This practice sees a wide range of people on a typically busy day.
PRACTICE NAME Ballyjamesduff Family Practice, Granard Road, Ballyjamesduff, Co. Cavan
ESTABLISHED: 40 years ago. Dr Goonewardena joined in 2016, and Dr Emer Byrne in 2018.
PATIENT PROFILE Medical cards : Over 2500 GMS and over 1000 Private. Catchment area: Ballyjamesduff area : Population of about 3000.
STAFF PROFILE 2 GPs, 2 nurses, 4 administrative staff.
DIARY of a typical day for Dr Goonewardena at the practice
SOME DETAILS HAVE BEEN CHANGED TO PROTECT IDENTITIES
|900-0915||Discussing blood pressure monitor results with a patient – advising on the importance of lifestyle changes and optimising medication.|
|915-0930||Young mother for a pregnancy check up and antenatal vaccines.|
|0930-0945||Giving advice on long acting contraception and discussing discussing options.|
|0945-1000||Mechanical injury at work – advise on pain killers, rest and excursuses to help recovery. Discussing time off work.|
|1000-1015||Teenager with asthma – advise on inhaler use, treatment of asthma and education on preventing exacerbations.|
|1015-1040||Young lady with an ear infection – realisation that underlying issue is health anxiety. Long consultation about family, anxiety and stress.|
|1040-1050||Blood pressure – optimising medication and lifestyle advise.|
|1050-1105||Driving medical : Testing medical suitability to continue to drive.|
|1105-1120||Chest infection – treatment along with smoking cessation and weight advise.Chest X-ray request.|
|1120-1135||Medical Report – for illness benefit and discussion about returning to work after illness.|
|1135-1145||Sick child with ear infection.|
|11:45-12:00||Lady with recent dizziness- management of vertigo and discussion with family regarding supports.|
|12:00-13:00||Ringing patients for advise on test results, queries.
|13:00:13:45||Lunch and practice clinical meeting.|
|13:45 to 14:00||Medical Report froms|
|14:15-14:30||Review of patient with chest complaints – checking for heart disease, lifestyle advise. arranging further investigations.|
|14:30-14:45||Multiple issues-Optimising patients medication- diabetes, and blood pressure.|
|14:45-15:00||Elderly man with urine symptoms- tests and examination for prostate. Treatment|
|15:00-1515||Elderly man with knee and hip pain – advise on analgesia, exercise advise. out patient x-ray tests.|
|1515-1530||Recurrent chest complaints – optimising inhalers and lifestyle advise.|
|1530-1545||Middle aged man with shoulder pain – pain control and physiotherapy.|
|1545-1600||Elderly lady with memory problems- further tests, medical management and referral|
|1600-16:15||Child with an ear ache – treatment, advise on weight, activity and diet.|
|16:15-16:30||Complex bowel complaints : initial examination and referral to specialist for further tests|
|16:30-16:45||Man with chest pain- arranging heart test and referral for further tests.|
|16:45-17:00||Lady with recurrent Urine infections and bladder problems – treatment. Out patient investigations.|
In addition Dr Emer Byrne saw her patients.
SUMMARY OF OTHER WORK IN THE PRACTICE THAT DAY
Prescriptions -40 patients
Phone calls- GPs 14, Nurse 20