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Hea th staff magazine of the IRISH HEALTH SERVICE vol. 13 | issue 16 | WINTER 2018 Martin a flu champion Vaccine campaign Christmas celebrations St Vincent’s residents get in festive mood features general news you section lifestyle
Welcome to the latest edition of Health Matters With the Christmas season well and truly upon us, for our cover story we meet the staff and residents from St Vincent’s Community Nursing Unit in Co Laois to find out what the festive period will be like for them. For people who need to use the health service this Christmas, they will be looked after by the unsung heroes who sacrifice their own Christmas to work on the frontline. We take this opportunity to thank them for their hard work. We travel to Belvilla, one of the first HSE Community Nursing Units in Ireland, to find out about an exciting new project that saw the nursing home get its own trishaw bike. Residents, many of whom haven’t been out of the unit in a long time, have been given the opportunity to get out and about and see how their local community has developed. It also allows them to foster relationships with volunteers and tell their stories of life in Dublin. In this edition, we also speak to Lisa Collins, who has just published ‘The Man who Moved the Nation’ about her late father Gerry, who inspired thousands to quit smoking when he shared his story for the Quit national campaign. Lisa writes about this period in her Contents life and the life of her family as they came to terms with the diagnosis, as filming for the ads began and the You Features campaign was launched. This account 6 Christmas time 24 EDirectory of the final months of Gerry’s life is both St Vincent’s residents celebrate Access to Information heartbreaking and inspiring, and shows 8 Dunmanway swim 25 Waiting lists down the heart and resilience of his daughter Freezing dip for local hospital ward Cataract centre opens and family. A sincere thanks to all those 9 Flu champion 26 START campaign who have sent in contributions to this Martin gets staff motivated Helping communities get healthy edition and I hope you find plenty of 10 Memory Resource Room 28 Breastfeeding week interesting reading in it. Official opening Support groups celebrate Happy Christmas and a prosperous new 12 Trishaw trip 29 Wellbeing concert year to all our readers. Residents feel wind in their hair HSE choirs perform Joanne Weston 14 Get the vaccine Pregnant nurse tells her story 15 My father Gerry 30 EID loan Boost for EHealth in Ireland 31 I am Baba Joanne Weston, Lisa Collins’ book launch Theatre for babies Editor 16 Gaelic blitz 32 Your mental health.ie Waterford stars take home title New-look website launched 17 HSE at the Ploughing 33 GP card Meet the public Boost for carers 18 Values in Action 34 Laptops distributed This magazine is produced by the Survey results Frontline staff benefit HSE Communications Division 21 Diabetic retina screen 36 Renovating listed buildings Publishers: Celtic Media Group Philip’s story Respecting the past www.celticmediagroup.ie 22 Swim to Scotland 38 Ombudsman report Another achievement for Audrey Information booklet unveiled Feedback: Send your feedback to 23 Hearing aid 40 Under the weather healthmatters@hse.ie Life transformed for one woman Take care of minor illnesses at home winter 2018
28 10 HEALTH MATTERS WINTER 2018 43 Termination of pregnancy Latest update 44 Dementia 33 44 Community champions 46 NISRP Easy access for staff to pay details 48 Finance training Enhance your skills 49 PRIMERA Study on parents’ mental health 50 Advance Healthcare Directives Protect your future 51 Safeguarding Awareness can reduce abuse 52 SIMMS building State-of-the-art orthodontic facility 53 Bedside to Boardroom 26 Resource toolkit 54 Falls conference Experts tackle bone health 55 Nursing and midwifery Development of health policies 56 Continence clinic Award win for pair 2018 winter health matters
Contents News 57 Mayo butterfly care Dementia care 58 Intellectual disability nursing The future 59 Alcohol Guide for parents 60 Asphasia awareness Tallaght events 61 Safeguarding seminar Awareness campaign 62 Connecting for Life Kilkenny Tackling suicide 31 63 Prem party 63 Neonatal unit fundraiser 64 Mental Health opening Purpose-built unit 65 Catering awards Portlaoise Hospital 66 Collaboration Nation Digital success for HBS 67 St James Going digital Lifestyle 68 End PJ Paralysis 70 HI survey New initiative Fewer smokers 69 Aras Mhuire award 72 Healthy Ireland Flu vaccine 2018 in reflection 69 Change Guide 74 Mid West Games Practical advice Staff and families at play 16 22 health matters winter 2018
HEALTH MATTERS WINTER 2018 online Sites we like www.yourmentalhealth.ie www.undertheweather.ie 75 Pause for Play Get away from the screen 76 Culture night Dr Steevens opens its doors 77 Weight management guide Free to patients 78 Craggy Island Christmas Waterford performance www.hse.ie/safeguarding www.makeastart.ie 65 2018 winter health matters
You Section St Vi ncen t’s celebra te Home from home at Christmas ife away from your own home and perform some carol singing. It is a now L and family can be tough, annual event, started several years ago by the especially around Christmas, but local parish priest. one community is helping the “The school asks for a list of names of the staff of the local nursing home residents and what they might like – such as a to ensure their residents feel the festive spirit pair of socks, a scarf or some toiletries. Then as much as ever. one family will buy a present for that person St Vincent’s Community Nursing Unit, in and the children will hand them out. It is Mountmellick in Co Laois, is certainly a home great that there is that extra personal touch,” away from home for its 82 residents explained Clare McLaughlin, a CNM2 in the unit. and it comes alive with Christmas “We hand out a few treats to the children and decorations and celebrations it is always a great occasion.” throughout December. Paula Phelan, the Director of Nursing, added, It’s important that The week before “It’s all about bring the community in so the they maintain Christmas, the residents don’t feel isolated.” children from Scoil There is plenty going on in the unit over that sense of interaction Bhride in nearby December. The residents have already begun and normality so it’s not Clonaslee will visit making their own Christmas decorations to the residents to hang up around the unit. They also decorate a just about them getting give out presents Christmas log each year. The local youth group presents but they get a make a life size crib that they have on show each year. chance to give back too Another highlight of the festive period will be the big Christmas party on December 21st, which residents and staff look forward to each year. “This is very much their own home and we The residents also get plenty of do our very best that all our residents feel at opportunities to get out and do some retail home, happy and comfortable all the time. therapy themselves. And Christmas is so special for so many “We also bring them out to do their own people that we make an extra effort at shopping. They usually go to one of the bigger this time of year,” said Clare. shopping centres in Portlaoise and get some health matters winter 2018
