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St Vincent's University Hospital

cluainmhuire
Tutors
Dr Sinead Murphy, Psychiatry of Old Age
Location
St Vincent's Hospital, Elm park, Dublin 4

Phone

Email

Website

01 221 4001

sineadm.murphyThis email address is being protected from spambots. You need JavaScript enabled to view it.

www.stvincents.ie

Training Posts in SVUH are as follows:

General Adult

General Information

Learning Outcomes for the General Adult Community Based posts are aligned to the competences to be achieved in General Adult Psychiatry by The College of Psychiatry of Ireland.  For more information click here.

Trainees have the opportunity to maximise their learning while in post through the use of a modified Learning Contract. At the start of the six months learning outcomes specific to the trainee are negotiated and agreed between the trainee and their supervisor. This is based on the trainee’s identified needs to allow progression and development through the recommended competences as well as the current opportunities in the job. This trainee centred approach ensures that the trainee’s needs are addressed and the learning outcomes are   tailored to meet the needs of individual trainees. Progress is reviewed during weekly Supervision.

Liaison

General Information

Learning Outcomes for the Liaison posts are aligned to the competences to be achieved in Liaison Psychiatry by The College of Psychiatry of Ireland.  For more information click here.

Trainees have the opportunity to maximise their learning while in post through the use of a modified Learning Contract. At the start of the six months learning outcomes specific to the trainee are negotiated and agreed between the trainee and their supervisor. This is based on the trainee’s identified needs to allow progression and development through the recommended competences as well as the current opportunities in the job. This trainee centred approach ensures that the trainee’s needs are addressed and the learning outcomes are   tailored to meet the needs of individual trainees. Progress is reviewed during weekly Supervision.

Research

There is an active Research Department in SVUH and all trainees are encouraged to develop their research skills.
SVUH Psychiatry has an Audit Committee that works   in close cooperation with the Audit Department of the General Hospital. This committee provides support  and encourages all trainees to carry out audit projects.

Psychiatry of Old Age

General Information

The service is a community oriented, hospital based old age psychiatry service, based in Carew House, St Vincent’s University Hospital. The target population comprises those 65 years and over who develop functional psychiatric illness in later life, and those who develop dementia with associated behavioural and psychological problems (BPSD).   The service covers Community Care Areas 1 and 2, (areas covered by the Elm Mount and Cluain Mhuire general adult psychiatric services). There are approximately 34,000 people over 65 in the catchment area, with a high percentage of “old-old” ie over 80 years.

Staffing

Multi disciplinary team comprises of consultants in Old Age Psychiatry, clinical psychologists, community Mental Health Nurses, Social Workers, Occupational Therapists and secretarial and administrative support.

Treatment levels

Domiciliary visits are a key element of the service, and most patients are seen in their homes. All nursing home residents referred are seen in the nursing home. Some patients may be seen in Carew House.

Day hospital

There is a day hospital in Carew House where patients can attend up to twice weekly. Treatment programmes are carried out in the day hospital. There is a regular throughput of patients as the emphasis is on treatment and recovery.

Inpatient services

There are 6 old age psychiatry beds in Elm Mount Unit, SVUH.
There are 2 long stay units, for patients who have severe enduring mental illness or dementia with ongoing BPSD. Weekly consultant ward rounds are held.

Consultation-liaison service

There is an active C-L service provided to the general hospital with up to 200 referrals per annum. A weekly round is carried out with one of the consultants.

Teaching

A weekly case conference is held, followed by a journal club.

Hospital Grand Rounds are held weekly, some of which, neurology or Medicine for the Elderly may be relevant to psychiatry.
The hospital has a library with access to many e-journals

The Dept of Old Age Psychiatry holds a weekly joint educational meeting with the Dept of Medicine for the elderly.

Learning Objectives

To gain knowledge of:

  • The clinical presentation and management of functional psychiatric disorders in older people
  • Dementia – its subtypes, manifestations, treatment issues
  • Delirium in the general hospital, the role of psychiatry in its management.
  • Conducting cognitive assessments in older people and gaining familiarity with commonly used cognitive screening tests.
  • Psychopharmacology in later life with reference to dosing in the elderly, drug interactions,etc
  • Gain an understanding of the interaction between physical ill health , psychosocial issues, bereavement etc and mental illness.
  • Gain an understanding and familiarity of the functioning of the multidisciplinary team.

Research

Research interests and opportunities are actively encouraged

A list of recent research in the Dept of Old Age Psychiatry is as follows:

  • Audit of prescribing in nonagenarians
  • Audit of a lithium clinic for older psychiatric patients
  • Lithium and prevention of cognitive impairment
  • Pharmacological management of Behavioural and Psychological Symptoms in Dementia
 
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