Browsing Kerry General Hospital by Authors
Education in geriatric medicine for community hospital staff.O'Hanlon, Shane; Liston, Richard; Kerry General Hospital, Ireland. firstname.lastname@example.org (2010-12)Community hospitals provide many services for older people. They are mainly managed by nursing staff, with some specialist input. Little is known about education provided in these facilities. Most education in geriatric medicine is provided in hospitals, despite most elderly care being provided in the community. The authors surveyed senior nursing staff in Irish community hospitals to examine this area in more detail. Staff in all 18hospitals in the Health Service Executive (South) area were invited to participate. The response rate was 100%. Sixteen of the 18 respondents (89%) felt staff did not have enough education in geriatric medicine. Just over half of hospitals had regular staff education sessions in the area, with a minority of sessions led by a geriatrician, and none by GPs. Geriatrician visits were valued, but were requested only every 1-3 months. Staff identified challenging behaviour and dementia care as the areas that posed most difficulty.
Severe hemorrhage from a hypodermoclysis site.O'Hanlon, Shane; Sheahan, Patricia; McEneaney, Robert; Kerry General Hospital, Tralee, Co Kerry, Ireland. email@example.com (2012-01-31)Hypodermoclysis, or subcutaneous infusion of fluids, is an alternative means of administration of fluid. It is sometimes used in older patients in whom there is difficulty achieving intravenous access, or who are entering the terminal stage. It is considered a relatively low-risk procedure. We report a case where a patient's death may have resulted from its use.