Background: constipation is one of the most common non-motor features Parkinson's affecting up to 90% patients. In severe cases, it can lead hospitalisation and usually managed with laxatives which in themselves side effects. Abdominal massage has been used as adjunct management various populations, but not those Parkinson's. Objective: primary objective was test recruitment, retention appropriateness intervention methods outcome measures. Methods: thirty-two patients were recruited from...

This study aimed to determine how the use and characteristics of absorbent products for incontinence impact on women's quality life, examine concept 'treatment effects' in context pad use.Key performance were identified from literature focus group work. Semi-structured interviews with 99 women light used investigate including both positive negative effects', rank by their importance.Achieving effective discrete containment urine was dominant factor impacting lives. Sub-themes embraced...

The primary aims of this study were to test the methodology for use in a future randomized control trial and investigate effect drinking caffeinated versus decaffeinated fluids on symptoms overactive bladder (OAB) women.A double-blind, randomized, crossover was conducted.Fourteen community-dwelling women newly diagnosed with OAB history caffeine consumption randomly allocated group A (14-day drink period followed by 14-day period) or B period). periods preceded run-in interspersed washout...

Objectives. To explore the experiences of people with Parkinson’s (PwP) who suffer from constipation, impact this has on their lives, and effect using lifestyle changes abdominal massage as a form constipation management. Method. Fourteen semistructured interviews were completed (8 males 6 females; mean age 72.2 years) at end care programme, which consisted either advice (intervention group;<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML"...

Objectives: Investigate the perspectives of patients and nursing staff on implementation an augmented continence care intervention after stroke. Design: Qualitative data were elicited during semi-structured interviews with ( n = 15) (14 nurses; nine assistants) analysed using thematic analysis. Setting: Mixed acute rehabilitation stroke ward. Participants: Stroke that experienced enhanced intervention. Results: Four themes emerged from patients’ describing: (a) challenges communicating about...

Findings from national audits and enquiries continue to report that care for patients with continence problems is often substandard inadequate education cited as one of the probable causes. These factors combined forecasted increase in number people incontinence prompted us undertake a survey all UK Higher Education Institutes (HEIs) establish amount undergraduate within relevant healthcare programs--medical, adult nursing, mental health learning disabilities children's midwifery,...

To investigate the clinical validity of a nurse practitioner emergency department-based service for investigating outpatients with suspected deep vein thrombosis.A prospective management study was undertaken to safety withholding anticoagulant treatment in patients who were negative testing after application an evidence-based protocol. The protocol involved assessment using Wells pretest score followed by investigations tailored risk category (variable combinations strain gauge...

Continence care is a high priority during the rehabilitative process following stroke. Effective continence can significantly improve quality of life patients and carers. A lack knowledge understanding likely causes incontinence lead to failure adopt correct strategies, which may in turn cause incontinence. Nurses are given little training support care, yet basic level ability assess potential problems rehabilitation progress outcomes.

Median sternotomy has been used for a long time as standard approach many cardiothoracic procedures in children. Many complications have reported to result from this with different incidences. Iatrogenic diaphragmatic hernia not definite complication of such approach. This paper presents case report 14-month-old boy iatrogenic following median sternotomy.

Abstract Aim Pulse oximetry has become a widely used technology in medicine and is standard part of monitoring neonatal medicine. Knowledge basic principles, clinical technical considerations important to optimise benefit use, but have been shown be insufficient paediatric staff. We aimed assess knowledge pulse medical staff, population not previously studied. Methods A 21‐item questionnaire (seven demographic, 14 knowledge) was devised then administered staff at all postgraduate levels...

Tracheal agenesis (TA) is a rare congenital defect consisting of complete or partial absence the trachea below larynx. Antenatal diagnosis challenging, and most cases are detected in postnatal period. Airway management such cases, particularly antenatal diagnosis, can be challenging. Various methods have been described but with limited success, overall prognosis remains very poor. We present an unexpected case TA, highlighting issues diagnostic methods.

<h3>Objectives</h3> We hypothesise that endotracheal intubation success and adverse incidents are related to the level of trainee performing intubation. <h3>Method</h3> Retrospective analysis primary intubations performed by a 2 neonatal unit over 18 months. Patients were identified using SEND summary coding checking against records drug use. Data collected included gestation, weight, indication for influencing factors, such as administration sedation patient co-morbidities. Outcome measures...

<h3>Objective</h3> The Paediatric Difficult Intubation Registry identified complications in 20% of paediatric intubations; associations include multiple attempts and delayed escalation to indirect laryngoscopy.¹ Adult ICUs PICUs have standardised approaches for difficult airway management. However the PIC-NIC survey found that this is limited within NICUs, despite increasingly trainee management exposure.²BAPM 2020 guidance recommended every neonatal centre...

<h3>Objectives/Background</h3> Workforce recruitment/retention is a growing concern in all specialties, particularly paediatrics – we must better support our workforce and facilitate flexible working preferences. The annual London School of Paediatrics (LSP) trainee survey has recurrently identified rota as an area frustration for trainees, with 80% respondents reporting this major issue 2020. <h3>Specific frustrations cited included</h3> Lack flexibility Frustration/anxiety over last minute...

<h3>Aims and Objectives</h3> Cauda Equina Syndrome (CES) is a neurosurgical emergency that requires urgent assessment intervention. GIRFT recommendations suggest MRI scanning should be available 24/7 but our ED had limited access in hours only 2 slots at weekends. AIM: To increase the availability earlier to for patients with suspected cauda equina syndrome. <h3>Method Design</h3> The radiology departments collaborated develop an direct scan (DTS) pathway bypassing discussions. Using...

<h3>Aims</h3> Following the introduction of health start recommendations1 in 2006 a Camden based audit found only 19% at risk children were being correctly supplemented. In an 18 month period (2009/10), we identified 6 patients from this ethnically diverse borough presenting to UCLH with hypocalcaemic seizures. This second cycle close loop will determine if reflects suboptimal change community practice. <h3>Method</h3> Having attained ethical approval, are now delivering same questionnaires...

Introduction There is growing evidence that simulation-based training (SBT) effective as an educational intervention with translation of learning to the workplace.1 Successful management difficult paediatric or neonatal airways depends on dynamic and team working, pooling skills between specialities, attention appreciation role human factors plays in outcome endeavour.2 In addition challenges forming effective, cohesive team, differences clinical approach specialities can pose additional...

Introduction Growing evidence supports simulation-based training (SBT) as an effective educational intervention with translation of learning to the workplace.1 Limitations traditional simulation centre based teaching include accessibility, cost and limited knowledge regarding duration retention need for repetition attendance. Simulation integrated into clinical environment on-duty clinicians during their actual workday (in situ) offers potential frequent repetition, experiential within team...

Background The DAMPN (Developing an approach to Airway Management in Paediatrics and Neonates) was borne from recognition that successful management of difficult paediatric neonatal airways depends on effective team working, pooling skills between specialities, appreciation the role human factors.1 Traditional training courses are often speciality specific. In order deliver a high impact airway course, we first needed build cohesive faculty with diverse expertise. benefits simulation as...