A5079820456- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Geriatric Care and Nursing Homes
- Meta-analysis and systematic reviews
- Grief, Bereavement, and Mental Health
- Dialysis and Renal Disease Management
- Interprofessional Education and Collaboration
- Global Health Workforce Issues
- Migration, Health and Trauma
- Childhood Cancer Survivors' Quality of Life
- Advanced Causal Inference Techniques
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences Research and Education
- Ethics in Clinical Research
- Chronic Kidney Disease and Diabetes
- Maternal and Perinatal Health Interventions
- Patient-Provider Communication in Healthcare
- Pregnancy-related medical research
- Healthcare cost, quality, practices
- Frailty in Older Adults
- Cultural Competency in Health Care
- Delphi Technique in Research
- Oral health in cancer treatment
- Cultural, Psychoanalytic, and Sociopolitical Reflections
- Tuberous Sclerosis Complex Research
Bradford Teaching Hospitals NHS Foundation Trust
2022-2024
University of Bradford
2022-2024
Marie Curie
2023
University of Leeds
2023
St Christopher's Hospice
2013-2023
Aintree University Hospitals NHS Foundation Trust
2023
University of Liverpool
2023
St. Clare Hospital in Lakewood
2023
Hull York Medical School
2012-2022
University of Hull
2003-2022
Background: There are limited data on the outcomes of elderly patients with chronic kidney disease undergoing renal replacement therapy or conservative management. Aims: We aimed to compare survival, hospital admissions and palliative care access aged over 70 years stage 5 according whether they chose Design: Retrospective observational study. Setting/participants: Patients attending pre-dialysis clinic. Results: In total, 172 management 269 therapy. The group survived for longer when...
To develop insights into response of palliative care services caring for people from ethnic minority groups during COVID-19.
Context The challenge to provide a palliative care service for individuals with advanced neurological conditions is compounded by variability in disease trajectories and symptom profiles. National End of Life Care Programme (2010) recommended seven ‘triggers’ approach patients conditions. Objectives To establish the frequency triggers phase, if they could be reduced fewer components. Management terminal phase also was evaluated. Method Retrospective study 62 consecutive under specialist...
Background People with advanced neurological conditions (ANCs) face complex problems and needs that are often unrecognised undertreated. Their last year of life may be characterised by unplanned hospital admissions an unexpected death. A National End-of-Life Care Programme (NEoLCP) 2010 framework made recommendations to aid timely appropriate end-of-life care for people ANCs. Objectives Assessment key outcomes a UK nurse-led palliative neurology service against the NEoLCP standards. Method...
Background: The use of specific triggers has been suggested to help identify patients with progressive neurological disease who would benefit from palliative care. Aim: This study aimed improve the evidence base for disease. Design: An evaluation care services was undertaken using a retrospective case note review timing and presence in last 2 years life. Setting/participants: A total 12 specialist units across United Kingdom provided data 300 patients: mean patient age 70 years, 50% male,...
Background: Missing data can introduce bias and reduce the power, precision generalisability of study findings. Guidelines on how to address missing are limited in scope detail, poorly implemented. Aim: To develop guidelines best (i) reduce, (ii) handle (iii) report palliative care clinical trials. Design: Modified nominal group technique. Setting/participants: Patient public research partners, clinicians, trialists, methodologists statisticians attended a 1-day workshop, following which...
The aim of the study is to identify factors associated with a second stage labour greater than 2 hours in nulliparous women delivering at term. It retrospective case-control 182 less hours' duration, matched hours. Women short were significantly younger (mean age 23.2 vs. 24.9 years) and had smaller babies weight 3315 g 3463 g) long stage. Long duration was oxytocin epidural use. intervention rate did not rise above 50% until exceeded 5 duration. fetal outcome good both groups patients.
Individuals from minoritised ethnic backgrounds are less likely than individuals the dominant group to access palliative care services and have documented Advance Care Plans. They more be admitted hospital in last months of life.To use Community Readiness Model identify barriers that influence how South Asian communities two new services.The is a validated tool measures readiness community. Key stakeholders were asked to: (i) complete questionnaire assess communities' engage advance planning...
Introduction Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive lung disease that causes breathlessness cough worsen over time, limiting daily activities negatively impacting quality of life. Although treatments are now available slow the rate function decline, trials these have failed to show improvement in symptoms or There an immediate unmet need for evidenced-based interventions improve patients' symptom burden make difference everyday living. This study aims assess...
Background Homecare workers provide essential care at home for people end-of-life but are often poorly trained and supported. Aim To explore the experiences needs of homecare views clients carers, other community-based health social staff about worker role, including identification good practice. Methods In this qualitative exploratory study, we will conduct 150 semi-structured interviews with within three geographic English localities chosen maximum socio-demographic variation. Eligible...