2. History of the Day Hospital
Statistic analysis
Resources of the Day Hospital
Day Hospital Referrals
Nursing Assessment
Medical assessment
Potential Outcomes
Future Developments
3. Day Hospital opened in 1971 - traditional role of
social support with some multidisciplinary input for
clients from Health Boards areas 6, 7 and 8; North
of the Liffey.
In 2008 Day Hospital services was transferred to
purpose built premises - Teach Iosa.
2012 Community Liaison Clinic was integrated
into the Day Hospital services.
2013: Social support element discontinued
4. YEAR
NUMBER OF
NEW PATIENTS
TO DAY
HOSPITAL
NUMBER
OF
OUTPATIE
NT
MEDICAL
REVIEW
PATIENTS
TOTAL
NUMBER
OF
ATTENDEE
S
2402
SOCIAL
CARE
CLIENTS/
CLIENTS
ATTENDIN
G FOR
THERAPIE
S ONLY
2427
2008
261
2009
346
2946
2638
5930
2010
254
2809
2571
5634
2011
316
2695
2171
5182
2012
465
3316
1360
5141
2013
368
Jan-sept
3133
no day centre
clients
3938
5095
5.
6.
Purpose built Day Hospital
Consultant led service
Multidisciplinary team
Access to diagnostics:
Radiology
24hour BP monitoring
DXA scanning
Phlebotomy
Cardiovascular assessment ( Finometer & Tilt table).
Easy access to Off site diagnostic services.
(CT/MRI Scans - Smithfield/MMUH)
7. G.P REFERRAL
(Triggered by patient/family/PHNs/
Physiotherapists/OT/MSW).
Post discharge from St Mary’s Hospital
Post discharge from MMUH/Consultation system.
ED at MMUH, via established Falls referral
pathway
G.P/Consultant referral to syncope clinic
8. Comprehensive Geriatric Assessment.
To gain access to Community support
services/
Respite Care/Rehabilitation services/Extended
care placement- referral for CSAR Application.
To access Falls Clinic – Comprehensive Falls
assessment using Clinical expertise & Diagnostic
equipment.
To gain access to Syncope Clinic
9. History taking:
A relative is encouraged to attend first visit for
collaborative history.
Discuss reason for referral ie circumstances
Functional History
Environmental history
Bone Health history (Fracture history/diet review)
Social supports history
10. Screening/Assessment:
Cognitive and depression screening
Visual acuity screening
Mobility assessment (TUG)
Feet and footwear assessment
Postural BP
E.C.G
Full Blood Screen
(RLB, FBC, RBS, TFT’s, B12, Folate, VIT D)
11. Education & advice provided on:
Identified risk factors
◦ Footwear
◦ Chiropody
◦ Glasses
Bone health
Medication management
12. Medical assessment carried out by S.H.O and
findings presented to Consultant.
Medication review/E.C.G review
Consider blackouts as cause of falls
Referral to relevant A.H.P
Plan of care discussed at M.D.T meeting
13.
Discharge to GP with advise
Physiotherapy referral
Occupational therapy referral
Medical Social Worker referral
Further investigations:
BP monitoring
Cardiovascular ( ECHO/Holter)investigation
Active stand Carotid Sinus massage (Finometer) Tilt table test
DXA scanning
Other Radiology @Smithfield (e.g CT/MRI)
14. Audiology referral
Ophthalmologist referral
Tissue Viability referral
Refer to CNS Gerontology for specialist
advice: Diabetes
Promotion of continence
Refer to ANP for complex case management
Individually tailored programme following MDT
discussion, including education and treatment
with view to discharge.
15. St Mary’s Day Hospital continued to be recognised
as a centre of excellence
Development of Falls/syncope Service
Development of nurse led services ie Anti
coagulation Clinic
To strengthen the links between community
services and the Day Hospital
Develop Dementia Support Services
The Day Hospital to be recognised as a
‘ONE STOP SHOP’
