RDNS 2009 Annual Report - Royal District Nursing Service

Number of clients treated for the year 2008 – 09: 33,213Top ten ICD-9-CM* classification of diseases and injuries:number of occurrences and percentage 2008– 09Classification of diseases and injurieswithin ICD-9-CM (Primary Diagnosis)Conditions at RDNS within the Main ICD-9-CMcategories Occurrences %Symptoms, signs and ill-defined conditions Urinary incontinence (7%) ** 6,731 16Post-operative care 6,636 16Diseases of the skin and subcutaneous tissue Leg ulcers and cellulitis (11%) ** 5,808 14Injury and poisoning Wounds (7%) ** 4,105 10Neoplasms Malignant neoplasm (7%) ** 3,130 8Mental disorders Dementia (2%) ** 2,931 7Endocrine, nutritional, metabolic diseasesand immunity disorders Diabetes (6%) ** 2,912 7Diseases of the circulatory system Venous ulcers (1%) ** 2,401 6Diseases of the nervous system and sense organs Multiple Sclerosis, Alzheimer’s, Parkinson’s diseases (2%) ** 1,912 5Genitourinary system Urinary retention (1%) 1,068 3Other 3,889 9TOTAL 41,523 100* International Classification of Diseases (9 th Revision) Clinical Modification.** Each ICD-9-CM classification consists of a number of conditions.This figure represents the frequency of the conditions’ occurrence within the ICD-9-CM classification.Visit hours by care type 2008 – 09Support andmaintenanceAcute /Post acute Palliative Other TOTALVisit at home 428,993 25,536 24,982 58,228 537,739Visit at school / work 3,114 111 93 10,804 14,122Visit to hospital (liaison) 664 330 52 15,176 16,222Visit to hospital (not liaison) 553 2 32 1,807 2,394Client attended centre 2,009 164 4 6,259 8,436Bereavement visit 80 4 253 60 397Other 89 0 0 2,104 2,193TOTAL 435,502 26,147 25,416 94,438 581,503Note: Visit hours exclude client-related contact hours.Royal District Nursing Service – Annual Report 2009| 21