A5083703937- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Palliative Care and End-of-Life Issues
- Clinical practice guidelines implementation
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Telemedicine and Telehealth Implementation
- Family and Patient Care in Intensive Care Units
- Patient Dignity and Privacy
- COVID-19 and Mental Health
- Healthcare Policy and Management
- Patient Safety and Medication Errors
- Vascular Procedures and Complications
- Health disparities and outcomes
- Pressure Ulcer Prevention and Management
- Healthcare Systems and Technology
- Grief, Bereavement, and Mental Health
- Patient Satisfaction in Healthcare
- Organ Donation and Transplantation
- Healthcare cost, quality, practices
- Nursing Diagnosis and Documentation
- Renal and Vascular Pathologies
Tung Wah College
2025
South Western Sydney Local Health District
2015-2024
UNSW Sydney
2008-2024
Ingham Institute
2022-2024
Western Sydney University
2021-2024
University of Tasmania
2011-2024
Business Innovation Centre
2024
The University of Sydney
2010-2023
Liverpool Hospital
2002-2023
Health Net
2023
SUMMARY Objectives : This multicentre, prospective, open label, randomised controlled trial was to determine whether buttonhole cannulation technique in new and established haemodialysis fistula reduced complications prolonged the access life compared usual practice. Method Seventy subjects were recruited for this study. Subjects group had their cannulated by same staff member two four weeks at angle direction with sharp needles. Once tunnel developed, blunt needles used. The control...
Abstract Background When working from home (WFH) became temporarily necessary for staff as a result of the COVID-19 pandemic in 2020, it had to be implemented without significant organisational experience or understanding WFH and its complexities. This study aims determine impacts experienced by who have undertaken during pandemic. Methods was an observational cross-sectional using survey with purposive sampling strategy corporate non-clinical departments. These undertook 2020. None these...
SUMMARY: The following case reports are of two patients who have developed hypersensitivity reactions to the red cell growth hormones, darbepoietin and erythropoietin. subsequent skin testing clinical course suggested that cause these was due excipient polysorbate 80. This finding might implications in recent increase incidence pure aplasia.
In kidney disease, the concept of loss is widely discussed but minimally researched. It appears that dialysis patients who grieve a range losses suffer increased depression and reduced quality life (QoL). Limited research partly due to lack relevant measure. The study presented here developed measure tested criterion validity in relation QoL.In cross-sectional observational study, 151 long-term were interviewed using standardized psychometric measures Kidney Disease Loss Scale (KDLS), for...
There are no clear guidelines or validated models for artificial intelligence (AI)-based approaches in the monitoring of coronavirus disease 2019 (COVID-19) patients who were isolated community, order to identify early deterioration their health symptoms. Developed partnership with Curious Thing (CT), a Sydney-based AI conversational technology, new care robot technology was introduced South Western Sydney (SWS) September 2021 manage large numbers low-to-medium risk COVID-19 diagnosis and...
SUMMARY: Patients with significant renal impairment have difficulties maintaining a viable pregnancy due to maternal and fetal complications. Both peritoneal dialysis hemodialysis support throughout has been reported assist in these pregnancies. We report our experience the use of five cases leading successful deliveries minimal
Incremental peritoneal dialysis (PD) is increasingly advocated to reduce treatment burden and costs, with potential better preserve residual kidney function. Global prevalence of incremental PD use unknown in Australia New Zealand has not been reported.Binational registry analysis including incident adult patients (2007-2017), examining incidence outcomes associated (first recorded exchange volume <42 L/week (incremental) vs. ≥42 (standard)).Incremental significantly increased from 2.7% all...
Up to a 10-fold difference in clinical outcomes between Australian peritoneal dialysis (PD) units exists. There is an international focus on the harmonization of educational practices PD determine whether this may lead improved patient outcomes.The aim paper evaluate current teaching nurses and patients units.An online survey with questions nurse training was made available Australia.Thirty-eight (70%) 54 Australia completed survey. A written standardized curricula utilized 21 (55%) for...
Haemodialysis units are now managing an increasing number of patients with varying needs and levels acuity. To maintain safety, haemodialysis must be placed in the most appropriate dialysis unit that has required human physical resources to care for them. The first step towards achieving these goals is develop a tool specific effectively measure patient
To describe the pre-implementation context and implementation approach, for a clinician researcher career pathway.
Technique survival, also reported with negative connotations as technique failure or transfer from peritoneal dialysis to haemodialysis, has been identified by patients, caregivers and health professionals a critically important outcome be in all trials. However, there is wide variation how survival defined, measured reported, leading difficulty comparing consolidating results.
Longer, more frequent dialysis at home can improve life expectancy for patients with chronic kidney disease. Increased use of therapies also benefits the hospital system, allowing efficient allocation clinic resources. However, Australian and New Zealand Data Registry statistics highlight low uptake haemodialysis peritoneal across Australia.In August 2009, Australia's HOME Network was established as a national initiative to engage empower healthcare professionals working in specialty. The...
Abstract Vitamin D deficiency is prevalent in the pediatric CKD population. Recognizing that renal transplant recipients have , we assessed prevalence of vitamin insufficiency and recipients, compared to a healthy We prospectively studied 25( OH )D levels 29 45 control patients over one yr. The overall was common both populations, at 76% (95% CI : 61, 87%) 91% 80, 98%) group. In paired samples, mean level 52.3 ± 17.9 nmol/L winter 65.6 18.8 summer diff.: 3.9, 22.7), keeping with significant...