presents for their own families. It’s important Vincent’s during the Christmas period. The local that they maintain that sense of interaction Youthreach group are frequent visitors and the and normality so it’s not just about them Active Retirement Group regularly provides getting presents but they get a chance to give music and entertainment for residents. back too,” she said. Of the 82 beds, the vast majority are long- Many of the residents go to spend Christmas stay, with just one respite bed. There are eight with their own families but the staff on duty beds in the dementia ward but most are in the over the Christmas holidays ensure that it is a general wards. The residents are mainly older wonderful occasion for everyone. people but there are some in their 40s and 50s The decorations in the unit are handled with chronic illnesses. by the ‘queen of the Christmas tree’ Freda, The dedicated staff includes Paula Phelan, the one of the staff members who works in Director of Nursing; ADON Rebecca Stanley; and housekeeping. She will put lots of hard work CNMs Clare McLaughlin and Lucy Campbell. into making sure the Christmas tree in the general area and all the Christmas decorations are looking their finest. Pictured while they made this year’s Christmas “It always looks beautiful and everyone loves decorations were the residents of St Vincent’s Community Nursing Unit (clockwise from top left): to see it go up each year. It adds a great bit of Ann Houlahan; John Defue; Jack Costigan; Agnes colour and atmosphere to the place,” said Clare. Mortimer; staff and residents of the unit; Kay and The community are not just involved in St Natasha; and Jackie McEvoy. 2018 winter health matters
You Section Ch rist ma s Da y sw im DUNMANWAY LOCALS BRAVE COLD FOR CANCER s most of us settle in for breakfast had thousands of blood transfusions. I was A in our pyjamas in a warm house surrounded by cancer patients and I was on Christmas morning, one group determined to raise money for the ward to help of hardy souls are braving the icy make them more comfortable,” she said. cold waters at Inchydoney, Co Then 12 years ago, her husband René, a garda Cork for the annual charity swim. sergeant, was diagnosed with cancer. With 19 swims under their belts, the charity “We ended up sitting side by side in the day fundraiser has seen a massive €266,688 donated ward,” she recalled. Tragically, René died the to the day unit at Cork University Hospital, following year. year and it is so important that we are able The Christmas Day swim is the brainchild of Eileen’s husband Raymond, a secondary school to rely on that money coming in each year to West Cork women Kathleen O’Farrell and Eileen teacher, died two years later of a heart attack improve patient comfort,” she said. Lyons. Both of their late husbands were patients having he battled the odds to survive colon “I meet with Kathleen regularly and we chat in the day ward, now renamed the Dunmanway cancer. about how best to spend the funds each year. It Day Unit after their hometown. “I could see the importance of the money really makes a difference that we can give our “We started back in 1999 with 11 swimmers at that we were raising. We have bought new input into what is needed, and that friends and Inchydoney. I had been talking about organising comfortable chairs and televisions for them to family, as well as the patients themselves, can it for a couple of years and my son told me that I watch while they are being treated.” see the benefits first hand.” should stop talking about it and get working. So She paid tribute to the staff on the ward. The hard work that goes into organising the between myself and Eileen and our families, we “I couldn’t praise them enough. It truly is a swim has been going on well before December got all together that first year for the swim. It vocation. The kindness they show to all the landed. Kathleen and Eileen have been trying has snowballed since then, with so many more patients is just out of this world. And I couldn’t to encourage new swimmers to join in the people joining in. We now have an average of over not mention the tea ladies either, who keep us fed Christmas morning tradition. 100 people taking part, travelling from all over and watered while we are there. It a tough place “A lot of people now have young families and West Cork and Kerry,” explained Kathleen. to be but they make it so much more bearable,” can’t get away for the swim so we are looking Kathleen herself has been a patient of the day said Kathleen. for some new blood. We would love to see a new unit for over 30 years. Joan O’Neill, CNM2 from the Dunmanway generation of swimmers join in. It really is a great “I have been in and out of the ward every Day Unit, said the fundraiser makes a massive way to start your Christmas,” said Kathleen. week for 30 years and I could see the amazing difference. The swim starts at 11am sharp and swimmers work that was being done by the staff there. “We are thrilled with the work and dedication will be quickly warmed up with a hot mug of soup I have problems with my platelets and have that Kathleen and Eileen put into the swim each and a mulled wine. health matters winter 2018
We ne ed to be on ou r best ga me Champion martin oversees increase in vaccine uptake he onus is on staff in the HSE to T get the flu vaccine and keep their vulnerable patients protected, insists ‘champion’ Martin Smith. “From the general manager to the staff in the cafeteria, we must get the flu vaccine. We come into contact with so many people – high-risk people, pregnant women and old people. They need us to be on our best game,” explains Martin, who is a flu vaccine ‘champion’ in the hospital, educating his colleagues on the value of the vaccine and encouraging them to get it. Martin took on the role of promoting the flu vaccine three years ago and has overseen a huge increase in the uptake of the vaccine by Lourdes staff. “The previous year we had an 18pc take up. I got it up to 38 in the first year and last year we had 74.8pc. We are on target to exceed that this year. We have a much bigger staff now so it is a great chance to improve our numbers. At the minute, three out of four people are getting the vaccine. If we could replicate that around the country, that would be fantastic,” he says. He explains that the biggest factor in improving the take-up is changing mindsets. “After the swine flu vaccinations in 2008, attitudes towards vaccinations were thrown into the air because some people felt sick afterwards. But we have definitely made a difference here. We have great support and have a few champions that go around and ask colleagues ‘so did you get yours? A physio just came to me this week to say they had been promoting throughout their department and were 100pc behind it. It’s great to see people feeling passionate about it too,” says Martin. He has spearheaded a very effective postering not to get the vaccine by having clinics round effects of the flu and the positive outcomes of campaign to keep it fresh in staff minds. the clock. the vaccine. 