Diarmuid O’Shea
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View article: Community Outreach Visits: Characteristics & Outcomes of Older People reviewed by a RANP
Community Outreach Visits: Characteristics & Outcomes of Older People reviewed by a RANP Open
Background Registered Advanced Nurse Practitioner (RANP) community outreach visits are offered as part of an older persons day hospital service. Older people unable to attend the day hospital due to increasing frailty are offered a RANP le…
View article: "A Prescription for Perfection " : Junior Doctors' Guide to Improved Discharge Summaries
"A Prescription for Perfection " : Junior Doctors' Guide to Improved Discharge Summaries Open
View article: The introduction and impact of a National Frailty Education Programme
The introduction and impact of a National Frailty Education Programme Open
Background: Frailty is a dynamic functional state. Its onset and progression can be reduced and even reversed, if early intervention and correct management strategies are set in place. A number of reports suggest that healthcare profession…
View article: Supplementary Material for: Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland
Supplementary Material for: Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland Open
Background: This Clinical Practice Guideline (CPG) for the management of obesity in adults in Ireland, adapted from the Canadian CPG, defines obesity as a complex chronic disease characterised by excess or dysfunctional adipo…
View article: Early identification of frailty: Developing an international delphi consensus on pre-frailty
Early identification of frailty: Developing an international delphi consensus on pre-frailty Open
View article: Treating COVID-19 in the nursing home setting: an integrated approach for a complex and susceptible cohort
Treating COVID-19 in the nursing home setting: an integrated approach for a complex and susceptible cohort Open
Our patient, a nursing home resident, was reviewed by our frailty outreach service in November 2020. She initially was diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in September 2020 during an outbreak in her …
View article: An objective analysis of quality and readability of online information on COVID-19
An objective analysis of quality and readability of online information on COVID-19 Open
View article: Protocol for a randomised controlled trial of a primary care intervention to Reverse Frailty and Enhance Resilience through Exercise and dietary protein Education (REFEREE) in community-dwelling adults aged 65 and over
Protocol for a randomised controlled trial of a primary care intervention to Reverse Frailty and Enhance Resilience through Exercise and dietary protein Education (REFEREE) in community-dwelling adults aged 65 and over Open
Introduction: Resistance exercises and dietary protein have been shown to reverse frailty, yet they are not commonly offered in clinical practice. We aim to measure changes in health outcomes, including physical frailty status (SHARE-FI), …
View article: Protocol for a randomised controlled trial of a primary care intervention to Reverse Frailty and Enhance Resilience through Exercise and dietary protein Education (REFEREE) in community-dwelling adults aged 65 and over
Protocol for a randomised controlled trial of a primary care intervention to Reverse Frailty and Enhance Resilience through Exercise and dietary protein Education (REFEREE) in community-dwelling adults aged 65 and over Open
Introduction: Resistance exercises and dietary protein have been shown to reverse frailty, yet they are not commonly offered in clinical practice. We aim to measure changes in health outcomes, including physical frailty status (SHARE-FI), …
View article: A Smart Health Platform for Measuring Health and Well-Being Improvement in People With Dementia and Their Informal Caregivers: Usability Study
A Smart Health Platform for Measuring Health and Well-Being Improvement in People With Dementia and Their Informal Caregivers: Usability Study Open
Background Dementia is a neurodegenerative chronic condition characterized by a progressive decline in a person’s memory, thinking, learning skills, and the ability to perform activities of daily living. Previous research has indicated tha…
View article: Embedding collective leadership to foster collaborative inter-professional working in the care of older people (ECLECTIC): Study protocol
Embedding collective leadership to foster collaborative inter-professional working in the care of older people (ECLECTIC): Study protocol Open
Background: The National Integrated Care Programme for Older People (NICPOP), formerly NCPOP aims to support older people to live well in their homes by developing primary and secondary care services for older people, especially those with…
Primary care interventions to address physical frailty among community-dwelling adults aged 60 years or older: A meta-analysis Open
View article: Enabling public, patient and practitioner involvement in co-designing frailty pathways in the acute care setting
Enabling public, patient and practitioner involvement in co-designing frailty pathways in the acute care setting Open
View article: 168 Exploring Physical Activity and Sleep in Community-dwelling People with Dementia and their Association with Cognitive Function and Quality of Life
168 Exploring Physical Activity and Sleep in Community-dwelling People with Dementia and their Association with Cognitive Function and Quality of Life Open
Background The incidence of dementia has reached epidemic levels, both globally and here in Ireland. Many adults with dementia living in the community remain inactive with some also suffering from sleep disturbances. There is evidence to s…
View article: 131 Meta-analysis of Primary Care Interventions to Address Frailty Among Adults Aged 65+
131 Meta-analysis of Primary Care Interventions to Address Frailty Among Adults Aged 65+ Open
Background Frailty can contribute to poor clinical outcomes including disability, illness, and death. Intervention against frailty may help older adults maintain overall health and independence, and a growing body of recent literature desc…
View article: 86 Haemorrhagic Stroke: What's in a Bleed?
