A5001857085- Pharmaceutical Practices and Patient Outcomes
- Dementia and Cognitive Impairment Research
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Geriatric Care and Nursing Homes
- Pharmaceutical studies and practices
- Chronic Disease Management Strategies
- Schizophrenia research and treatment
- Meta-analysis and systematic reviews
- Congenital gastrointestinal and neural anomalies
- Perfectionism, Procrastination, Anxiety Studies
- Sleep and related disorders
- Gastrointestinal motility and disorders
- Global Health and Surgery
- Family Caregiving in Mental Illness
- Mentoring and Academic Development
- Antifungal resistance and susceptibility
- Health Sciences Research and Education
- Respiratory and Cough-Related Research
- Neutropenia and Cancer Infections
- Antibiotic Use and Resistance
- Nursing education and management
- Mental Health and Psychiatry
University of Hull
2016-2025
University of East Anglia
2024
University of Exeter
2023
Baker Heart and Diabetes Institute
2010
RAND Corporation
2009
University of York
2009
University of Huddersfield
2009
University of Leeds
2009
University of Kent
2009
Department of Medical Sciences
2009
Abstract Background The prevalence of dementia is increasing rapidly. People with may be prescribed complex medication regimens, which challenging for them and any carers involved to safely manage. Objective To describe understand the key challenges, in relation issues, experienced by people their informal dwelling community potential role pharmacists. Design Qualitative semi‐structured interviews. Participants dementia, health social care professionals ( HSCP s). Results Thirty‐one...
<h3>Background</h3> Pharmaceutical care serves as a collaborative model for medication review. Its use is advocated older patients, although its cost-effectiveness unknown. Although the accompanying article on clinical effectiveness from RESPECT (Randomised Evaluation of Shared Prescribing Elderly people in Community over Time) trial finds no statistically significant impact prescribing patients undergoing pharmaceutical care, economic evaluations are based an estimation, rather than...
<h3>Background</h3> The pharmaceutical care approach serves as a model for medication review, involving collaboration between GPs, pharmacists, patients, and carers. Its use is advocated with older patients who are typically prescribed several drugs. However, it has yet to be thoroughly evaluated. <h3>Aim</h3> To estimate the effectiveness of people, shared GPs community pharmacists in UK, relative usual care. <h3>Design study</h3> Multiple interrupted time-series design five primary trusts...
Background Dementia with challenging behaviour (CB) causes significant distress for caregivers and the person dementia. It is associated breakdown of care at home disruption in homes. Challenge Demcare aimed to assist staff mental health practitioners who support families respond effectively CB. Objectives To study management CB homes (ResCare) family (FamCare). Following a conceptual overview, two systematic reviews scrutiny clinical guidelines, we (1) developed tested computerised...
"Behaviour that Challenges" is common in people living with dementia, resident care homes and historically has been treated anti-psychotics. However, such usage associated 1800 potentially avoidable deaths annually the UK. This study investigated feasibility of a full clinical trial specialist dementia pharmacist medication review combined health psychology intervention for staff to limit use psychotropics. paper focuses on feasibility; including recruitment retention, implementation change...
Abstract Background Acute leukaemias (AL) are life-threatening blood cancers that can be potentially cured with treatment involving myelosuppressive, multiagent, intensive chemotherapy (IC). However, such is associated a risk of serious infection, in particular invasive fungal infection (IFI) prolonged neutropenia. Current practice guidelines recommend primary antifungal (AF) prophylaxis to administered high-risk patients reduce IFI incidence. AFs also used empirically manage neutropenic...
Objective This study aimed to use qualitative methodology understand the current role of community pharmacists in limiting antipsychotics prescribed inappropriately for behavioural and psychological symptoms dementia. Design A employing focus groups was conducted. Data were analysed using thematic analysis. Setting 3 different geographical locations England. Participants Community (n=22). Results The identified an array factors constraints, which affect ability contribute initiatives limit...
Introduction The inappropriate use of antipsychotics in people with dementia for behaviour that challenges is associated an estimated 1800 deaths annually. However, solely focusing on may transfer prescribing to other equally dangerous psychotropics. Little known about the role pharmacists management psychotropics used treat behaviours challenge. This research aims determine whether it feasible implement and measure effectiveness a combined pharmacy–health psychology intervention...
Abstract Background People living with dementia in care homes frequently exhibit “behaviour that challenges”. Anti-psychotics are used to treat such behaviour, but associated significant morbidity. This study researched the feasibility of conducting a trial full clinical medication review for home residents behaviour challenges, combined staff training. paper focusses on measuring outcomes and intervention costs. Methods moderate severe dementia, receiving psychotropics were recruited by...
Background The principle of epistemic justice (EJ) recognises the need for a person’s voice to be both heard (testimonial) and understood (hermeneutic) in generation meaning. Funding bodies now require all research have embedded patient public involvement (PPI) — an active partnership between patients, carers, with researchers, which influences shapes research. Aim Current PPI initiatives potentially enable testimonial ensuring voices are heard. But do they adequately support hermeneutical...
This trial aims to investigate the effectiveness and cost implications of 'pharmaceutical care' provided by community pharmacists elderly patients in community. As UK government has proposed that 2004 pharmaceutical care services should extend nationwide, this provides an opportunity evaluate effect for elderly. The design is a randomised multiple interrupted time series. We aim recruit 700 from about 20 general practices, each associated with three pharmacies, five Primary Care Trusts North...
This article gives an overview of the journey four paramedic advanced practitioners working towards a non-medical prescribing qualification. The legislation was changed in April 2018 to allow paramedics undertake suitable validated higher education programme and on successful completion register with Health Care Professions Council as prescriber. background change, role three different clinical settings advantages that will bring for patient care these be discussed. barriers effectively...
Cognitive impairment is a core symptom of dementia and may affect the sufferer's capacity to manage their medication. Informal (family) caregivers need support medication-taking, encourage adherence, understand side-effects thus have key role ensuring safe effective medication use. As cognitive increases, management becomes less personal responsibility person with dementia, more an activity controlled by caregivers, who not feel equipped for such expanded role. T he further research, on...
BackgroundThe RESPECT (Randomised Evaluation of Shared Prescribing for the Elderly in Community, randomised over Time) trial was a multi-centre pragmatic pharmaceutical care community, which took place five areas East and North Yorkshire.ObjectivesThis paper reports qualitative study designed to explore attitudes community pharmacists towards process ‘pharmaceutical care’ as tested trial.MethodsWe recruited 21 from into four focus groups, moderated by an independent researcher, analysed...