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
| Time | CONSULTATIONS |
| 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.
Repeat prescriptions. |
| 13:00:13:45 | Lunch and practice clinical meeting. |
| 13:45 to 14:00 | Medical Report froms |
| 14:00-14:15 | Medical Report |
| 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
Letters- 8
Forms -10
.