Rehabilitation Services – The Path to Recovery

Rehabilitation is a complex, dynamic process, aimed at providing co-ordinated services to help overcome or reduce disability, following illness or injury.

Peamount Healthcare has three Rehabilitation Services:

Respiratory Rehabilitation ServiceAge Related Rehabilitation ServiceNeurological Rehabilitation Services

Respiratory Rehabilitation Service

Respiratory Rehabilitation Service

Peamount Healthcare’s Respiratory Rehabilitation Service investigates and treats respiratory disorders in adults. The Service treats conditions such as chronic lung disease, asthma and sleep disorders. This involves the assessment, diagnosis and treatment of patients’ symptoms including education in managing their condition, diet and smoking cessation.

Improving Patients’ Condition

The Service facilitates independent living, reduced hospital admissions and an improved quality of life for its clients.

In-Patient Care Specialists

The 25 bed unit provides specialist in-patient care for Asthma; Chronic Obstructive Pulmonary Disease (Chronic Bronchitis/ Emphysema), including Pulmonary Fibrosis, Sleep Problems (Obstructive Sleep Apnoea), respiratory problems associated with Neuro Muscular Disorders, Chronic Hypoventilatory Respiratory Failure (CHRF) and chronic lung infections such as Bronchectesis.

Out-Patient Clinical Support

The Respiratory out-patient department has 5 clinics each week for Sleep Investigations, Chronic Obstructive Pulmonary Disease, Asthma and Allergies, Condition Management and Smoking Cessation. Support services include Chest X- Rays, Pulmonary Function Tests (Breathing Tests), Respiratory Muscle Weakness Assessment, Oxygen Assessment, Full Polysomnography (Overnight Sleep Assessment), Arterial Blood Gases and TOSCA/Oximetry (Monitoring Oxygen/ Carbon Dioxide Levels).

Pulmonary Rehabilitation Programme

Conducted by the Physiotherapy Department with input from the Multi-Disciplinary Team, groups of between 6 and 8 patients are invited to attend two to three classes per week for eight weeks to reduce breathlessness through improved exercise tolerance.

Highly Experienced Multidisciplinary Team

The service is provided by a Multidisciplinary Team that includes Doctors, Nursing, Physiotherapists, Occupational Therapists, Social Workers, Speech and Language Therapists, Pulmonary Function Technician, Pharmacist, Radiologist and Dietician.

Referrals for Out-Patient and In-Patient Care

In-patients are transferred directly from acute General Hospital once their condition is stable for continuation of care. GPs refer patients directly to the out-patient clinics for investigation or management of any respiratory problem.

Age Related Rehabilitation Service

Age Related Rehabilitation

Peamount Healthcare’s Age Related Rehabilitation Service offers an in-patient rehabilitation programme to adults over 65 who have had a loss of independence due to injury or illness, such as stroke, musculoskeletal disorders and orthopaedic surgery.

Helping People to Help Themselves

Over three quarters of patients of this Service return home usually after a short stay. However due to their condition some people may not be able to return home and may be transferred to their referring hospital.

Hospitals Working Together

The Service accepts adults predominantly over 65 from all general hospitals but mainly from AMNCH Hospital (Tallaght). Younger people may be considered depending on their clinical needs.

Highly Qualified Professional Care

The Service has a 25 bed in-patient unit on the Peamount campus. Patients are admitted under a Consultant Geriatrician, and a Care Plan is developed based on their needs. Nurses, Health Care Attendants and Clinical Nurse Specialists work together to deliver dedicated care and support.

Patients are supported on a referral basis by Physiotherapists, Occupational Therapists, Speech and Language Therapists, Medical Social Workers, Dieticians and a Consultant in Psychiatry of Later Life.

Personal Assessment and Referrals

Referrals to this Service are accepted based on the likelihood they will benefit from rehabilitation and be suitable for admission. They must consent to rehabilitation and express a willingness and motivation to participate. Referrals are only accepted from a Consultant Geriatrician.

Neurological Rehabilitation Services

Neurological Rehabilitation Services

In September 2020, in line with the National Strategy and Policy for the Provision of Neuro-Rehabilitation Services in Ireland, a new level 2 inpatient specialist neuro-rehabilitation service opened on site for
patients predominantly under 65 years of age, with the support of Dublin Midlands Hospital Group (DMHG).

This 10 bedded service offers direct admission and timely access to neuro-rehabilitation to patients from acute hospitals in DMHG/CHO 7. Patients outside of this area were considered on a case by case basis and agreement made with referring hospital regarding repatriation if required upon completion of their rehabilitation.

Service provision is for patients with a sudden onset neurological illness/injury and / or sudden onset neurological conditions/syndromes which are not progressive in nature.

The rehabilitation service design is interdisciplinary and service planning has been underpinned by evidence-based practice and specialist expertise. Through an interdisciplinary team (IDT) model, each patient identifies their own goals that are meaningful to them and their families.