70 or 80 people turned up for that “The feedback I have been getting is that my “We ensure that we are readily available talk and we had people who definitely weren’t poster campaign is making a difference. I try to give the vaccine when it suits people. We going to get the vaccine leave the talk and said to keep it current. For example, at the start of have a clinic 7.30am to 4.30pm each day and ‘yeah, okay, I’ll get the vaccine’. the campaign, I had posters saying that the flu we come in at weekends. We make sure it is “I have the amazing support of my Director of season was here. At Halloween, I had some that available when people need it,” says Martin. Nursing Adrian Cleary. He has given me carte said ‘Say boo to the flu’ and ‘There’s nothing The Lourdes vaccine promotion team meet blanche to do what I need to do. The same scary about the flu vaccine’,” he says. on a regular basis to discuss the campaign is true of our GM Fiona Brady. Work like this “Last week, I did a mock-up poster from the and see what’s working or what needs to be needs to be led from the top and that really Usual Suspects. Now for Christmas, it will be changed. makes a difference. something like ‘Don’t be on Santa’s naughty “We are constantly re-evaluating the “It really is all about teamwork. I am the list this year’. It is about drawing people in and campaign to make sure it stays fresh and the figurehead or the catalyst but you can’t do having a bit of a laugh with them, starting a message is still getting out. anything without people themselves,” he adds. conversation about it. You need to keep it light- He was full of praise for the support given to hearted because you can’t force it.” the campaign by senior management and staff. Staff from Our Lady of Lourdes Hospital in And the vaccine champions in the hospital “Dr Justin Lowe, the infectious disease Drogheda who have supported the flu vaccine have been making sure staff have no excuse consultant, gave a talk to staff about the campaign there. 2018 winter health matters
You Section resource Rooms empower peo “They are only little things, but every little thing is one thing less that I have to think about and worry about” EVENTEEN Memory Technology Each person is S Resource Rooms (MTRRs) have opened across the country, with different, so each six more to open by the end of 2018. These rooms are designed visit will be tailored to to showcase a wide variety of ‘assistive their needs. It’s all about technologies’ and supports for people with memory difficulties, including dementia, and empowering people to their families. engage in meaningful Supporting people with memory difficulties to continue engaging in daily tasks has a activities hugely positive impact on maintaining their independence and improves quality of life. service is free of charge. Following their visit, Joyce Jones, Senior Occupational Therapist families may then decide to purchase any and Dementia Champion, runs the Memory equipment they feel might be helpful. With Resource Room at St Columcille’s Hospital. guidance from the Occupational Therapist Joyce explains what people can expect when about the most appropriate and useful they visit. equipment specific to their needs, costs are “Each person is different, so each visit kept to a minimum. There is also a loan facility will be tailored to their needs. It’s all about in operation in some rooms for people to borrow empowering people to engage in meaningful equipment and try it out at home to make sure activities, therefor enhancing their quality it works for them before they purchase it. of life. Our Memory Resource Room is Tony cares for his wife Kallie and explains very homely and welcoming so visitors the difference that simple technologies make immediately feel at ease,” says Joyce. to their lives. “At the visit we will discuss and assess the “There’s no two people the same, there’s no person’s memory strengths and weaknesses two carers the same, and there’s certainly no and areas where they are experiencing two people with dementia the same. These difficulties. Common challenges can include; technologies are only little things, but every medication, speaking clocks and watches, remembering plans for the day, feeling little thing is one thing less that I have to think orientating devices and lots more. overwhelmed by digital technology like about and worry about. Kallie loves music In most cases, very simple and inexpensive phones and remote controls, forgetting where and has been jiving since she was born! We solutions enable people with memory things are and safety concerns. We will then found a little speaker with a USB port that I difficulties to do things by themselves for as recommend and provide a demonstration of have uploaded 700 songs to and we take it long as possible. Quality of life ideas such as simple equipment that can enable someone everywhere so that Kallie can sing away and a life history book, talking photo album or a to keep doing the everyday tasks that are enjoy the music.” personalised memory box can also make a important to them. We also offer emotional Jacinta cares for her mother who is in her difference to people living with dementia and support and recommend other services 80s and loves the independence of living alone. memory difficulties.The Memory Technology available in the community.” “Things that support a person’s Resource Rooms have examples of these and The recent launch of the MTRR at St independence - I think that’s what Mum most advice on how to put them together. Columcille’s Hospital was attended by values. My mother lives alone and she values The Minister for Health welcomed the roll Minister for Health Simon Harris, health her independence very much. She also values out of MTRRs across the country. service staff, staff who run the service at her lifestyle, she loves her garden, she loves “I am delighted that the Dormant Accounts Loughlinstown and the other MTRRs across her kitchen, she has lots of family in and out. funding secured by the Department of the country, and individuals and families who We came along to the Memory Room with Health in 2016 and 2017 has facilitated have previously visited the Memory Resource Mum and had a look around and we were the establishment of Memory Technology Room and found new ways to manage their really intrigued.” Resource Rooms in each Community day-to-day challenges. Assistive Technology (AT) refers to Healthcare Organisation across the country. It can be much easier to be independent and equipment that enables someone to complete By the end of the year we will have 23 of these safe within your own home when you have a task to maintain their independence, help fantastic services fully operational. I would the right supports and equipment. Memory manage risks at home and reduce stress for really urge families who have any concerns Technology Resource Rooms are a welcoming carers. Typical equipment on display in the about memory difficulties to make an and safe environment for clients and their Memory Technology Resource Rooms include appointment to visit their local Memory Room, families to discuss any challenges they are push button reminders, easy to use remote which is free of charge. It’s the little things like encountering in their day to day lives. The controls, radios and phones, prompts to take the support available in these Memory Rooms 10 health matters winter 2018
