Consultant Physician in Geriatric Medicine (Rehabilitation)
Beaumont Hospital
Overview:HSE Dublin and North East ProfileThe HSE has created six new health regions. Each region is responsible for providing both hospital and community care for the people in that area. Bringing community health services and hospitals together means we can take a more patient-centred approach to healthcare.HSE Dublin and North East provides health and social care to North Dublin, Louth, Meath, Monaghan and most areas of Cavan.HSE Dublin and North East Region includes the following hospitals;
Our Lady of Lourdes Hospital, Drogheda ProfileOur Lady of Lourdes Hospital, Drogheda is a 485 bed, model 3 Acute General and Maternity hospital located in the North East of Ireland.Our Lady of Lourdes Hospital is the main acute hospital in the North East and the Hospital Services include Critical Care, Orthopaedic Trauma, Surgery, Medicine (wide range of specialties), Acute Stroke Unit, Cardiology, Gynaecology, Obstetrics and Paediatrics.Our Lady of Lourdes Hospital is an acute academic teaching hospital and our academic partner is the Royal College of Surgeons University (RCSI). Our relationship with RSCI University is important in improving standards of care, fostering education, clinical research and innovation.Our Lady of Lourdes Hospital has a workforce of approximately 2,600 staff, providing a 24/7, 365 emergency care and related services. The services include scheduled and unscheduled care activity, with inpatient acute services being primarily of unscheduled care origin. The hospital team deliver safe and timely access to our patients and community and perform highly in national unscheduled care and ED Key performance indicators. The hospital team are committed to the delivery of world-class care and exceptional clinical services with respect & compassion.Useful LinksOur website: https://www.hse.ie/eng/services/list/3/acutehospitals/hospitals/lourdes/Geriatric ServiceCurrently the Care of the Older Person Service operates across Our Lady of Lourdes Hospital (OLOL) and Louth County Hospital (LCH). The department operates a day hospital out of the Cottage Hospital, Drogheda (The Cottage Community Hub- CCH) and the LARCH unit in Louth County Hospital, the former of which is a newly established service and both of which are in development. There are currently seven Consultant Geriatricians, (one of whom is 0.5 community/ acute hospital). Five physicians participate in approximately 1:20 acute general medicine (GIM) on-call rota. In addition all acute strokes in the hospital are taken over by the Care of the Older Person service. Acute strokes are admitted to the Stroke Ward (OLOL) and all are discussed in a weekly meeting (Geriatricians, Neurologist and Stroke Clinical Nurse Specialist (CNS). One Geriatrician is dedicated to the Ortho-geriatric service. All acute hip fractures are reviewed on presentation and followed through admission and a fracture liaison service has also been established. The recent appointment of two Geriatricians, one of whom is 0.5 community, has led to the establishment and continuing development of a Frailty at the Front Door Service in the emergency department and an Integrated Programme for Older People (ICPOP) team in the community. There has been a significant expansion of ambulatory care with Consultant-led, Advanced Nurse Practitioner-led and Multidisciplinary team led- clinics operating in both the CCH and the LARCH. This includes comprehensive geriatric assessment clinics (GAU), fracture liaison service clinics, ICPOP, frailty at the front door, falls and syncope, stroke and GIM clinics.One Geriatrician leads the acute medical rehabilitation service which assesses and provides rehabilitation as needed to patients’ ≥65 years admitted under the acute medicine, general surgery and orthopedics. Another Geriatrician has governance for stroke rehabilitation. Both Medical and Stroke rehabilitation beds are located in LCH. Currently patients in OLOL referred to the medical rehabilitation service are reviewed by the Consultant Geriatrician assisted by a Clinical Nurse (CNS), thus delivering comprehensive geriatric assessment (CGA) to these patients, assessing if they have rehabilitation needs and if so if their care can safely be delivered in LCH, a Model 2 hospital. A patient may be listed for rehabilitation directly. If a patient is medically not ready for transfer to rehabilitation unit, but is found likely to need rehabilitation once more stable, they remain on the services consult list and are re-reviewed on consult rounds to determine the optimal time to transfer to rehabilitation. All patients referred to the service are discussed at a weekly Consultant-led cross site multidisciplinary (MDT) conference with representatives from the rehabilitation team in LCH at that meeting as well as MDT representatives on the OLOL site. If a patient is deemed not to need off-site inpatient rehabilitation, the Consultant review and MDT discussion guides referral of older patients into the appropriate pathways to met their care needs. There is a SpR/Registrar attached to the service. Other aspects of the rehab service include twice weekly Consultant-led ward rounds LCH, SpR/ Registrar led rounds LCH 3/7, weekly MDT LCH, family meetings, MDT led home visits and Consultant-led and ANP-led post rehab clinics, GAU clinics and a Falls and Syncope clinic. Care of Older Person Services are aligned with the National Clinical Programme for Older People and the Integrated Care Programme for Older People (NCPOP).
Co Louth
Sat, 11 Jan 2025 01:14:57 GMT
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