Whereas much of the care offered to patients is administered via routine consultations and surgeries, increasing numbers of services are given via structured clinics with defined systems and protocols. The following clinics can be accessed at the Belgrave Clinic:
The practice nurse calls the registered patients for a review three times per year. She carries out routine blood tests like blood sugar, HbA1C, kidney and liver function tests: she checks blood pressure: monitors circulation and sensation in patients feet: gives dietetic advice: she reviews patients monitoring of their blood glucose: ensures referral/review at other clinics / outpatients / consultants.
Patients who are stable need less hospital visits every year as a consequence. Regular meetings take place with endocrinologists from St James Hospital and the other general practitioners involved in this “shared care programme” to ensure its effectiveness.
A home monitoring device is used, its accuracy being monitored quarterly by the British agency NEQAS, a body responsible for standards of such machines being used in the community. Patients, when registered, have their warfarin levels (INR) monitored and result entered in their yellow booklet over the course of a ten minute appointment. Education of patients with regard to the drug and its benefits/consequences is a priority.
The convenience and time savings for patients attending this clinic is a hugely beneficial feature borne out by individual experiences and audit alike.
The practice nurse invites registered patients to attend four times per year to monitor their blood pressure, weight and lifestyle : she will take blood tests for cholesterol, blood sugar, kidney and liver function : ensure appropriate referrals to other clinics. All data is submitted by computer to a national database where information is collected to effectiveness of this community screening programme.
Apart from the service for the childhood vaccination programme and for travel vaccines that is currently incorporated into routine doctor and nurse consultations, the practice nurse organises clinics for influenza/pneumonia vaccine ever year. This is in association with the Department of Health and Children programme to vaccinate everyone over the age of 65 years and certain at risk groups. The clinics are organised in September, October & November. This Clinic has managed a 70% uptake in recent years
The following clinics are directly accessible to patients of the Clinic through its involvement with the South Inner City Partnership (SICP): www.sicp.ie
The clinic is ideal for difficult wounds that have been resistant to other treatments, like persistent varicose and difficult wound ulcers. The wound nurse liases directly with general practitioners and public health nurses. This is a free service.
This is a free service.