HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

8th Edition of Nursing World Conference

October 17-19, 2024 | Baltimore, USA

October 17 -19, 2024 | Baltimore, USA
NWC 2023

Claire Noonan

Speaker at Nursing Conferences - Claire Noonan
Age related Health care, Tallaght University Hospital, Ireland
Title : Advanced nurse practitioner - Supported nursing home liaison service


Nursing Home Residents (NHR) are the frailest group of older people in society and require a gerontologically attuned approach to address multiple challenges presented to the practitioner.
In 2018 we commenced an advanced nurse practitioner (ANP) specialist liaison service with bespoke comprehensive geriatric assessment to support NHR admitted a tertiary referral university teaching hospital. Given the impact of COVID-19 on NHR in particular, this service was expanded to include a consultant physician and specialist registrar in geriatric medicine, when full care of NHRs came under geriatric medicine services. This also includes a two-week post-discharge virtual clinic with Nursing Home director of nursing and/or GP.
Information on all NHRs attending a tertiary referral university teaching hospital was collected from 2018-2023. Data on demographics, presenting complaints, CGA assessment, and outcomes on length of stay, emergency department recidivism, and mortality were collected. Impact on clinical outcomes of liaison care versus full geriatric medicine care are presented in this abstract
As result of the enhanced care model where full inpatient governance came under the geriatric medicine services we observed:
•    Readmission rate 37% (2018) vs 12.7% (2021)
•    Reduction in Length of Stay from 2018-2021 from 11%-10%
•    Halved the overall bed-usage days from 2018-2021 
The high complexity of this cohort of patients requires a timely, comprehensive gerontological approach in order to provide holistic care. Better care with CGA embedded also translates to better use of acute hospital resource.
Audience Take away Notes: 

  • How to develop a nurse led service to ensure nursing home residents receive appropriate direct gerontological care while in the acute hospital  to cater for their specific needs. 
  • This service is specific to nursing home residents care to enhance their journey through the acute services . it has grown and developed to reflect a true hospital without walls ensuring the resident  get the right care in the right place at the right time.    
  • The importance of having specific pathways for older people in an ageing population


Claire (RGN, NP, RANP) training in general nursing in Tallaght University Hospital (TUH) and Trinity College Dublin (TCD). Claire has completed a Post Grad diploma in Gerontological Nursing(2016) TCD  and Masters in Advanced Practice  (2010) in Trinity College Dublin. Currently Registered Advanced Nurse Practitioner in gerontology based in acute services. As part of her role as RANP she development the first nursing home liaison services within Tallaght University Hospital, to provide mainstream medical and emergency care to all nursing home residents admitted to acute services. She has presented at the Irish Gerontology Society and the All Ireland Integrated Care conferences and is currently sitting on multiple national working groups aimed at improving healthcare for older people in Ireland. She is committed to continued professional development and improving the healthcare experience for older people by providing evidence based best practice and continuity of care. She have been involved in various research projects and publications.