ople with memory difficulties that can make such a big difference to daily life,” he said. Michael Fitzgerald, AND, Older People and Palliative Care Strategy, HSE said, “The MTRRs are an integral component in supporting the safety and independence of people with memory difficulties living in our community. The MTRRs in conjunction with other HSE and voluntary services aim to maximise the potential of Assistive Technology and support people living with memory difficulties and their carers to benefit from this technology.” The MTRRS were modelled on the original Memory Technology Library in South Tipperary which is part of the Genio funded five steps to Living well with Dementia project. People with memory difficulties, including dementia, and their family members can arrange to visit their local Memory Technology Resource Room free of charge. You can speak to your GP or Public Health Nurse, or make an appointment directly with your ABOVE: Joyce Jones, Senior Occupational Therapist and Niamh Van Denburgh, Occupational Therapy local MTRR. A video showcasing the MTRR Manager, St Columcille’s Hospital, Michael Fitzgerald, HSE Older People & Palliative Care Strategy, Simon Harris TD, Minister for Health, Niamh Groome, Occupational Therapy Manager and Linda O’Leary, in Loughlinstown along with details of all the General Manager, St Columcille’s Hospital. TOP OF PAGE: Photographed at the opening of the MTRR in MTRRs across the country can be found at: St Columcille’s Hopsital, Kallie, who cares for her mother, chatting to Minister Harris about how the MTRR www.understandtogether.ie has helped her family. 2018 winter health matters 11
You Section Trish aw bike at nu rsi ng ho me residents get to feel the wind in their hair again ursing home residents were N able to feel the wind in their hair once again thanks to the rollout of an exciting new project that saw Belvilla Community Unit get its own trishaw bike. Belvilla is one of the first HSE Community Nursing Units in Ireland to lead the charge and implement this innovative scheme. They teamed up with Cycling without Age and Zendesk to obtain the sponsorship for the trishaw. Now the residents, many of whom haven’t been out of the unit in a long time, have been given the opportunity to get out and about and see how their local community has developed. It also allows them to foster relationships with volunteers and tell their stories of life in Dublin. As a dementia champion, Senior Occupational Therapist Aoife Tighe can attest to the breadth of research on the benefits of engagement in meaningful activities, social interaction, and maintaining contact with the community for people with dementia and the few trishaw outings that residents at Belvilla had to date have confirmed that. “There is lots of anecdotal evidence on the efficacy of the project itself in terms on wellbeing and quality of life, and formal research projects are currently being She tells me that particular fancy to Ed and was keen to tell him she’d be ‘a great catch as I have a good undertaken overseas,” said Aoife. she ‘always says pension’! “We have taken trips along the canal and really enjoy heading through the Tenters yes to an adventure’ and “Having been out several times with Betty, I can see the benefit she gets from these to Weaver Park, ending up in a shaded spot loves getting out as it opportunities. She particularly enjoyed our to enjoy some people-watching and ice- cream. Children and dogs find us particularly ‘gives me freedom’ last trip which went past her old bus stop. This led to some lovely reminiscing about fascinating and come over to have a closer walking through to her job on Grafton Street inspection. We’ve also had fun sitting in the and prompted her to say ‘I haven’t been here sun listening to the bells of the Cathedral in on numerous projects,” Aoife explained. in years, the park looks great and I remember St Patrick’s park and chatting to tourists about She revealed that one of the nursing home this place well’,” said Aoife. our ‘contraption’.” residents, Nancy, has struck up a great “Kathleen also loves the trishaw and is She explained how the link-up with Zendesk, friendship with Morgan, one of the Zendesk keen to go out on every trip. As soon as she an international IT company, came about. volunteers. hops off she asks to ‘go again soon’. She “I approached Clara Clark from Cycling “They have much in common having particularly enjoyed our recent spin through Without Age after seeing one of the trishaws both lived in Toronto, and Nancy worked the Liberties as she lived there for many being launched on the evening news. Luckily in computers there too. Nancy is a great years. She said she felt ‘like the Queen’ for us she had been in contact with Zendesk conversationalist and has been regaling us waving at old neighbours and having people who were looking to sponsor a bike in Dublin with wonderful stories along the way. She look in amazement at the trishaw. Speaking and allow their staff to volunteer. Their really sparkles when she gets this opportunity. afterwards she acknowledges that she ‘loves headquarters are on Charlemont on the canal She tells me that she ‘always says yes to an to get out as much as I can’ and the trishaw is so we were a perfect fit. Zendesk have a very adventure’ and loves getting out as it ‘gives another way to facilitate this. robust Corporate Social Responsibility (CSR) me freedom’,” said the occupational therapist. “Speaking for myself and the volunteers, ethos. They sponsor several bikes around the Betty, another residents, was absolutely we have also really enjoyed taking part world already and their staff take time out delighted to have two gentlemen escort her in this project. I have to admit it is a real during their working week to volunteer off site out on her trip – Morgan and Ed. She took a highlight for me.” 12 health matters winter 2018
HSE and council staff get on their bikes for trips along river lee RESIDENTS from the Farranlea Road Community Nursing Unit in Cork city have been enjoying getting out and about as they are brought on bicycle trips on the banks of the River Lee. A joint initiative between Cork Kerry Community Healthcare and Cork County Council led to the purchase of a Triobike for the long-stay facility. The Triobike is like rickshaws, and allows for a cyclist to take one or two passengers for enjoyable trips. The project part of the worldwide ‘Cycling Without Age’ initiative which began in Copenhagen seven years ago, and the Cork Triobike is believed to be one of five operating here in Ireland. Staff from the HSE and the nearby Cork County Council offices act as pilots on the bikes, bringing residents of the community nursing unit on trips on a loop which includes the nearby Lee Fields. The headquarters of Cork County Council, County Hall, is located across the road from the entrance to the Farranlea Road Community Nursing unit. The initiative allows residents the chance to have some fresh air and enjoy the scenery around the beautiful River Lee. The volunteers from the HSE and Cork County Council have also found that their own health and wellbeing has benefited, while staff at Farranlea Road have also noticed significant benefits for the residents of the facility. More details on Cycling Without Age are available on cyclingwithoutage.ie LEFT: Nancy with Morgan, a Zendesk volunteer, during one of their trips out on the Trishaw. FAR LEFT: Bellvilla resident Nancy with Ed and Morgan, two of the volunteer Trishaw riders. She highlighted the amount of work that ‘train the trainer’ training, liaising with our been possible without the support of the has gone into getting this project to this insurance underwriters, writing a volunteer DSC Primary Care OT managers and the point. handbook, shepherding volunteers through management team of Bellvilla Community “There has been a lot of work undertaken vetting, cultivating volunteer relationships Unit. We are very grateful for the partnership from the ground up - marketing ourselves to and, of course, raising awareness and interest with Zendesk and Cycling without Age and Cycling without Age and Zendesk to obtain in the residents and their families. the wonderful way it has impacted on our sponsorship, undergoing pilot training and “This quality initiative would not have residents,” Aoife added. 2018 winter health matters 13
