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A NIGHT NURSING SERVICE FOR PEOPLE WITH A NON-
MALIGNANT ILLNESSSarah Cronin, Deirdre Shanagher & Marie
Lynch,RCSI 35th Annual International Nursing & Midwifery Research and
Education Conference, March, 2016
Today…
• Dying in Ireland
• Dying at Home
• The NNC Service
• Trends in use
• Comparative analysis
Background
Death and Dying in Ireland
Irish Attitudes to End of Life
“ While a good death at home may not be feasible or desirable for everyone, it could undoubtedly be a reality for many more people if we nurture the services to support it”
(NHS, 2012)
Factors which can enable a person to die at home
Personal and Demographic Factors• Carers• Gender• Age • Marital Status• Level of Education• Presence of Advance Care Plan• Socioeconomic Status
Disease-related factors• Diagnosis• Co-morbidities• Symptom management • Pain
Environmental factors• Urban vs rural location• Availability of local services and supports – GP, OOH, SPCT• Hospital and residential care beds • Access to equipment• Formal supports
NNC Service
NNC use 2015 per illness category
MND
Other N
eurol
ogical
illne
ss
Demen
tia In
c Alzh
eimers
Heart F
ailure
Other C
irculat
ory
Respi
ratory Re
nal
All ot
her
0
20
40
60
80
100
120
140
160
Jan-Dec
Jan-Dec
NNC Service: Trends in Use
0200400600800
100012001400160018002000
308 208
728
424270
950
462 341
1232
570407
1473
742548
1734
20112012201320142015
Irish & UK Cancer & Non Cancer data 2011-2013
Irish MDS Data with IHF NNC Data 2013
Conclusions
• Not all people referred to SPC services require the NNC service
• Awareness raising about the service is required
• Appropriate use of the service should be exercised
• Comparison of data over a longer period of time is required to identify more trends
Next steps• Illness specific analysis of data
• Dementia – completed and report due in April 2016
• Heart Failure commencing April 2016
• Awareness raising with SPC teams
Contact InformationSarah Cronin, Dementia Development Officer
Information on NNC Service:
http://hospicefoundation.ie/healthcare-programmes/palliative-care/palliative-care-for-all/night-care/
