A5010523574- Palliative Care and End-of-Life Issues
- Dysphagia Assessment and Management
- Childhood Cancer Survivors' Quality of Life
- Lung Cancer Treatments and Mutations
- Tracheal and airway disorders
- Lung Cancer Research Studies
- Esophageal and GI Pathology
- Cancer survivorship and care
- Botulinum Toxin and Related Neurological Disorders
- Lung Cancer Diagnosis and Treatment
- Pharmaceutical Practices and Patient Outcomes
- Pain Management and Opioid Use
- Body Composition Measurement Techniques
- Health Systems, Economic Evaluations, Quality of Life
- Patient Dignity and Privacy
- Olfactory and Sensory Function Studies
- Pharmacological Effects and Toxicity Studies
- Electrical and Bioimpedance Tomography
- Intensive Care Unit Cognitive Disorders
- Heart Failure Treatment and Management
- Pain Mechanisms and Treatments
- Advanced Chemical Sensor Technologies
- Biochemical Analysis and Sensing Techniques
- Oral and gingival health research
- Meta-analysis and systematic reviews
Our Lady's Hospital
2009-2024
St. James's Hospital
2019-2023
Trinity College Dublin
2019-2021
University Hospital Limerick
2019
Salford Royal NHS Foundation Trust
2014
Our Lady of Lourdes Hospital
2009-2012
St. Vincent's University Hospital
2006-2009
BlackRock (United States)
2008
St. Patrick's Hospital
2008
Cleveland Clinic
2006
Two hundred consecutive female patients, who were referred to a university-based facial pain clinic, asked mark all painful sites on sketches showing the contours of human body in frontal and rear views. The drawings analyzed with transparent templates containing 1875 (frontal view) 1929 (rear square cells equal size. average patient scored 71.8 99.7 view (corresponding 3.8% 5.2% maximum possible scores). In individual drawings, however, up 42.7% 44.9% marked. Only 37 cases (18.5%) exhibited...
Background: Specialist palliative care (SPC) services in Ireland are well developed by international standards. However, standardized information on all patients of SPC is not collected so the proportion seen with a noncancer diagnosis just an estimate at 5%. Aims: To describe Irish services' provision for, and attitudes to patients. Method: Postal questionnaire clinical managers listed directory Ireland, September 2005. Results: Sixty-five questionnaires were returned representing 100%...
Informal caregivers are important in enabling palliative care patients to die at home, including their role managing medications. Often these taking multiple medications, imposing an unnecessary burden on those who already struggling with oral intake. A literature review revealed that, while there a number of qualitative studies published examining the experience looking after end life, is dearth specifically impact medications caregivers. This study explores for dying focusing polypharmacy,...
Context: Taste and smell abnormalities (TSA) occur throughout the cancer trajectory regardless of primary site contribute to cancer-associated malnutrition. TSA etiology is poorly understood. Tumor-related inflammation a possible cause. Objective: This study examined prevalence, characteristics, severity in advanced explored relationship between nutritional status. No previous combined subjective objective measures for both taste assessment this population. Method: Consecutive hospice...
Abstract Background Taste and smell abnormalities (TSAs) are present in all cancer stages may contribute to malnutrition. Despite this, they rarely screened for. This study examined the prevalence characteristics of TSAs their influence on subjective food intake advanced cancer. Methods Consecutive patients with were recruited. A modified Smell Survey assessed TSAs. Objective validated taste strips “Sniffin Sticks.” six‐item questionnaire identified any effect had preferences/aversions....
Breathlessness support services have demonstrated benefits for breathlessness mastery, quality of life and psychosocial outcomes people living with breathlessness. However, these predominantly been implemented in hospital home care contexts. This study aims to evaluate the adaptation implementation a hospice-based outpatient Multidisciplinary Support Service (MBSS) Ireland. A sequential explanatory mixed methods design guided this study. People chronic participated longitudinal...
In recent years, the discipline of paediatric palliative care has emerged in response to awareness distinct needs dying children. To date, Ireland there is no paediatrician trained medicine, and specialist generally delivered by adult teams.We wished examine experience an service providing children.The study entailed three stages: (1) a retrospective chart review all children referred service; (2) questionnaire survey; (3) focus group explore views staff caring for main themes highlighted...
Accurate prognostication is an enormous challenge for professionals caring patients with advanced disease. Few studies have compared the prognostic accuracy of different professional groups within a hospice setting. The aim this study was to compare ability 5 estimate survival admitted specialist palliative care unit. No group accurately predicted length patient more than 50% time. Nursing and junior medical staff were most accurate while assistants least accurate. When in error, senior...
The Medical Literature Analysis and Retrieval System Online (MEDLINE) database provides many references for reviews, but relevant articles are missed, especially when the topic is complex. Reported here detailed methodology of a PubMed search MEDLINE augmented by related link search. Of 1181 citations identified, through search, 10 met inclusion criteria. Fifty-one were identified link; which 43 not detected standard searches using medical subject heading terms. More than 50% link. Only 14%...
Objectives To evaluate participant-reported atypical dysphagia symptoms and their association with oxaliplatin treatment. Methods This observational study recruited 73 adults solid tumours outside the head, neck or upper gastrointestinal tract. All had dysphagia, were in hospital hospice treated by Medical Oncology, Radiation Oncology Palliative Care. Participants reported experiences of swallowing difficulties semistructured interview. Oral Health Assessment Tool was used to ensure swallow...
<h3>Introduction</h3> Pharyngeal Electrical Stimulation (PES) is known to activate pharyngeal motor pathways. It has shown promise in acute stroke pilot studies, having improved swallowing function at 2-weeks.<sup>1,2</sup> <h3>Methods</h3> We aimed recruit 100 hospitalised patients with new-onset dysphagia within 6 weeks of three Greater Manchester centres. Participants were randomised either Active or Sham PES. Both interventions delivered via an intraluminal catheter, left <i>in situ</i>...
<h3>Background</h3> Insomnia involves difficulty with sleep onset, maintenance, early morning wakening or non-restorative sleep. Prevalence is 30%–75% in cancer. Consequences include fatigue and impaired memory concentration. It under-reported, overlooked severely impairs quality of life. ?Subjective diaries underestimate insomnia. Objective measurements previously required dedicated laboratories. Wireless medical technology enables objective measurement the natural environment....