You Section Get the va ccin e Simple whooping cough vaccine helped protect my baby and me rotecting your baby from P a serious and potentially fatal illness is easy. When Dr Elyce McGovern, Senior Medical Officer in Public Health Medicine in the HSE South East, became pregnant, she explains that she got the whooping cough vaccine, emphasising the importance of pregnant women being vaccinated. “A few years ago I was working as a junior doctor in paediatrics and was involved in the care of several very young babies who were unwell with whooping cough. Unfortunately some of them became seriously unwell and had long hospital stays,” says Elyce. “Years later when I became pregnant with my first little boy, I was so happy that I could do something to protect him from whooping The disease is The best way to prevent whooping cough is through vaccination. Whooping cough vaccine is cough. While I was pregnant I got the most serious recommended for all pregnant women during whooping cough (pertussis) vaccine from my GP and am happy to say he was protected. in babies less than six each pregnancy. The vaccine should be given between 16 and 36 weeks of pregnancy to give “I am now pregnant again and got my months old and many the best protection to each mother and her baby. pertussis and flu vaccines. It’s really good knowing that taking a few minutes to get a of these babies are The vaccine is safe and effective for pregnant women and is recommended for simple vaccine will help protect my baby and admitted to hospital with pregnant women in other countries including me from these very serious illnesses.” Dr Sean Denyer, interim head of the HSE complications such as the UK, US, New Zealand and Australia. “You should talk to your GP to arrange National Immunisation Office, highlights pneumonia and seizures vaccination. The whooping cough (pertussis) the fact that whooping cough is a highly vaccine is administered free to all pregnant contagious illness that can be life-threatening. women when given between 16 and 36 weeks “The disease is most serious in babies less of pregnancy. The vaccine will protect your than six months old and many of these babies baby during the first few months of life and are admitted to hospital with complications it is important also that your baby gets the such as pneumonia and seizures,” he says. routine childhood vaccines - which include The Health Protection Surveillance Centre whooping cough (pertussis) vaccine) - on time (HPSC) reported 91 cases of whooping cough at two, four and six months,” says Sean. in the first nine months of this year. The “We have a lot of information about majority of cases were in babies less than six whooping cough and the vaccines available months of age who are too young to be fully to protect you and your baby on our website vaccinated. – www.immunisation.ie.” 14 health matters winter 2018
Daughter Lisa’s new book hon ours her father’s lega cy Gerry Collins – the man who moved a nation e inspired over a million quit H smoking attempts and now the legacy of Gerry Collins has been immortalised in a new book. Lisa Collins has just published ‘The Man who Moved the Nation’ about her father and what it was like to be at the centre of national campaign which inspired people to quit smoking. Gerry was one of three people featured in the QUIT campaign’s films and TV adverts, telling his story of recovery from tobacco- related throat cancer. In summer 2013, Gerry contacted the HSE to let us know that, sadly, he had been diagnosed with terminal lung cancer. Gerry wanted to share his story to inspire other people to quit smoking help them to avoid the pain of illness and premature separation from their loved ones. Gerry and his family shared an insight into their family life, and into how they coped with and reacted to Gerry’s diagnosis. In her book, Lisa writes about this period in her life and the life of her family as they came to terms with the diagnosis, as filming for the So I guess I just we didn’t realise how far it would reach or how successful it would be. People came to us and ads began and the campaign was launched. This wanted to say to told us, ‘hey I know you don’t know me but I just account of the final months of Gerry’s life is both heartbreaking and inspiring, and shows the people that it is okay to feel wanted to get in touch. I saw your dad’s ads and I’ve been smoking for 20 years and now I’ve quit’. heart and resilience of his daughter and family. like it’s hard because it is It was unbelievable to see those stories rolling in Gerry’s ads had an extraordinary impact. Thanks to the generosity of Gerry and his family, the ads hard and I really wanted to from people of all ages,” she said. Lisa explained her reasons for writing the book. remained on air for three years after Gerry died honour Dad and everyone “I hoped it would resonate with other people and inspired many people to quit for good. We are incredibly grateful to Gerry and his family for the in the campaign and what who have minded people with cancer. I think I wanted to get across to people was that it was extraordinary gift which they gave to people who they had achieved and okay to find it hard when you are minding that smoked and their families. Together they have changed many lives for the encapsulated everything person with cancer because you feel like at times that you don’t have a right to feel like it’s better. in one document hard for you because they are so sick. The HSE released a video tribute to Gerry “So I guess I just wanted to say to people that Collins and his family who have inspired over it is okay to feel like it’s hard because it is hard 1.3 million quit attempts through their bravery and I really wanted to honour Dad and everyone and generosity. in the campaign and what they had achieved and In the video, Lisa Collins and her sister Ciara encapsulated everything in one document.” talk about what it was like to be involved in a As well as making a huge impact in Ireland, national campaign which has changed so many Gerry’s ads have been used across the world. lives for the better. To date, the ads have been used in Northern “I suppose when Dad first told us about the Ireland, New York, Canada and Australia. campaign, I was a little bit hesitant at first. But were amazing but what made it really personal Most recently, Vermont’s Department of he was so certain that this campaign was the for us was when we received these really lovely Health has contacted the HSE about Gerry’s ads way to go, that it had to happen and he was so stories from people sharing their cancer stories as part of a quit smoking campaign. It is planned passionate about it. If even one person stopped with us. People were sharing news of a loved that these ads will air in Vermont in 2019. smoking because of this then it would have all one who’d stopped smoking or they themselves been worth it for him,” said Lisa. had stopped smoking so it was really lovely.” “We know the campaign was hugely impactful Her sister Ciara admitted that the campaign Fidelma Browne, Head of Programmes and and the statistics were coming in and the success was ‘quite surreal’. Campaigns; Lisa Collins; and Patrick O’Donoghue, numbers of people who were stopping smoking “Although we knew it was a national campaign, Mercier Press, at Lisa’s book launch. 2018 winter health matters 15
