Publications by staff affiliated to Our Lady's Hospital, Navan

Recent Submissions

  • Patellar Dislocation: Not the Bees Knees

    Duignan, Martin; McGibney, Mary (International emergency nursing, 2016-09)
  • Delayed recovery of consciousness after elbow arthroscopy

    Raval, Pradyumna; Malkan, Dilip J; Departments of Orthopaedics and Anaesthesia, Our Lady’s Hospital, Navan, Co. Meath. (Indian Society of Anaesthesiologists, 2015-03)
  • Advances in the diagnosis and management of asthma in older adults.

    Al-Alawi, Mazen; Hassan, Tidi; Chotirmall, Sanjay H (2013-12-28)
    Global estimates on ageing predict an increased burden of asthma in the older population. Consequently, its recognition, diagnosis and management in clinical practice require optimization. This review aims to provide an update for clinicians highlighting advances in the understanding of the ageing process and immunosenescence together with their applicability to asthma from a diagnostic and therapeutic perspective. Ageing impacts airway responses, immune function and influences efficacy of emerging phenotype-specific therapies when applied to the elderly patient. Differentiating eosinophilic and neutrophilic disease accounts for atopic illness and distinguishes long-standing from late-onset asthma. Therapeutic challenges in drug delivery, treatment adherence and side effect profiles persist in the older patient while novel recording devices developed to aid detection of an adequate inhalation evaluates treatment effectiveness and compliance more accurately than previously attainable. Anti-cytokine therapies improve control of brittle asthma while bronchial thermoplasty is an option in refractory cases. Multi-dimensional intervention strategies prove best in the management of asthma in the older adult which remains a condition that is not rare but rarely diagnosed in this patient population.
  • Congruence of pain assessment between nurses and emergency department patients: a replication.

    Duignan, Martin; Dunn, Virginia; Emergency Department, Our Lady's Hospital, Navan, Co. Meath, Ireland. (International emergency nursing, 2008-01)
    To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity.
  • Diagnosing Achilles tendon injuries in the emergency department.

    Gibbons, Lynda; Emergency department at Our Lady's Hospital, Navan, County Meath. (2013-09)
    Achilles tendon (AT) injury is an overuse injury often seen in professional and recreational athletes. It tends to affect men, particularly those in their thirties and forties, more than women, and is typically seen in people who are intermittently active. To ensure AT ruptures are identified and treated effectively, early intervention in emergency departments (EDs) is crucial. This article discusses how advanced nurse practitioners can use their comprehensive problem-solving, clinical decision-making and clinical judgement skills to manage patients who present with suspected AT injury. It also describes the anatomy of tendon rupture, the aetiology and mechanism of injuries, and the importance of assessment and diagnostic tools, therapeutic techniques and management strategies. Finally, it considers the psychological effect this injury can have on patients, while in the ED and after discharge. A case study is included as an example of ED management.
  • Functional exercise after total hip replacement (FEATHER): a randomised control trial.

    Monaghan, Brenda; Grant, Tim; Hing, Wayne; Cusack, Tara; Department of Physiotherapy, Our Lady's Hospital, Navan, Co Meath, Republic of Ireland. (2012-11)
    Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be performed to maximize patient function and quality of life.
  • A Novel Study of Comorbidity between Schizoaffective Disorder and Geschwind Syndrome.

    O'Connell, Kara; Keaveney, Joanne; Paul, Raymond; Department of Psychiatry, Our Lady's Hospital, Navan, County Meath, Ireland ; Department of Physiology, School of Medicine, Trinity College Institute of Neuroscience, Trinity College, Dublin, Ireland. (2013)
    Geschwind syndrome has been described in patients with temporal lobe epilepsy and is characterized by sexual behavioural disorders, hyperreligiosity, hypergraphia, and viscosity. Presented here is a case of a 53-year-old man with clinical findings consistent with Geschwind syndrome in the setting of a known diagnosis of schizoaffective disorder, with no identifiable comorbid illness of temporal lobe epilepsy or frontotemporal dementia. Brain MRI showed bilateral temporal lobe atrophy greater than would be expected for age and more prominent on the left side than the right. It is likely that these structural abnormalities may be related to this patient's clinical presentation of Geschwind syndrome. To our knowledge, this is the first reporting of a case of Geschwind syndrome in the setting of schizoaffective disorder. These symptoms of Geschwind syndrome were present irrespective of mental state status. The report highlights the importance in correct identification of underlying cause and differentiation between Geschwind syndrome and schizoaffective disorder in order to avoid mistreatment and consequent iatrogenic adverse events.