Day Hospital

Clare Aspell CNM II, Day Hospital

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The Day Hospital provides outpatient care to adults over the age of 65 years living in Dublin North City. There is a growing need for this service with our ageing population and the largest growing number being those over 80 years of age. This is reflected in the number of referrals to the Day Hospital with an increase by 18% in the last five years.  A Multi-disciplinary team approach to care is promoted, of which nursing is a key member, providing a holistic approach to patient management.

For many older adults it is their first link to health services outside GP care. The nurses in St Mary’s Day Hospital are aware of this and allay any fears and anxiety by providing support and building relationships with the older adult and their family from their first visit.  The care journey to Day Hospital services for some may span a considerable period of time. As the needs of the older adult are varied and sometimes complex the nursing team have the skills and expertise to provide the required care needs.  St Mary’s Day Hospital nursing team is managed by CNM2 Clare Aspell and includes Clinical Nurse Managers, Staff Nurses and Health Care Assistant with additional support from CNSp Gerontology, CNSp Tissue Viability and RANP Care of the Older Adult Community. The services provided by the nursing team include:-

  • Comprehensive nursing assessment 

  • Comprehensive falls assessment

  • Phlebotomy

  • Tissue Viability

  • Diabetes management

  • Ambulatory Blood pressure Monitoring

  • Continence Management

  • Anti-coagulation service

  • Liaison with family members, GP, PHN, community services

  • Ear Care

  • M.A.S.C.

  • Syncope Clinic

  • Patient Advocacy

  • Family Support

The services provided is guided by the needs of the population and as such seen two new services develop in recent times.

Spotlight on Two New Services

Syncope Clinic

The Syncope Clinic was launched in 2013 by Consultant Physician Dr Chei Wei Fan to complement the comprehensive community Falls Assessment Service in partnership with the nursing team.  The nurses have attended Syncope training and guidance from the Falls and Blackout Service at St James’ Hospital in Dublin. The Clinic accommodates adults over 18 years of age.

 

Referrals are accepted from:

  • General Practitioners

  • Charter Medical, Smithfield

  • MMUH

  • Medical Consultants

The clinic operates one afternoon a week and to date has managed 497 patients with an increase by 25.4% in 2016.  

 

Further information on the clinic is available here. 

An information leaflet about the Tilt Table Test is also available to download here.

Memory Assessment & Support Clinic

The Memory Assessment and Support Clinic was established in 2015 as a dedicated service to support adults over 65 years of age with memory and cognition problems and their families/carers through the investigation and diagnosis process.  The need for this service was identified in the “Creating Excellence in Dementia Care 2012” Strategy and is reflected in the numbers attending the Day Hospital with cognitive impairment and dementia.

The aim of the clinic is to provide a timely diagnosis as to the cause of memory and cognition problems and to support the patient and their family/carer in the care journey post diagnosis.

Referrals to the clinic are accepted from:

  • General Practitioners

  • Charter Medical, Smithfield

  • Emergency Department MMUH

The Clinic Nurse lead is CNM1 Caroline Walsh who provides ongoing support at clinic visits and outside clinic appointments by telephone. Further information is available from here.

The nurses are pivotal in supporting and enabling older adults to maintain their independence. Their skills, expertise and knowledge of their patients affords them to often be first to recognise early signs of deterioration and frailty in patient status which can impact on functional ability and functional decline. As the care journey progresses and patients are deemed to require additional care in nursing home setting the nurses provide support during this transitional period to the patient and their family/carer.

The web site was updated on18th January 2020