You Section Vi cto ry at the In terfirm s Blitz Ladies bring the silverware back home to Waterford taff at University Hospital lots of fun along the way! We are already S Waterford showed that they looking forward to next year’s competition and excel on the pitch as well as on hoping to go one better and claim the Ladies the wards, labs and theatres as Gaelic Football Team Interfirms Cup.” they became the first hospital The team on the day were: Áine Ní Mhéalóid, or HSE service in the country to take part captain – Ophthalmology SpR; Philomena in – and win - the Ladies Gaelic Football Fogarty – Physiotherapist; Ann-Marie Association Interfirms Blitz. Ryan - Quality Officer, Blood Transfusion The hospital’s first ever Ladies Gaelic Laboratory; Eimear Bartley – Nursing Student football team did themselves and the hospital Medical 4; Nicole Creedon – Nursing Student very proud, in winning the All Ireland LGFA Medical 5; Marie Doyle – ANPc Older Persons; Interfirms Shield in Portmarnock. Úna O’Brien, Nurse Practice Development On the day, the team played six round Coordinator; Niamh Foley – Surgical SpR; matches against the following companies: training four weeks before the big day. Miriam O’Callaghan – Occupational Therapist; 1st match: Glanbia - draw “Well done to everyone who took part. It Catherine Murphy – Occupational Therapist; 2nd match: Meagon International – win was a great multidisciplinary effort by staff Mairead Hanrick, CNM2 CCU; Michelle 3rd match: Irish Prison Service – win from across the hospital, to firstly field a Slattery, Staff Nurse, CCL; Joe Murray, team 4th match: St Kevin’s CC, Dunlavin, team and then to go on, play competitively, manager - Technical Services Department; Co.Wicklow – win give a fantastic account of ourselves and - to Ann Prendergast, assistant manager - 5th match: AIB – loss top it off – travel back to University Hospital Physiotherapist; Cliona Rafter, T-shirt design 6th match: An Garda Síochána – loss Waterford with some silverware,” said team -CNM2 Nurse Practice Development Unit. member Úna O’Brien. Based on their results in the matches, they “Specially designed T-Shirts were worn on qualified for the Shield Final. After a tough the day, which received a great reception by Back (l-r): Joe Murray (Manager), Catherine battle with the Irish Prison Service ladies, they other teams taking part in the competition. Murphy, Nicole Creedon, Mairead Hanrick, Niamh Foley, Marie Doyle and Miriam O’Callaghan. Front won 2-1 to 1-3. For everyone that was involved – we now all (left to right): Philomena Fogarty, Eimear Bartley, There were scenes of delight with the know a dozen more staff than what we did Michelle Slattery, Áine Ní Mhéalóid, Ann-Marie victory, given that the team only started four weeks before our match and have had Ryan and Úna O’Brien. 16 health matters winter 2018
Help fu l an d prac tical ad vi ce giv en Great reaction at HSE’s ploughing presence HSE services joined forces at 13 this year’s national Ploughing Championships, which took place in September 2018 in Tullamore. Over 35 staff worked tirelessly over two days giving practical, helpful answers to any visitor’s questions on health entitlements and services. “We assisted and responded to hundreds of queries daily including dementia, alcohol, quitting smoking, sexual health, healthy eating, sephsis and medical card entitlements and all our visitors were genuinely pleased to get the information they required. There was a great sense of camaraderie among the staff present; they were all very supportive of one another and referred the visitors on to related specialties present for added advice,” says Norma Deasy, Communications Campaign Manager. HSELive was present for the first year and Geraldine Charman, Team Manager commented, “Many visitors were interested in finding out about HSELive, an information HSE staff meet the public at the Ploughing Championships. service on how to access health services, who qualifies for HSE health services and where to find information about health. Materials were distributed to visitors on contacting HSELive through telephone, live chat, email and twitter.” A dietician was present daily providing advice on the prevention and management of type 2 diabetes. One in 12 people in Ireland over the age of 50 are known to have this illness and those attending the ploughing were invited to sign up for a course, which helps people to manage their condition and live as healthy a life as possible. Given the prevalence of skin cancer among those working in farming and construction industries, (one in 4 deaths according to the Irish Cancer Society), Dermatology Nurse Specialist Selene Daly and a team of clinicians from Sligo University Hospital worked the crowd. They were busy According to Selene, “Despite being the support with that battle. delivering the best advice for those who most common cancer in Ireland, skin cancer Screening service staff were available for have a fair complexion and are prone to can be prevented.” advice on Diabetic Retina Screen and Bowel sunburn, which is to follow the Irish Cancer’s The START campaign staff chatted to Screen. ‘SunSmart Code’, to: parents and guardians of children aged They invited eligible visitors to register for • seek shade between 11am and 3pm between 6 months and 12 years of age. a bowel screen, which offers a free home • cover up using long sleeve clothing They were encouraging them to try and test to men and women aged 60 to 69 and • wear sunglasses and a wide brim hat get one daily win with healthy family meals a diabetic retinal offering regular diabetic • use a high factor sunscreen with SPF 30 or physical activity and pointing them to retinopathy screening to people with or 50 the website makeastart.ie to get help and diabetes aged 12 years and older. 2018 winter health matters 17
You Section HSE Staff leading culture change “You don’t have to see the whole staircase, just to take the first step.” - Martin Luther King alues in Action is a social V movement leading the culture change throughout the health service, and committed to learning every step along the way. While we might not see the whole staircase yet, we are making good progress. Here is an update on how things are going and a snap shot of the results from our 2018 surveys. Department of Psychiatry, Connolly Hospital Big news Values in Action has been selected to VALUES VALUES IN IN ACTION ACTION give an onstage presentation at next year’s PERSONAL PERSONAL WITH WITH COLLEAGUES COLLEAGUES WITH WITH WITHPATIENTS PATIENTS PATIENTSAND AND ANDSERVICE SERVICE SERVICEUSERS USERS USERS BMJ/Institute of Healthcare Improvement, International Forum on Quality and Safety Am Am II putting putting myself myself Acknowledge Acknowledge in Healthcare (March 27th – 29th 2019, Use Use my my name name inin other other the the work work and and your your name name Glasgow). This is a highly competitive field people’s people’s shoes? shoes? of of your your colleagues colleagues and we are honoured to be accepted. Last year, Values in Action attended with a poster presentation. This was well received, as culture change is currently a key focus in healthcare Am Am II aware aware that that my my Ask Ask your your colleagues colleagues Keep Keep people people informed informed –– internationally and our model - Viral Change actions actions can can impact impact how how you you can can explain explain the the now now - is unique in this forum. on on how how