86 Haemorrhagic Stroke: What's in a Bleed? Open
Background Intracerebral haemorrhage (ICH) accounts for approximately 20% of all strokes and is a leading cause of disability and mortality. The distribution of the ICH(Lobar v Deep) may be explained by the two major aetiologies of ICH, Ce…
View article: 309 The Growing Need for Advance Care Planning Discussion: An Admission to Die for?
309 The Growing Need for Advance Care Planning Discussion: An Admission to Die for? Open
Background Older people living in nursing homes (NHs) are among the most frail and vulnerable in our community. Over the last 5 years, a review of our local NH admission database revealed a 7% increase in the number of unscheduled hospital…
View article: 253 An Overview of the Current Status of Specialist Geriatric Services in Ireland
253 An Overview of the Current Status of Specialist Geriatric Services in Ireland Open
Background The Royal College of Physicians of Ireland and the National Clinical Programme for Older People conducted a national survey of Specialist Geriatric Services (SGS) in 2014. The survey was repeated in 2018-2019 period to collect d…
View article: 269 Early Identification of Frailty: Developing an International Delphi Consensus for a Definition of Pre-frailty
269 Early Identification of Frailty: Developing an International Delphi Consensus for a Definition of Pre-frailty Open
Background Frailty is associated with a prodromal stage called pre-frailty, a potentially reversible and highly prevalent condition before frailty becomes established. Despite this, there is no widely accepted definition of pre-frailty to …
View article: 171 Programme Theory to Guide the Adoption of Assisted Decision Making with Older People in Acute Healthcare: Realist Evaluation
171 Programme Theory to Guide the Adoption of Assisted Decision Making with Older People in Acute Healthcare: Realist Evaluation Open
Background In Ireland, the Assisted Decision-Making (ADM) (Capacity) Act and emerging Codes of Practice provide a legal framework for Healthcare Professionals (HCPs) to enable ADM for patients with impaired capacity. ADM ensures that a per…
View article: 290 Are Clients Satisfied with Integrated Care? Enhancing Client Feedback on Discharge from a Domiciliary Based Multidisciplinary Integrated Care Service
290 Are Clients Satisfied with Integrated Care? Enhancing Client Feedback on Discharge from a Domiciliary Based Multidisciplinary Integrated Care Service Open
Background The Integrated Care Programme for Older People has supported the development of integrated care services at pioneer sites in Ireland, each developed to meet local needs. Patient Reported Experience Measures (PREMs have been used…
View article: 153 Barriers and Enablers of Assisted Decision-making for Older People in Acute Care Hospitals: A Multi-Stakeholder Inquiry
153 Barriers and Enablers of Assisted Decision-making for Older People in Acute Care Hospitals: A Multi-Stakeholder Inquiry Open
Background Ireland’s Assisted Decision-Making (Capacity) Act 2015 breaks from traditional views of capacity to consider the uniqueness of each decision with relation to topic, time and place for those with impaired or fluctuating capacity.…
View article: 77 Behind the Scenes: the Burden Experienced by Informal Carers of People with Dementia
77 Behind the Scenes: the Burden Experienced by Informal Carers of People with Dementia Open
Background Informal care is undoubtedly a vital to dementia care in Ireland. To date, little research has been carried out exploring the burden experienced by informal carers of people with mild to moderate dementia. The main aim of this q…
View article: 299 A Retrospective Review of Unscheduled Hospital Admissions of Nursing Home Residents Over a Two Year Period
299 A Retrospective Review of Unscheduled Hospital Admissions of Nursing Home Residents Over a Two Year Period Open
Background Older people living in Nursing Homes (NHs) represent a frail and vulnerable group. With multiple co-morbidities they are at increased risk of acute health deterioration prompting urgent hospital transfer. Our aim was to examine …
View article: 294 A Review of a Domiciliary-Based Multidisciplinary Integrated Care Service with Healthcare Assistant Home Support – Is this the Optimum Model?
294 A Review of a Domiciliary-Based Multidisciplinary Integrated Care Service with Healthcare Assistant Home Support – Is this the Optimum Model? Open
Background The Integrated Care Programme for Older People has supported the development of integrated care services at pioneer sites in Ireland. Key to integrated care is embracing a move away from hospital based assessment and therapy pro…
View article: A Smart Health Platform for Measuring Health and Well-Being Improvement in People With Dementia and Their Informal Caregivers: Usability Study (Preprint)
A Smart Health Platform for Measuring Health and Well-Being Improvement in People With Dementia and Their Informal Caregivers: Usability Study (Preprint) Open
BACKGROUND Dementia is a neurodegenerative chronic condition characterized by a progressive decline in a person’s memory, thinking, learning skills, and the ability to perform activities of daily living. Previous research has indicated th…
View article: Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study
Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study Open
Background Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays tha…
View article: Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study (Preprint)
Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study (Preprint) Open
BACKGROUND Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays th…
View article: National Clinical Programme for Older People: National Frailty Education Programme "Fundamentals of Frailty"
National Clinical Programme for Older People: National Frailty Education Programme "Fundamentals of Frailty" Open
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020…
View article: 277Stepping Over the Boarder
277Stepping Over the Boarder Open