A5028538552- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Cancer survivorship and care
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Family and Patient Care in Intensive Care Units
- Pain Management and Opioid Use
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Patient-Provider Communication in Healthcare
- Glioma Diagnosis and Treatment
- Pediatric Pain Management Techniques
- Ethics in medical practice
- Family Support in Illness
- Pancreatic and Hepatic Oncology Research
- Economic and Financial Impacts of Cancer
- Frailty in Older Adults
- Respiratory Support and Mechanisms
- Empathy and Medical Education
- Chronic Disease Management Strategies
- Global Cancer Incidence and Screening
- Healthcare Decision-Making and Restraints
- Pharmacological Effects and Toxicity Studies
- Emergency and Acute Care Studies
The University of Melbourne
2016-2025
Peter MacCallum Cancer Centre
2006-2025
The Royal Melbourne Hospital
2009-2025
St Vincent's Hospital
2016-2025
National Council for Palliative Care
2014-2024
Victoria Park
2024
RMIT University
2024
Melbourne Health
2021-2024
Western Health
2024
Victorian Comprehensive Cancer Centre
2017-2023
As the complexity of cancer treatment increases so too has need for coordination between health care professionals. Multidisciplinary meetings are a useful tool in treating patients with and shown to improve survival adherence evidence based-guidelines.
Despite evidence for early integration of palliative care people with advanced cancer and their families, patterns late engagement continue. Prior research has focused on health professionals' attitudes to few studies exploring the views patients carers.To explore initial perceptions when this is first raised families in Australian settings.Cross-sectional, prospective, exploratory qualitative design, involving narrative-style interviews underpinned by an interpretative phenomenological...
The unaddressed palliative care needs of patients with advanced, nonmalignant, lung disease highlight the urgent requirement for new models care. This study describes a integrated respiratory and service examines outcomes from this service. Advanced Lung Disease Service (ALDS) is long-term, multidisciplinary, In single-group cohort study, demographic prospective outcome data were collected over 4 years, retrospective evaluation unscheduled healthcare usage. Of 171 included, 97 (56.7%) male...
Hepatocellular carcinoma (HCC) is a leading cause of cancer deaths both globally and in Australia. Surveillance for HCC at-risk populations allows diagnosis at an early stage, when potentially curable. However, most Australians diagnosed with die the or liver disease. In changing landscape management, unique challenges may lead to clinical practice variation. As result, there need identify best management Australian context. This consensus statement has been developed health professionals...
Dyspnea is a common symptom in palliative care. Despite this, there uncertainty regarding the role of oxygen to treat patients with advanced illness. This randomized, double-blind, crossover trial examined effect versus air on relief dyspnea cancer. Following blinded administration and via nasal prongs, 51 rated indicated preferences for treatments. On average, improved symptomatically both oxygen, were no significant differences between The subgroup 17 hypoxic overall did not demonstrate...
Objectives Carers of patients with high-grade primary malignant glioma (PMG) are known to face extraordinary challenges, as they care for multiple profound and often devastating physical, cognitive behavioural changes. This study aimed understand the supportive palliative needs in this setting, a particular focus upon at end-of-life, which has hitherto been neglected. Methods prospective qualitative undertook in-depth interviews 23 current bereaved carers adults PMG. were recruited from...
Lung cancer remains the leading cause of death, and it is known many affected will have significant palliative care needs. Evidence suggests that early involvement can translate into improvements in quality care, life, survival. However, routine integration yet to be embraced as standard for majority patients, unclear what lung clinicians continue perceive barriers this model care.We performed a qualitative exploration clinicians' perceptions, focusing on current experiences engaging with...
Background: Communication about palliative care is a complex task frequently delayed until otherwise unavoidable. There need for discussion of to be viewed as distinct communication that guided by empirical data. However, little known patient views and responses these encounters. Aim: To explore surrounding their its discussion. Design: Cross-sectional, prospective, exploratory qualitative design, involving narrative-style interviews underpinned an interpretative phenomenological framework....
Health professionals commonly underestimate caregiver needs for information about palliative care, death and dying may feel poorly prepared to discuss these issues. Few studies have sought perspectives of communication practices.To explore on death, the introduction with a view towards series caregiver-informed recommendations use in clinical practice.Cross-sectional, prospective, exploratory qualitative design, involving narrative-style interviews underpinned by an interpretative...
Background: Respite services are recommended as an important support for caregivers of children with life-threatening conditions. However, the benefits respite have not been convincingly demonstrated through quantitative research. Aim: To determine impact out-of home care on levels fatigue, psychological adjustment, quality life and relationship satisfaction among Design: A mixed-methods, pre-test post-test study Setting/participants: consecutive sample 58 parental whose were admitted to a...
Abstract Background The COVID-19 pandemic disrupted many areas of life, including culturally accepted practices at end-of-life care, funeral rites, and access to social, community, professional support. This survey investigated the mental health outcomes Australians bereaved during this time determine how these factors might have impacted bereavement outcomes. Methods An online indexing experiences, levels grief, depression, anxiety, health, work, social impairment. Latent class analysis...
The final three days of life 50 consecutive patients on a busy integrated palliative care service is described, with regard to cause death, symptom control, drug prescription, retention personal function, and other measures possibly relevant dignity in dying. Good relief was maintained without rapid or high escalation doses morphine sedatives. Personal function at least moderate degree the majority patients. This study also illustrates some difficulties describing evaluating concept “dying dignity”.
Abstract Background Patients with cancer are presenting to emergency departments ( ED ) for end‐of‐life care increasing frequency. Little is known about this experience patients and clinicians in A ustralia. Aims To assess the barriers enablers regarding as perceived by ustralian clinicians. Methods There were 4501 invited through their professional colleges complete an online survey, using multiple‐choice free‐text responses. Results total of 681 responded, most (84.2%) felt comfortable...