence should be monitored.

Detailed guidelines are available in the document ‘Guidelines for prevention and management of acute and chronic wounds‘: Wandsworth clinical policies.

Team contact details:
Rachael Smithdale,
Tissue viability nurse specialist
St John’s Therapy Centre
Battersea
SW11 1SW
Tel:020 8812 4050

Resources

Bladder & bowel management

People with multiple sclerosis with bladder problems

Should be referred to the MS clinical nurse specialist for assessment – see flowchart for referral of person with Multiple Sclerosis. Referral to other services may include urology clinic, women’s health physiotherapy and community nursing. The contact details are provided.

People with multiple sclerosis with bowel dysfunction

The patient can be referred to the MS clinical nurse specialist for assessment of constipation and faecal incontinence. Assessment will be completed and referral will be made to other services as appropriate such as community nursing, dietician, and hospital bowel clinics.

Related items:

End of life care

For information about ‘end of life care’ in Wandsworth and to discuss individual case details make contact with your local community nursing team.

For carer support please contact the Wandsworth carers centre.

Palliative care

Trinity Hospice
30 Clapham Common North Side
London
SW4 ORN

Tel: 020 7787 1000
Fax: 020 7498 9726
Email: enquiries@trinityhospice.org.uk
www.trinityhospice.org.uk

Trinity Hospice admissions enquiries
Tel: 020 7787 1047

Respiratory services

St George’s Hospital and other sites in Wandsworth provide respiratory services. Please read the Respiratory services in Wandsworth leaflet for more information.

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