Gerontology Nurse Specialist

Shalini John

The role of the CNS Gerontology is varied and interchangeable according to service need. However there are key aspects to the role which include:


  • Carry out a comprehensive geriatric assessment on older adults in the day hospital which includes MMSE, GDS, ECG, Bloods etc in order to evaluate an older person’s functional status, physical health, cognition, mental health and social environmental circumstances.


  • Work in collaboration with other members of the MDT in assessing, planning, implementing and evaluating an individualised plan of care for the older person


  • Co-ordinator of services between community service providers, the GPs and the hospital in order to enhance and maintain the health and wellbeing older person and to enable them to live with dignity and independence in their own home.



Areas of special interest to the CNS include:-


  • Continence promotion

  • Carryout continence assessment for older adults and provide education and support to people with incontinence problems.


Diabetes management


CNS Gerontology aims to enhance the quality of life for older adults with diabetes by the Provision of :


  • Comprehensive assessment of community dwelling older adult with diabetes including foot screening, education and support on diet and glucometer, management of hypoglycaemia and hyperglycaemia, diabetes complications and insulin management.


  • Undertake diabetes assessment & foot screening for all residents and audit practice in order to improve quality of care.


  • Educate and empower nurses at ward level, patients and residents with diabetes and their families to increase their knowledge and skills in identifying early complications of diabetes


  • To highlight the importance of good management and control of diabetes and the risk of complications in the presence of poor control


  • Quarterly meeting with diabetes link nurses from PPCNU and St.Mary’s


  • Successful implementation of  new measures and techniques in monitoring diabetes  such as   Ketone testing, HbA1c 3 monthly, annual eye test, individual   Glucometer, retractable insulin needles and policy on safe use of  Insulin and insulin pens.


  • Successful implementation of the diabetes foot screening programme has resulted in better management of Diabetes care for our patients and residents and increased awareness among nurses, patients, residents and families leading to better outcomes and improved quality of care.


Pain management


Pain for some older adults can have a negative effect on quality of life. By carrying out a comprehensive pain assessment among patients and residents, analysing the effective use of analgesia, providing support and education on pharmacological  and non-pharmacological interventions,  aims to effectively manage the patient’s pain and improve quality of life.


Other key responsibilities include:


  • Audit and Research to monitoring care and feed back to staff regarding any necessary changes


  • Providing and assisting in service education such as palliative care, dementia care, pain management and syringe drivers &pumps.


  • Active involvement in local project work to improve  service delivery for our  patient and residents


  • The CNSp is an active member of the AIGNA & Diabetes Ireland which ensures she keeps up to date with latest trends in care of the older adult


The web site was updated on18th January 2020