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St.Vincent’s Healthcare Group Department of N e p h ro l o g y Departmental Review Renal Service The Haemodialysis service has further developed and extended as per population needs. Mr Frank Kelly, Senior Clinical Engineer successfully completed an Honours Diploma in Principles and Practice of Dialysis Technology. 112 The peritoneal dialysis programme is well established with many patients now availing of automated peritoneal dialysis. The Continuous Ambulatory Peritoneal Dialysis Clinical Nurse Specialist works as part of the multi-disciplinary team in the predialysis setting within the Nephrology Clinic. Developments In partnership with University College Dublin, the Higher Diploma in Nephrology Nursing continued at St.Vincent’s University Hospital where specialist modules of this programme were provided. Renal staff members were involved in the development and launch of the Patients Information Book in 2003. Conferences Ms Ashling O’Riordan,Specialist Registrar attended the American Nephrology Association Conference in San Francisco in 2003. Ms Emer Kenny, Clinical Nurse Specialist attended the International Society for Peritoneal Dialysis Conference in Seattle in 2003,Predialysis National Forum plus ongoing Nephrology education. Mr Frank Kelly, Senior Clinical Engineer attended the European Dialysis Transplant Nurses Association Conference and European Renal Care Association Conference in 2003 Publications and Presentations 113 Achievements Haemodialysis Martina Kiely, Acting Clinical Nurse Manager 2 (Dialysis), successfully achieved a Higher Diploma in (Clinical Practice) Renal Nursing in University College Dublin. She is currently completing a Bachelor of Science in Nurse Management. Investigations of the effects of reducing food intake during dialysis and of other factors on the incidence of intradialytic complications. Healy L, Parke L,Kennedy NP and Watson A. Awarded best poster presentation at the INS meeting,May 2003 Teaching St. Peter’s Ward Johanna McWilliams,Clinical Nurse Manager 2;Maeve Brosnan, Clinical Nurse Manager 1;Sharon Derham, Staff Nurse and Tara Carnegie, Staff Nurse, successfully achieved a Higher Diploma in Clinical Practice Renal Nursing. Haemodialysis and continuous ambulatory peritoneal dialysis areas were used as teaching sites for University College Dublin and the City University of London for formal education programmes.
St.Vincent’s Healthcare Group Department of N e u ro l o g y Departmental Review 114 A number of important developments marked this year out as being special.Firstly Dr Niall Tubridy was appointed to the new Consultant Neurologist post and will take up his post in January 2004:his expertise and enthusiasm will be a huge addition to the department.Drs Sean O’Riordan and Chris McGuigan finished their three-year research periods and took up Specialist Registrar posts in London in October 2003.Their research was extremely productive as can be seen from the number of publications and prizes;Sean won the prize for the best publication in Neurology at the JMS awards for 2003 and Chris won the Charles Symonds medal of the Association of British Neurologists for the best platform presentation at the Cardiff meeting in April 2003.Drs John O’Dwyer and Killian O’Rourke have taken over as research registrars in the department in dystonia and multiple sclerosis respectively. Marguerite Duggan was appointed as Acting Multiple Sclerosis Nurse Specialist in March 2003 and provides an excellent service for the Multiple Sclerosis patients.Michael Hutchinson was away on sabbatical leave for three months at the Hospital Salpetriere in Paris with Prof Alexis Brice and Dr Alexandra Durr who were extremely welcoming – a very productive period.Dr Fiona Molloy worked as locum Consultant during that period and we are extremely indebted to her for her excellent work. The ward (St Vincent’s Ward) continues under the superb care of Ms.Heather Kevelighan, Clinical Nurse Manager ; there is a great team spirit with regular multidisciplinary meetings,the Journal Club, and a six-monthly up-date meeting about recent advances,new therapies and techniques to keep everyone au point.There continues to be a problem with admissions to the female ward and as a result the waiting list for admission of women to the ward can be over one year.The management of the majority of patients with neurological problems is almost entirely based on the out-patient clinic and the day ward;only patients with the most complex problems are admitted to the ward.These patients require the input of multiple disciplines, for example, the insertion of intrathecal baclofen pumps for spasticity by the Pain Control Team lead by Dr Declan O’Keeffe. These markedly disabled patients require skilled,high intensity nursing and multidisciplinary paramedical care from physiotherapy, occupational therapy, speech and language therapy. Many patients are no longer able to manage at home or need special advice about aids at home from these team members and from the Medical Social Work Department. Publications in peer-reviewed journals McGuigan C, O'Riordan S,Farrell M,Hutchinson M. Progressive multifocal leucoencephalopathy presenting with Parkinsonism. J Neurol 2003 ;250 :1379-1381. Hutchinson M. Oestrogen therapy for multiple sclerosis: not the way forward.Int Multiple Sclerosis J. 2003 Aug;10:98. (letter) McGuigan C, O'Riordan S,Farrell M,Mitchell B, Hutchinson M. Case report: Recurrent temporalis muscle swelling and headache. Neurology. 2003;60:724-5. Heggarty S,Sawcer S, Hawkins S,McDonnell G,Droogan A, Vandenbroeck K, Hutchinson M,Setakis E,Compston A, Graham C. A genome wide scan for association with multiple sclerosis in a N.Irish case control population. J Neuroimmunol. 2003;143:93-6. Papers presented at international meetings Association of British Neurologists,Cardiff,April,2003. Both platform presentations O’Riordan S,Lynch T, Hutchinson M. Age of onset is a significant factor in determining the phenotype of primary torsion dystonia McGuigan C, McCarthy A,Quigley C, Bannon L, Hawkins SA, Hutchinson M. The prevalence of multiple sclerosis in Ireland: evidence for a north-south gradient. (Winner of the Charles Symonds prize for best platform presentation) American Academy of Neurology,April 2003 O’Riordan S,Lynch T, Hutchinson M. Adult-onset segmental dystonia and isolated adolescent-onset scoliosis in an Irish family. Neurology 2003;60 (suppl1):A468. European Neurological Society June 2003 All platform presentations O’Riordan S,Lynch T, Hutchinson M. Age of onset is a significant factor in determining the phenotype of primary torsion dystonia J Neurol 2003;250 (suppl 2):37. McGuigan C, McCarthy A, Quigley C, Bannon L, Hawkins SA, Hutchinson M.The epidemiology of multiple sclerosis in Ireland: does a latitudinal variation in prevalence exist? J Neurol 2003;250 (suppl 2):50. McGuigan C, McCarthy A, Hutchinson M. The prevalence of previously unrecognised depression in a community-based population with multiple sclerosis. J Neurol 2003;250 (suppl 2):38. American Neurological Association San Francisco Oct 2003 McGuigan C, Hutchinson M. Assessing the psychometric properties of the multiple sclerosis impact scale (MSIS-29) in community and out-patient populations. Ann Neurol 2003;54 (suppl 7):S36. 115
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