- Acute Ischemic Stroke Management
- Intracerebral and Subarachnoid Hemorrhage Research
- Atrial Fibrillation Management and Outcomes
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Heart Failure Treatment and Management
- Qualitative Research Methods and Ethics
- Childhood Cancer Survivors' Quality of Life
- Dementia and Cognitive Impairment Research
- Patient-Provider Communication in Healthcare
- Healthcare cost, quality, practices
- Venous Thromboembolism Diagnosis and Management
- Healthcare Systems and Practices
- Clinical Nutrition and Gastroenterology
- Patient Safety and Medication Errors
- Family and Patient Care in Intensive Care Units
- Interprofessional Education and Collaboration
- Sexual Assault and Victimization Studies
- Nutrition and Health in Aging
- Pharmaceutical industry and healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Occupational Therapy Practice and Research
- Pneumocystis jirovecii pneumonia detection and treatment
- Gender, Security, and Conflict
- Emergency and Acute Care Studies
University College London Hospitals NHS Foundation Trust
2024-2025
University College London
2024-2025
Liverpool Heart and Chest Hospital
2025
Liverpool John Moores University
2025
University of Liverpool
2020-2025
Chelsea and Westminster Hospital NHS Foundation Trust
2019
Barts Health NHS Trust
2013-2015
King's College London
2011-2012
Anticipating the burden of intracerebral haemorrhage is crucial for proactive management and building resilience against future health challenges. Prior forecasts are based on population demography to a lesser extent epidemiological trends. This study aims utilise selected modifiable risk factors socio-demographic indicators forecast incidence mortality in Europe between 2019 2050.
Abstract Aim (i) To explore the attitudes of patients with atrial fibrillation (AF) towards oral anti-coagulation (OAC) for stroke prevention post-intracerebral haemorrhage (ICH) and (ii) to factors that influence patients’ decision-making process prevention. Methods results Patients documented diagnosis AF history a non-traumatic ICH, who were eligible long-term OAC recruited from eight hospitals in England, using purposive sampling. Data collected semi-structured interviews analysed...
Abstract Background Stroke prevention in patients with atrial fibrillation (AF) post-intracerebral hemorrhage (ICH) is an area of clinical equipoise. Little known about the tools and processes that physicians use to make decisions regarding anticoagulation this high-risk patient population. Objective To explore physicians' decision-making process stroke AF a recent history ICH. Methods Qualitative study, utilizing semistructured interviews analyzed using Framework analysis. Results Twenty...
It is increasingly recognised that end-of-life care suboptimal, especially for those with advanced non-malignant diseases. This study shows individuals living heart failure have a number of palliative needs, including education, communication, symptom management and psychosocial needs. Clinicians struggled to discuss palliation patients due the unclear disease trajectory cardiac-specific barriers identifying Carers reported need greater social support better guidance on best practice care....
In patients with intracerebral hemorrhage (ICH) and prevalent atrial fibrillation (AF), the optimal stroke prevention strategy is unclear. We sought to estimate risk of cerebrovascular events among ICH survivors AF.
Abstract The aim of this survey is to provide a snapshot current practice regarding antithrombotic therapy (ATT) in patients with atrial fibrillation (AF) comorbid intracerebral haemorrhage (ICH). An online was distributed members the European Heart Rhythm Association. A total 163 clinicians responded, mostly cardiologists or electrophysiologists (87.7%), predominantly working University hospitals (61.3%). Most respondents (47.2%) had seen one five AF ICH last 12 months. Among sustaining an...
Tuberculosis (TB) is a serious but preventable and largely treatable disease caused by the bacterium Mycobacterium tuberculosis. Although there evidence that UK incidence remains stable, rates of disease, particularly in some London boroughs, remain high, earning it unenviable title 'tuberculosis capital Europe'. In March 2014 Public Health England published consultation document on collaborative strategy for tackling tuberculosis England. This highlights growing concern surrounding issue....
People who receive treatment for cancer value empathic, compassionate communication from healthcare professionals, however there is a gap in the provision of skills training. To address this gap, blended training course has been developed to support nurses and allied health professionals working care southeast London become more adept at communicating compassionately with patients families. The Compassionate Communication Cancer Care (4Cs course) encompasses online learning modules on...
There is increasing recognition that end-of-life care often suboptimal for those with advanced non-malignant diseases. Although patients reported little understanding of palliative care, it clear individuals living heart failure have a number needs. Among these are education, communication, symptom management and psychosocial In particular, this literature review found clinicians struggled to discuss palliation owing the unclear disease trajectory cardiac-specific barriers identifying Carers...
My current placement is on an upper gastro-intestinal (GI) surgical ward, area where many patients are dependent parenteral nutrition.
Student experiences in the real world of nursing
Introduction: Initiating long-term oral anticoagulation (OAC) therapy in intracerebral haemorrhage (ICH) survivors who have atrial fibrillation (AF) has clinical equipoise for stroke physicians internationally, given the lack of trial evidence. Understanding how make decisions about prevention these patients will support and improve current decision-making practice inform future guidelines. Aim: To explore physicians’ around prescription OAC with AF following an ICH. Methods: Qualitative...
<h3>Introduction</h3> Initiating long-term oral anticoagulation (OAC) therapy in patients with atrial fibrillation (AF) who have sustained an intracerebral haemorrhage (ICH) has clinical equipoise due to the lack of trial evidence. Understanding how physicians make decisions about stroke prevention these will support and improve current decision-making practice inform future guidelines. <h3>Aim</h3> To explore physicians' around prescription OAC for AF following ICH. <h3>Methods</h3>...