A5067661749- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Grief, Bereavement, and Mental Health
- Intensive Care Unit Cognitive Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Fashion and Cultural Textiles
- Geriatric Care and Nursing Homes
- Delphi Technique in Research
- Pain Management and Opioid Use
- Pain Management and Placebo Effect
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Pediatric Pain Management Techniques
- Dementia and Cognitive Impairment Research
- Workplace Health and Well-being
- Ethics in medical practice
- SARS-CoV-2 and COVID-19 Research
- Family and Patient Care in Intensive Care Units
- Advanced Biosensing Techniques and Applications
- Hip and Femur Fractures
- Clinical practice guidelines implementation
- Clinical Reasoning and Diagnostic Skills
Marie Curie
2016-2025
University College London
2016-2025
Faculty (United Kingdom)
2024
Medway NHS Foundation Trust
2023
University Hospital Southampton NHS Foundation Trust
2020-2023
Southampton Solent University
2022
Institut Pierre Louis d‘Épidémiologie et de Santé Publique
2021
Assistance Publique – Hôpitaux de Paris
2021
Inserm
2021
Sorbonne Université
2021
Background Dementia is common in older people admitted to acute hospitals. There are concerns about the quality of care they receive. Behavioural and psychiatric symptoms dementia (BPSD) seem be particularly challenging for hospital staff. Aims To define prevalence BPSD explore their clinical associations. Method Longitudinal cohort study 230 with dementia, aged over 70, medical illness, assessed at admission every 4 (±1) days until discharge. Other measures included length stay, indicators,...
Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain dementia admitted general hospitals explore association between behavioural psychiatric symptoms (BPSD). conducted a longitudinal cohort study 230 people, aged above 70, unplanned medical admissions 2 UK hospitals. Participants were assessed at baseline every 4 days for self-reported (yes/no question FACES scale) observed (Pain Assessment Advanced Dementia scale [PAINAD]) movement...
The acute hospital is a challenging place for person with dementia. Behavioural and psychological symptoms of dementia (BPSD) are common may be exacerbated by the environment. Concerns have been raised about how BPSD managed in this setting over reliance on neuroleptic medication. This study aimed to investigate UK hospitals.
•This ESMO Clinical Practice Guideline provides key recommendations for using prognostic estimates in advanced cancer.•The guideline covers patients with cancer and an expected survival of months or less.•An algorithm use clinical predictions, factors multivariable risk prediction models is presented.•The author group encompasses a multidisciplinary experts from different institutions Europe, USA Asia.•Recommendations are based on available scientific data the authors' collective expert opinion.
Pain and delirium are common in people with dementia admitted to hospitals. These often under-diagnosed under-treated. is implicated as a cause of but this association has not been investigated setting.
<h3>ABSTRACT</h3> An accurate prognosis about how long a terminally ill patient has left to live, when disclosed sensitively in open discussions, can facilitate patient-centred care and shared decision making. In addition, several guidelines, policies funding streams rely, some extent, on clinician estimated prognosis. However, predictions alone have been shown be unreliable over-optimistic. The factors underlying clinicians’ prognostic decisions (particularly at the very end of life) are...
Abstract This paper provides new information on the evolution of Himalayan foreland basin in under‐reported region Kangra and Subathu sub‐basins, NW India. Comparisons are made with better documented co‐eval sediments Nepal Pakistan to build up a broader picture development. In sub‐basin, shallow marine Palaeocene–lower Lutetian Formation unconformably overlain by continental alluvial Dagshai Kasauli Formations Siwalik Group. The start deposition is now dated at younger than 31 Ma from...
Virtual Reality can help alleviate symptoms in a non-palliative care population. Personalized therapy further these symptoms. There is little evidence palliative population.To understand the feasibility of repeated personalized virtual reality sessions population.A randomized control trial. Intervention: reality, Control: non-personalized reality. All participants completed 4-minute session for 4 weeks. At each point, Edmonton Symptom Assessment System-Revised (scored 0 = none up to 100...
<h3>Introduction</h3> Evaluating the impact of prognostic models in advanced cancer is challenging due to inconsistent outcome reporting and limited consideration patient caregiver perspectives. We have therefore developed a Core Outcome Set (COS), assist with standardising evaluation prognostication cancer. <h3>Aims</h3> To achieve consensus on most important outcomes for assessing people living <h3>Methods</h3> identified 67 from systematic review interviews prioritised them through...
Background Respiratory viral infections (RVIs) are a significant cause of morbidity and hospital admission worldwide. However, the management most infection-associated diseases remains primarily supportive. The recent COVID-19 pandemic has underscored urgent need for deeper understanding RVIs to improve patient outcomes develop effective treatment strategies. Understanding Infection, Viral Exacerbation Symptoms at Admission-Longitudinal Study is an observational study which addresses this by...
Background There is a growing body of evidence that links employee well-being to organizational performance. Although police forces are under increasing pressure improve efficiency and productivity, the evaluation in law enforcement mostly restricted self-report stress questionnaires based on questionable construction methodologies. No instrument specifically determine force employees currently exists. Aims To construct an measures work-related officers staff within force. Methods The...
It has been documented that pain in people with dementia is often under-reported and poorly detected. The reasons for this are not clearly defined. This project aimed to explore semantic concepts of whether associated clinical report. Cohort study nested cross-sectional analysis. Acute general hospital medical wards older people. People (N = 26) control participants 13). Two subtests memory pain: 1) Identifying painful situations from a standardized range pictures; 2) Describing the concept...
Objectives Research suggests that clinicians are not very accurate at prognosticating in palliative care. The ‘horizon effect’ accuracy ought to be better when the survival of patients is shorter. aim this study was determine specialist care identifying which likely die within 72 hours. Design In a secondary data analysis prospective observational study, doctors and nurses (in hospice hospital team) provided predictions (yes/no/uncertain) about would Results Survival were obtained for 49...
Objectives To identify a group of palliative care doctors who perform well on prognostic test and to understand how they make their survival predictions. Design Prospective observational study two cross-sectional online studies. Setting Phase I: an test, developed from prospective patients referred care. II: judgement task consisting 50 hypothetical vignettes. Participants All members the Association Palliative Medicine (APM) were eligible (n=~1100). 99 completed included in phase I...
Background: Recommendations state that multidisciplinary team expertise should be utilised for more accurate survival predictions. How the discusses prognoses during meetings and how they reference time, is yet to explored. Aim: To explore temporality conveyed in relation patients’ hospice meetings. Design: Video-recordings of 24 were transcribed analysed using Conversation Analysis. Setting/participants: A total 65 staff participating a UK from May December 2021. Results: Team members three...
Aim To explore the practice of experienced stroke nurse researchers to understand issues they face in recruiting participants. Background Participant recruitment is one greatest challenges conducting clinical research, with many trials failing due problems. Stroke research a particularly difficult area which recruit; however various strategies can improve participation. Discussion Analysis revealed three main types problems for participants research: those related patients, researcher, and...