A5062795370- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Intensive Care Unit Cognitive Disorders
- Venous Thromboembolism Diagnosis and Management
- Nausea and vomiting management
- Patient-Provider Communication in Healthcare
- Ethics in Clinical Research
- Anesthesia and Sedative Agents
- Psychosomatic Disorders and Their Treatments
- Childhood Cancer Survivors' Quality of Life
- Ethics in medical practice
- Pharmacological Effects and Toxicity Studies
- Central Venous Catheters and Hemodialysis
- Chronic Disease Management Strategies
- Grief, Bereavement, and Mental Health
- Adolescent and Pediatric Healthcare
- Family Support in Illness
- Mental Health and Patient Involvement
- Pharmaceutical Practices and Patient Outcomes
- Health, Medicine and Society
- Interprofessional Education and Collaboration
- Atrial Fibrillation Management and Outcomes
- Family and Patient Care in Intensive Care Units
- Healthcare Systems and Practices
- Health Systems, Economic Evaluations, Quality of Life
Western Health
2024
Irish Hospice Foundation
2016-2022
Northern Ireland Hospice
2007-2021
Belfast Health and Social Care Trust
2017-2019
Hospice UK
2018-2019
Cardiff University
2019
University of Hull
2019
All Ireland Institute for Hospice and Palliative Care
2009-2018
Marie Curie Hospice
2015
Mater Hospital
2013
The prevalence of deep venous thrombosis in patients with advanced cancer is unconfirmed and it unknown whether current international thromboprophylaxis guidance applicable to this population. We aimed determine predictors femoral vein admitted specialist palliative care units (SPCUs).We did prospective longitudinal observational study five SPCUs England, Wales, Northern Ireland (four hospices one unit). Consecutive adults underwent bilateral ultrasonography on admission weekly until death...
Project ECHO (Extension for Community Healthcare Outcomes) uses teleconferencing technology to support and train healthcare providers (HCPs) remotely, has improved care across the USA. A 6-month pilot was trialled in a community palliative nursing setting determine if would be effective UK providing education hospice nurses (CHN).The involved weekly 2 hour sessions of teaching case-based discussions facilitated by staff linking with nine teams CHN using video conferencing technology....
Additional treatment with catheter-directed thrombolysis (CDT) has recently been shown to reduce post-thrombotic syndrome (PTS).To estimate the cost effectiveness of additional CDT compared standard alone.Using a Markov decision model, we two strategies in patients high proximal deep vein thrombosis (DVT) and low risk bleeding. The model captured development PTS, recurrent venous thromboembolism treatment-related adverse events within lifetime horizon perspective third-party payer....
To determine which symptoms experienced by patients admitted to a specialist palliative care unit are self-reported (SR) and only detected with systematic questioning (SQ).A retrospective chart review was performed of 50 patients. The admission proforma reviewed present, were SR, upon SQ.An average 13 (SR + SQ) per patient (range, 5-24). Forty-two different an 4 1-10). most common SR pain (72%), bowel disturbance (32%), nausea or vomiting (30%), mobility problems loss appetite (24%). On SQ...
Background: Polypharmacy and drug omissions (DO) (i.e., drugs prescribed but not administered) may impact on quality of life hospice inpatients. Aim: The study's objective was to assess for polypharmacy DO across inpatient units in Northern Ireland (NI). Design: A retrospective chart review consecutive admissions five adult hospices NI 2011–2012 performed. Only regularly oral nebulized medications were analyzed. Results: Inpatient (n=138) reviewed (58% male, median age 68, 91% had cancer)....
The publication of the United Kingdom (UK) Standards for Public Involvement (PI) (UK Standards) in research drew a clear line sand regarding importance utilising unique experience, skills and expertise that lay people may offer to development, conduct dissemination clinical research. UK provide benchmark which researchers should aim achieve, yet its implementation continues be step wise iterative process change management. A recent evaluation by regional group has suggested our understanding...
AbstractAbstractEvidence-based practice forms an essential part of modern medicine, but many treatments widely used in palliative care have never been proven to be effective. Attempts at performing research improve the evidence base often failed due poor trial accrual. Many researchers perceive gatekeeping by professionals (i.e. a reluctance contribute patients for studies) major reason this This review considers problem from trials, determines if is exclusive care, and identifies potential...
Background: Palliative and hospice care health professionals may be at risk of poorer psychological outcomes. It is unclear what specific stressors are experienced by staff impact they have on their wellbeing. Aims: To identify when working in an adult inpatient unit environment how these managed. Methods: Individual interviews were conducted with healthcare a unit. Findings: A total 19 interviewed. Six themes constructed, four related to experienced: unrealistic workload, patient care,...
Recruitment challenges to clinical research studies in palliative care settings, particularly hospices, are well documented. However, a recent study ( H ospice I npatient D eep vein thrombosis De tectio n (HIDDen) study) performed across five hospices the UK recruited above target and on time. We describe strategies that aided successful recruitment this study, lessons learnt for improving future studies. A review suggested ‘Social Marketing Mix Framework’ (SMMF) could help researchers with...
We describe a case of prolonged extra-pyramidal side effects after discontinuation haloperidol as an antiemetic.
To gain preliminary data regarding the prevalence of proximal deep vein thrombosis (DVT) in those with non-malignant conditions admitted to specialist palliative care units (SPCUs). Data were collected as part a prospective longitudinal observational study five SPCUs England, Wales and Northern Ireland (Registration: ISRCTN97567719) estimate femoral DVT people SPCUs. The primary outcome for this exploratory substudy was patients conditions. Consecutive consenting adults underwent bilateral...
Background: When young people with life-limiting diagnoses become too old for children's hospice services, they often experience challenges transitioning into adult services. A two-year pilot project was developed to try aid transitioning, which involved a day service occasional overnight trips. Aim: To evaluate the project. Method: Three focus groups made up of key stakeholders (young people, their parents and staff) were set analysed using an adopted thematic analysis framework. Results:...