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. martin.duignan@hse.ie (International emergency nursing, 2008-01)
    Implications for nursing practice include a need for assessment of patients' pain intensity, the development of pain management protocols, and increased emphasis on education in both undergraduate and postgraduate nursing curricula. Also there needs to be continued clinical audit of pain management standards.
  • 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.
  • Cardiac transplant in a family pedigree of hypertrophic cardiomyopathy secondary to a mutation in the AMP gene.

    Schofield, Rebecca Sally; McGarry, Katherine; Murphy, Claire Louise; O'Hare, Kevin; Department of Medicine, Our Ladys Hospital, Co Meath, Ireland. (2013)
    The phenotype of this unique condition comprises left ventricular hypertrophy (LVH), accessory pathways, atrial arrhythmia and premature failure of the atrioventricular node. At age 11, his ECG showed marked voltage criteria for LVH but his echocardiography was negative. He declined further screening but was reassessed at 21 years of age. By this time he had developed significant LVH. He had an implantable cardioventer defibrillator (ICD) in 2001. He developed atrial flutter and fibrillation which was initially treated with medical therapy and then radiofrequency ablation.Unfortunately, his condition deteriorated. He was New York Heart Association (NYHA) class 3-4 for most of 2011 and spent the latter part of the year and most of 2012 as an in-patient. An attempt to upgrade his ICD to a cardiac resynchronisation therapy-defibrillator was unsuccessful.In March 2012 he was placed on the transplant waiting list. He received an organ in June. He is now NHYA class 1 and has returned to work part-time.
  • 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. Brenda.monaghan@hse.ie (2012-11)
    This randomised controlled trial will add to the body of evidence on the relationship between muscle size, functional ability, balance, quality of life and time post surgery in patients following total hip arthroplasty. The CONSORT guidelines will be followed to throughout. Ethical approval has been gained from the Ethics committee Health Services Executive Dublin North East.
  • 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.