Searchable abstracts of presentations at key conferences in endocrinology
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Society for Endocrinology BES 2019

Brighton, United Kingdom
11 Nov 2019 - 13 Nov 2019

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Come and exchange knowledge, share experiences and strengthen collaborations across our global community of endocrinologists!


Nursing practice

ea0065p335 | Nursing practice | SFEBES2019

The role of microbiological cultures in managing diabetic foot osteomyelitis

Madani Devangi , Tiwari Alok , David Miruna , Saeed Mujahid

Background and aims: Diabetic foot osteomyelitis (DFO) is a well-recognised complication and a risk factor for lower limb loss. Its effective treatment can reduce the risk of minor and major amputations. Our aim was to compare the yield in cultures from the proximal and distal segments of bone excised intraoperatively as part of the management of DFO and the impact on antibiotic choice and duration.Materials and methods: Patients attending the diabetic f...

ea0065p336 | Nursing practice | SFEBES2019

Effectiveness of a nurse-led adrenal incidentaloma (AI) clinic at the University Hospital of Wales, Cardiff

Lewis Janet , Hamdan Khaliq , Scholz Anna , Lansdown Andrew

Background: In December 2017, a Nurse-Led AI clinic was introduced at University Hospital of Wales, Cardiff for the evaluation and follow-up of these patients. The clinic pathway was based upon the 2016 European Society for Endocrinology (ESE) guidelines on the management of adrenal incidentalomas.Aim: To evaluate the effectiveness of this new service and the cost-saving benefit.Methods: Electronic and paper-based patient records w...

ea0065p337 | Nursing practice | SFEBES2019

A pituitary problem in pregnancy

Voss Samantha , Wheatley Trevor , Canagon Sara , Crown Anna

A 29 year old woman, 21 weeks pregnant with no previous medical history was admitted with 5 days blurred vision in the left eye and headaches, worse in the morning and lying flat. Three weeks previously she had been treated with antibiotics for a group A strep infection. An urgent MRI suggested pituitary apoplexy with left optic chiasm nerve compression. IV hydrocortisone 100 mg TDS was commenced reduced to 20 mg TDS. Investigations showed TSH 0.2 mu/l, FT4 10.4 pmol/l, FT3 2....

ea0065p338 | Nursing practice | SFEBES2019

Cortisol alert dog: Improving patient outcomes?

Loo Helen , Marland Anne , Shoosmith Zara , Turner Helen

Introduction/Aim: In Addison’s disease, patient-self maintenance of adequate cortisol levels is essential. Optimising cortisol control is challenging and well documented. Traditional management aims to ensure adequate daily cortisol levels, management of stressful situations/acute illness, avoiding over replacement. Alert dogs are currently used to support patients with hypoglycaemia unawareness. Recent reported international studies of alert dogs in primary and secondary...

ea0065p339 | Nursing practice | SFEBES2019

Use of a holistic needs assessment questionnaire to inform ‘late effects’ clinic appointments for childhood cancer survivors

McGoldrick Sophie , Crown Anna , Davidson Anne

The number of childhood cancer survivors is ever increasing and as this population continues to grow, the long term physical and psychological impact of having cancer treatment in childhood becomes ever more apparent. Childhood cancer survivors are moving into adulthood with significant health needs secondary to their cancer treatment. Acknowledging and addressing these needs is crucial in supporting them on their continued health journey. Patients attending the ‘late eff...

ea0065p340 | Nursing practice | SFEBES2019

A simple tool to assess the self-care management knowledge and skill needs of people with adrenal insufficiency (AI) before their adrenal education

Yeoh Phillip , Peti Noumba , Chan Susan

We adapted holistic needs assessment tool used in oncology setting to create a simple tool to assess the learning need of people with adrenal insufficiency. This simple tool consists of 17 items and it allows endocrine nurse educators to obtain a quick assessment on the self-care management knowledge and skill of people with adrenal insufficiency before embarking on adrenal education.The tool 17 items are:Understanding of adrenal i...

ea0065p341 | Nursing practice | SFEBES2019

One-week biochemical investigations in Cushing’s disease – from the endocrine specialist nurse perspective

Serban Laura , Palma August , Hu Lihua , Hale Julia , Tapa Denise , Pitfield Deborah , Senanayake Russell , Bashari Waiel A , Gurnell Mark

Background: Cushing’s disease is the most common cause of endogenous Cushing’s syndrome in adults, affecting females>males (ratio 3:1). In suspected cases, careful clinical assessment is required to ascertain a pre-test probability. This is followed by robust biochemical testing, which guides further management.One-week test protocol: Congruent biochemical tests are conducted over a one-week period in an outpatient setting. Patients attend on d...

ea0065p342 | Nursing practice | SFEBES2019

More than just tea and cake. The benefit of patient to patient peer support

Shepherd Lisa M , Kauser Samina

Introduction: Acromegaly is caused by excessive growth hormone production and elevated IGF-1 levels. Annual incidence rates are reported to be between 0.2 and 1.1 cases/100 000 people, with a prevalence of 2.8–13.7 cases/100 000 people. Small numbers make it difficult to differentiate any differences between sex. A recent increase in the number of females diagnosed with acromegaly at our centre, voiced a need for peer and psychological support. It is known that acromegaly...