to validate STOPPFrail, a list of explicit criteria for potentially inappropriate medication (PIM) use in frail older adults with limited life expectancy. Delphi consensus survey an expert panel comprising academic geriatricians, clinical pharmacologists, palliative care physicians, old age psychiatrists, general practitioners and pharmacists. Ireland. seventeen panellists. STOPPFrail were initially created by the authors based on experience literature appraisal. Criteria organised according...

Pain assessment and management in advanced end-stage dementia are challenging; patients at risk of under-diagnosis, under-assessment under-treatment. Previous research has highlighted the importance needs-driven training development this area for physicians, nurses healthcare assistants (HCAs) across specialties, disciplines care settings. This study used teleconferencing technology to connect professionals multiple settings real-time clinics, based on Project ECHO© model. paper reports...

Background The aims of this study were to explore the knowledge, attitudes and beliefs that nursing home managers hold with regard assessment management pain in residents dementia determine how these may be affected by demographic characteristics respondents. Methods A questionnaire comprising six sections was mailed, on two occasions during March April 2010, 244 Northern Ireland (representing 96% homes Ireland). Results response rate 39%. Nearly all respondents (96%) provided care dementia,...

Pain assessment and management are key aspects in the care of people with dementia approaching end life but become challenging when patient self-report is impaired or unavailable. Best practice recommends use observational pain assessments for these patients; however, difficulties have been documented health professionals' tools absence additional collateral knowledge. No studies explored role, perspectives experiences healthcare assistants dementia; this study provides insight into...

Aims and objectives To explore hospice, acute care nursing home nurses' experiences of pain management for people with advanced dementia in the final month life. identify challenges, facilitators practice areas requiring further support. Background Pain end‐stage is a fundamental aspect end‐of‐life care; however, it unclear what challenges nurses experience practice, whether these differ across settings, training needs to be tailored context care. Design A qualitative study using...

Few pain studies have made community-dwelling people with dementia (PWD) their focus. The aim of this study was to determine the prevalence among patient population and explore medication use. Moreover, we sought investigate caregiver variables associated presence pain. Community-dwelling PWD caregivers were recruited between May 2009 July 2012 from outpatient memory clinics in Northern Ireland take part a face-to-face structured interview researcher. Patients' cognitive status depression...

Objectives This study aims to determine pain frequency amongst care home residents with dementia, investigate variables associated pain, explore analgesic use among and seek residents' relatives' views on provision of management by the home. Methods Structured face‐to‐face interviews were conducted residents, nursing staff relatives from nine dementia homes in Northern Ireland, between May 2010 March 2012. Demographic information was collected participants, neuropsychiatric tests used assess...

Background: To validate STOPPFrail, a list of explicit criteria for potentially inappropriate medications (PIMs) in frailer older adults with limited life expectancy.A Delphi consensus survey an expert panel (n = 17) comprising specialists geriatric medicine, clinical pharmacology, palliative care, psychiatry old age, pharmacy and general practice.Methods: STOPPFrail was initially created by the authors based on experience appraisal available literature.Criteria were organised according to...

The associations between interviewer and applicant behavior during simulated employment interviews were examined in a laboratory experiment. As hypothesized, self-esteem, beha...

Supplementary prescribing has seen pharmacists assume greater responsibility for in collaboration with doctors. This study explored the context and experiences, relation to practice of supplementary prescribing, physicians (who acted as their training mentors) at least 12 months after had qualified prescribers.The setting was primary secondary healthcare sectors Northern Ireland. Pharmacists mentors who participated a pre-training were invited take part. All (n = 47) participate focus...

ABSTRACT Objectives To explore community pharmacists' experiences with and attitudes towards people dementia, to determine the knowledge they have about pain its management in this patient population. Methods A questionnaire comprising five sections, including Approaches Dementia Questionnaire, was mailed, on two occasions, during February March 2011, all pharmacies Northern Ireland ( n = 530). Results The response rate 34.3%. greater proportion of pharmacists provided pharmaceutical care...

Abstract Background The drive for non‐medical prescribing has progressed quickly since the late 1990s and involves a range of healthcare professionals including pharmacists. As part commissioned research project, this qualitative element larger case study focused on views patients pharmacist prescribers. Objective aim was to explore patients' perspectives pharmacists as Methods Three working independent prescribers in clinical areas (i) hypertension, (ii) cardiovascular/diabetes management,...

Novel surface-modified hydrogel materials have been prepared by binding charged porphyrins TMPyP (tetrakis(4-N-methylpyridyl)porphyrin) and TPPS (tetrakis(4-sulfonatophenyl)porphyrin) to copolymers of HEMA (2-hydroxyethyl methacrylate) with either MAA (methacrylic acid) or DEAEMA (2-(diethylamino)ethyl methacrylate). The hydrogels display strong electrostatic interactions the appropriate cationic anionic give which are intended be used generate cytotoxic singlet oxygen (1O2) on...