other other people people feel? feel? help help them them and and the the next next What’s been happening? Our culture change effort is now well and truly under way - comprising the Am Am II aware aware ofof my my Challenge Challenge Do Do an an extra, extra, Mid West Community Healthcare; the UL own own stress stress and and toxic toxic attitudes attitudes kind kind thing thing Hospitals Group; the Centre (staff who how how II deal deal with with it? it? and and behaviours behaviours report nationally); Community Healthcare Organisation Dublin North City & County; and most recently Doctors for Values in Action. Values in Action is being led by staff All in a Week’s Workwww.hse.ie/valuesinaction beginning www.hse.ie/valuesinaction www.hse.ie/valuesinaction of the week. The community @HSEvalues @HSEvalues @HSEvalues from across all disciplines and backgrounds All in a week’s work was a week to of champions in the Mid West has been in these areas. These staff members are celebrate our progress to date and a chance steadily growing over the past two years, nominated by their peers as trusted and for colleagues to make a difference in and All in a Week’s Work engaged staff influential members of the service who shaping the culture in the health service. from across the service areas. Champions have the power to create new ‘norms’ and During this week, colleagues checked how were leading all of this from the beginning shape the culture in their workplaces for the visible the behaviours were in their work of the week to the end. On busy wards and better. It’s a bottom-up approach to creating places and acknowledged when they saw corridors staff were seen picking up their a culture change led by staff. We now have others living the behaviours. Over the behaviours of the day and telling each other over 1,300 peer-nominated staff actively course of seven days in October, there was how they were going to make them really working to improve the culture in their area. a series of happenings, a meaningful mix of visible to each other for the rest of their activities and gatherings across the areas day’s work together. The more activities where Values in Action is live. that happened, the more staff seemed The more activities UL Hospitals Group and Mid to want to get involved. From cardiology units, to ED teams to community care that happened, West Community Healthcare centres, staff were demonstrating creative the more staff seemed In UL Hospitals Group and Mid West Community Healthcare, where it all began, adaptions of all the activities. One colleague took one of the behaviours to want to get involved there was a flurry of activity from the and pinned it to her dashboard so she could 18 health matters winter 2018
Values in Action Champions, Stewarts Hospital, Dublin stay aware of her stress and how she dealt Community Healthcare with it while she went about her community Organisation Dublin North visits. A member of catering staff penned City & County a rap to his colleagues about how much Values in Action began in Community they look out for each other every day. Healthcare Organisation Dublin North City & A member of the cleaning staff took the County (DNCC), in 2018 and time to write to the theatre nurses and the social movement is spreading with great consultants she has worked with for the enthusiasm. The nine behaviours are creating a past ten years to thank them for always stir and plenty of staff are curious making her feel part of the team. and talking about the desire to enhance the culture of the HSE. THE CENTRE DNCC really got stuck into All in a Week’s Colleagues were seen focusing on the Work. They put their own stamp on activities behaviours and practicing them by joining and used this as an opportunity to highlight in with the activities.Chain reactions of Values in Action. helpfulness were started and continued as There was a buzz of activities across the colleagues leaned in to offer an unexpected region, from St Ita’s in Portrane to the Early helping hand and then asked that the Intervention Service on the Navan Road. St gesture be paid forward. Mary’s in Phoenix Park were very busy with Stories were told and shared about storytelling sessions, behaviour lucky dips memorable moments when an experience –where you got to pick out a behaviour and live of the impact of the nine behaviours stayed it for the day. The Psychiatric Unit in Connolly A Values in with us. All of this was done with a spirit of Hospital, Blanchardstown held Values in Action Action Story peer to peer involvement. information sessions and mindfulness sessions As one of our Champions put it, “It for staff, linking this to the behaviour: Am I “In the building I work in, we were doesn’t matter if you are in admin, or on aware of my own stress and how I deal with it? discussing how we could take part in the front line, whether you are sweeping #allinaweekswork and the logistics of the floors or running the organisation, In the Champion’s shoes involving as many people as possible. everyone can adopt these behaviours Champions want senior leaders to know Someone commented that our easily through self-reflection and about their role as a Champion and their colleagues in payroll were very busy, contribute to improving experiences for efforts to help shape the culture of the putting in very long hours and that maybe staff and clients on a daily basis.” health service. As part of All in a Week’s they wouldn’t be able to join in due to Colleagues spoke about how All in a Work, senior leaders took the time to meet deadlines. Week’s Work brought staff from a diverse with them and learn about how they are That was when we decided we would mix of roles and functions together and how spreading the nine behaviours through peer ‘Put ourselves in other people’s shoes’ the activities and happenings helped them to peer conversations and actions. and highlight the behaviour, ‘Acknowledge put names to faces. Some felt that this was Tiny moments that matter when stitched the work of your colleagues’ during improving morale and establishing working together form the cultural fabric of a health #allinaweekswork.” relationships. service that’s improving itself from the inside out. 2018 winter health matters 19
You Section VALUES IN ACTION 2018 VALUES IN ACTION 2018 2018 Champion Survey Results CHAMPION SURVEY RESULTS CHAMPION SURVEY RESULTS www.hse.ie/valuesinaction UL Hospitals Group and Mid West CommunityMIDWEST Healthcare 2 years on Values in www.hse.ie/valuesinaction Centre 1 year on Action is CENTRE Our behaviours are embedding Our 9 behaviours are spreading Champions told us how they live the behaviours making a and what they see their colleagues doing 2 in 5 4 in 5 1 in 2 3 in 5 27% 2 in 3 are more likely to see our colleagues consider the impact of their actions on others staff are seen putting themselves in other people’s shoes by their colleagues difference Are putting themselves in other people’s shoes Are self-aware of their own stress and actively doing things to relieve Half have challenged toxic attitudes and behaviours in their workplaces Are explaining the now and the next their stress 27%since 2016 23% since 2016 Values in Action is already 16% 8% 16% 12% showing very promising results. We have learned 8 in 10 In 2016 half of our colleagues were described that there is a significant colleagues in 2018 are seen as having little or no We are creating more positive to be aware of their own awareness of their stress appetite amongst staff