Future Role of the Advanced Practitioner with Adult Metabolic Medicine

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Presentation transcript:

Future Role of the Advanced Practitioner with Adult Metabolic Medicine Diane Green Mark Holland Metabolic Unit Salford Royal NHS Foundation Trust

Mark Holland Metabolic Unit National specialist service managing the care of adult patients with inborn errors of metabolism

Metabolic Conditions seen Disorders of amino acid and peptide metabolism Disorders of carbohydrate metabolism Disorders of fatty acid and ketone body metabolism Disorders of energy metabolism Disorders in the metabolism of purines, pyrimidines and nucleotides Disorders of the metabolism of sterols Disorders of porphyrin and haem metabolism Disorders of lipid and lipoprotein metabolism Congenital disorders of glycosylation and other disorders of protein modification Lysosomal disorders Peroxisomal disorders Disorders and variants in the metabolism of xenobiotics Disorders of neurotransmitter metabolism Disorders in the metabolism of vitamins and (non-protein) cofactors Disorders in the metabolism of trace elements and metals Total of 698 conditions

Growing up – reaching adulthood

Next generation

Trying to make paediatric research care fit adults

Evidence http://www.nature.com/nm/e-poster/images/Liver-Organ-Normal.jpg

Treatment - diet

Currently planned role

Triage of new patients

Autonomous management diet controlled conditions GSD

Telehealth and satellite clinics

Decompensation and in-patient management

Pregnancy Management

Enteral Feeding Management

Case Reports