ANNUAL REVIEW master Final3a - St Vincent's University Hospital

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St. Vincent’s Healthcare Group Limited - Annual Review 2007 Department of Endocrinology & Diabetes Mellitus Out-patient Clinics 3 Diabetes Clinics per week 1 Endocrinology Clinic Weekly multi-disciplinary group education sessions for newly diagnosed patients with type 2 diabetes. Monthly Patient Group Education Session on cholesterol management and diet. Quarterly Group Education Sessions for patients with newly diagnosed impaired glucose tolerance. Endocrine Clinical Services The Endocrine Team provides a comprehensive outpatient and in-patient consultation service. By its nature, the combined Endocrinology/Diabetes Service is predominantly outpatient orientated with the essential goal of avoiding hospital admission and this is particularly the case in avoiding the long-term complications of diabetes mellitus. In the field of thyroid cancer, the development of a quarterly Multi-Disciplinary Team Meeting, (Medical Endocrinology, Surgical Endocrinology, Histopathology, Radiotherapy and Radiology) ensures the provision of a co-ordinated service working to approved international guidelines. At this conference patients who have been reviewed by any of the groups are presented and their management discussed and presentations and key aspects of the management of thyroid cancer are reviewed. A similar multi-disciplinary team approach to the management of gut endocrine tumours was established in September 2007. This meeting occurs quarterly. The Endocrine Team provides a national consultation service in the areas of reproductive endocrinology, adrenal disease, obesity, hypoglycaemia, gut endocrine tumours, gender identity disorder, calcium metabolism and metabolic bone disease. Endocrine Laboratory Overall workload in the Endocrine Laboratory remained relatively static during 2007. However, this overview masked a significant increases in the number of manual tests requested and a fall in the automated workload, particularly from the Coombe Hospital as they expanded in-house endocrine testing. The laboratory was again inspected during the course of a two day surveillance visit from Clinical Laboratory Accreditation UK Ltd. in 2007. The inspector’s report was very positive and the laboratory maintained its accreditation status. Dr. Tom Smith is the Association of Clinical Biochemist’s representative on the Irish EQA Steering Committee. James Connolly has been promoted to acting Senior Medical Scientist in place of Anne Dickinson who is currently on maternity leave. Martina Cassidy resigned her post in 2007 to take up a Medical Scientist position in Temple St. Children’s Hospital. She was replaced by Nicola Faherty. Gordon Dixon took up a position as trainee Medical Laboratory Scientist in June 2007. Return to Contents 188
Department of Endocrinology & Diabetes Mellitus Diabetes Service The official opening of the Diabetes Centre was held on the 21st April 2007. Special guests included Dr Garret FitzGerald and Mr Albert Reynolds. The opening ceremony was preceded by a seminar for healthcare professionals and a patient workshop for patients and their families. The goal of the Diabetes Service is to keep well patients well through the linked processes of information, education, counseling and empowerment. The Diabetes Service is probably unique in the extent to which the patients play the central role in the management of frequently complex situations. This service is supported by time committed to telephone contact with patients and the provision of various individual and group educational sessions. For insulin dependent patients, there is the “Dose Adjustment For Normal Eating” (DAFNE) programme. This is a detailed continuous five day course for small groups of patients to empower them to tightly link insulin adjustment with carbohydrate intake, exercise and general health status to ensure tight blood glucose levels with the aim of avoiding long-term diabetes complications, while at the same time avoiding the serious consequences of low blood glucose levels, hypoglycaemia. Detailed training and accreditation in DAFNE for doctors, nursing staff and dietitians continues as resources allows. Cystic Fibrosis (C.F.) related Diabetes Mellitus As we in St Vincent’s University Hospital are the national referral centre for adults with Cystic Fibrosis and allied with medical advances in treatment, we have seen a large increase in the number of patients presenting with cystic fibrosis related diabetes mellitus as their life expectancy increases. The treatment and education of this group form a complex and demanding facet of the caseload of the Diabetes Nurse Specialist and Endocrine Medical Team. A further aspect of the Diabetes service in St Vincent’s University Hospital is Liver Transplantation related Diabetes, which continues to increase our expertise and workload. The Shared Care Programme in which a group of General Practitioners work in partnership with the Diabetes Centre to agreed treatment protocols and facilitated by Liaison Diabetes Nurse Specialists and Dieticians has expanded further this year. This programme at once expands the base and the provision of expert diabetes care, facilitates the provision of that care nearer to the patient’s home and relieves demands on the hospital based Diabetes Service. Return to Contents 189
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Review 2007 St. Vincent’s Healthc
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St. Vincent’s Healthcare Group Li
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Celebrations • There was a great
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Research Studies Total Research Stu
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14 Research
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Education & Research Poster Present
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Education & Research Pharmaceutical
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74 Quality
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Department - Plastic Surgery Dr Law
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Cancer remains a significant focus
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Department - Urology Consults • 3
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Department - Radiology Radiography
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Department of Old Age Psychiatry Th
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General Services The HACCP system i
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General Services necessitated in ex
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ICT Department Staffing In 2007 we
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St. Vincent’s University Hospital
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ANNUAL REVIEW master Final3a - St Vincent's University Hospital

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