stress and actively doing things to relieve it levels and how it working environments affected other people to support and lead this movement throughout the 75% 47% We are creating more positive health service. working environments To learn what is changing in the culture and at what 2 years ago less 2 years ago less than 4 in 10 of us than 6 in 10 of us rate, we carry out baseline recognise when colleagues say that their workplaces regularly offered regularly our colleagues a helping hand acknowledged the work of culture surveys for each need support and ask how they can help regularly acknowledge the work of colleagues colleagues service area at the outset 8% 9% Now that’s Now that’s 6 in 10 9 in 10 and changes are tracked as Extra acts of kindness are twice as likely to happen since 2016 the programme progresses. Demonstrating our improvement To date, we have learned that at the end of the first 2 in 5 4 in 5 Demonstrating our improvement year of Values in Action the prevalence of the 9 7 in 10 are now taking the time behaviours increases by an think that their colleagues are are doing an extra kind thing to explain the average of approximately aware that their actions can impact on how other people feel and hearing about colleagues also doing an extra kind thing Now an� th� Nex� 10pc. By the end of the to patients and service users second year, as we are 6% 6% 39% currently seeing in the Mid West, the behaviours begin since 2016 to embed and become 9 in 10 Our Champions’ community internalised as they start to is growing become ‘the norm’ for how things are done in that area. DNCC did a baseline survey in May 2018, and there will say that they recognise each other’s work by be comparative data to offering positive feedback and thanks for support some or all of the time share next summer. If Values in Action has not 167 has mutiplied to 611 yet started in your area, keep Our Champions’ community your eyes open to see when is growing your workplace will become HELLO my name is... part of the social movement. In the meantime, you can It has become the norm to follow the progress online at ‘use my name and your name’ in interactions www.hse.ie/valuesinaction and on Twitter 99% @HSEValues. 453 has mutiplied to 523 47% since 2016 While we still have a significant way to go in Challenge toxic attitudes shaping the culture of and behaviours the health service, we are HELLO my name is... encouraged by the progress 65% to date, led by staff, in It has become the norm to now challenge colleagues when they experience unnacceptable changing the culture ‘use my name and your name’ behaviour or relentless negativity and cynicism when they encounter it through the Values in in interactions Action behaviours. 15% Here’s to taking the next 99% steps of the staircase together. Together we are building 20 health a better health matters service winter 2018 Together we are building a better health service
‘Going blind terrified me annual appointments. The time you spend in the clinic might be the thirty most important minutes of your life, and the world never looks but Diabetic RetinaScreen better than on the day you get a good result.” The HSE is urging anyone living with Type 1 or 2 diabetes in Ireland, aged 12 has eased all my fears’ years and over, to make sure they register for free retinal screening on www. diabeticretinascreen.ie. Diabetic RetinaScreen has detected When well-known journalist Philip Nolan was but more came when the National Diabetic retinopathy in over 4,000 patients, many first told he had Type 2 diabetes soon after his RetinaScreen programme was rolled out.” of whom would not have known about the 50th birthday, his biggest fear was going blind. Diabetic RetinaScreen – the HSE’s National disease until it progressed to a more critical Retinopathy, a common complication of Diabetic Retinal Screening Programme offers stage without screening. diabetes, is one of the leading causes of free, annual screening for and treatment of Anyone with Type 1 or Type 2 diabetes is blindness in the working age population in diabetic retinopathy. at risk of developing diabetic retinopathy. Ireland. However, it is largely treatable if Philip now gets his eyes checked annually. Regular eye screening, using specialised detected early through regular screening. “An appointment card comes through the digital photography, can detect the condition Philip urged everyone to sign up to the post and I go to the clinic in Bray, Co Wicklow. at an early stage, before any noticeable National Diabetic RetinaScreen, insisting The procedure is very simple. You fill out a symptoms or changes occur in sight. Any that the few minutes you spend at your form, have drops put in your eyes to widen the recommended follow-up investigation or appointments there could be the most pupils – it stings a little, but nothing to worry treatment of diabetic retinopathy is provided important of your life. about - and wait 15 minutes or so, after which free of charge as part of the programme. “The thought of going blind terrified me. high-resolution photographs are taken of your For more information or to self-register, At the time, I booked a private appointment retinas,” said Philip. call Freephone 1800 45 45 55 or visit www. and was told that if I wasn’t sitting in front of “It’s advisable to have someone drive you, diabeticretinascreen.ie. Diabetic RetinaScreen the ophthalmologist, he wouldn’t know from or take public transport, because your vision is part of the HSE National Screening Service. the scans if I was 50 or 15,” explained the can be blurred for several hours, though mine newspaper columnist. tends to readjust within an hour or so. If it’s “Finding out that a nice day, bring sunglasses, because the my eyes still brightness can be hard on the eyes. were unaffected “The whole procedure takes less than half The time you and actually in an hour, and your results arrive in the post spend in the clinic good shape was a few weeks later. I’ve been lucky, in that all such a comfort, my scans have been clear - but I wouldn’t be might be the 30 most without the comfort of knowing that my eyes important minutes of your are being monitored every year and also that, if a problem arises, it can be dealt with. life, and the world never “I strongly urge anyone with diabetes - Type looks better than the day 1 or Type 2 - to make sure they’re registered for Diabetic RetinaScreen and to keep their you get a good result Getting mucky for a cause On a very wet Saturday morning in October, Catherine Kelly, Case Manager, Children Complex Health Needs (CCHN) CHO1 led a team of 20 people into the mud in order to raise funds for two very deserving charities – BUMBLEance and The Jack & Jill Foundation. A mud-run was something that Catherine had always wanted to do and decided that she wanted to mark a ‘significant’ birthday by doing something a little bit different and also help raise some much needed funds for these two charities. The services offered by these charities to children across CHO1 are vital so Catherine opted to assist in a Catherine Kelly and her colleagues and friends who took part int he mud run. small way as she has first-hand experience of how important these services are to many A total of €1200 was raised to be divided took part had a great time and can’t wait to do children and families in CHO1 equally between the charities. Everyone who it again next year! 2018 winter health matters 21
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