A5033691201- Palliative Care and End-of-Life Issues
- Frailty in Older Adults
- Nutrition and Health in Aging
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Pharmacological Effects and Toxicity Studies
- Pharmaceutical Practices and Patient Outcomes
- Telemedicine and Telehealth Implementation
- Dementia and Cognitive Impairment Research
- Health Systems, Economic Evaluations, Quality of Life
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Decision-Making and Restraints
- Occupational and environmental lung diseases
- Acute Myeloid Leukemia Research
- Cancer Risks and Factors
- Stroke Rehabilitation and Recovery
- Blood transfusion and management
- Colorectal Cancer Screening and Detection
- Hemoglobinopathies and Related Disorders
- Interprofessional Education and Collaboration
- Acute Lymphoblastic Leukemia research
- Physical Activity and Health
Flinders University
2014-2025
Flinders Medical Centre
2018-2025
St Vincent's Health
2024
University of Technology Sydney
2019
Repatriation General Hospital
2009-2017
Novita
2009-2017
Okinawa Prefectural College of Nursing
2012-2014
Royal Adelaide Hospital
2010
University Health Network
2005
Canadian National Breast Screening Study: assessment of technical quality by external review.C J Baines, A B Miller, D Kopans, M Moskowitz, E Sanders, Sickles, T To and C WallAudio Available | Share
Telehealth is being used increasingly in providing care to patients the community setting. enhanced service delivery could offer new ways of managing load and prioritisation for palliative living community. The study assesses feasibility a telehealth-based model provision based patients, carers clinicians. This was prospective cohort intervention specialist Southern Adelaide, South Australia. Participants were 43 enrolled Adelaide Palliative Service. To be eligible needed over 18 years have...
Breathlessness causes significant burden in our community but the underlying socio-demographic and lifestyle factors that may influence it are not well quantified. This study aims to define these predictors of chronic breathlessness at a population level.Data were collected from adult South Australians 2007 2008 (n = 5331) as part face-to-face, cross-sectional, whole-of-population, multi-stage, systematic area sampling health survey. The main outcome variable was logistic regression models....
Background: Telehealth technologies are an emerging resource opening up the possibility of greater support if they have utility for patients, carers and clinicians. They may also help to meet health systems’ imperatives improved service delivery within current budgets. Clinicians’ experiences attitudes play a key role in implementation any innovation delivery. Aim: To explore clinicians’ perspectives on utilisation pilot telehealth model its integration into specialist community palliative...
The direct burden of people whose goal care is a palliative approach has not been estimated in the acute setting. Using single time point, cross-sectional survey all inpatient beds, an estimate was generated across network three South Australian public hospitals. One inpatients had as and these, only one five referred to specialist services. Those were significantly more likely have cancer be younger men. Active recognition documentation that frames goals for this person needs incorporated...
Red Blood Cell (RBC) transfusions are commonly used in palliative care. RBCs a finite resource, carry risks, and the net effect (benefits harms) is poorly defined for people with life-limiting illnesses.To examine indications effects of RBC transfusion care patients.This international, multisite, prospective consecutive cohort study.Palliative patients undergoing transfusion.Target symptoms (fatigue, breathlessness, generalized weakness, or dizziness) were assessed before at day 7 by...
This umbrella review aimed to examine and synthesize qualitative studies that explored the barriers facilitators of advance care planning for persons with dementia, their families, healthcare professionals caregivers. The modified approach developed by Joanna Briggs Institute was followed. Five major English databases were searched. Four reviews based on 38 primary included. methodological quality included moderate high. synthesis yielded 16 descriptive themes five analytical themes: making...
Medication registration currently requires evidence of safety and efficacy from adequately powered phase 3 studies. Pharmacovigilance (phase 4 studies, postmarketing data, adverse drug reaction reporting) provide data on more widespread longer term use. Historically, voluntary reporting systems for pharmacovigilance have had low rates, relying ad hoc retrospective chart reviews, or prospective registries often been limited to specific drugs clinical conditions. Furthermore, these are...
Red blood cell (RBC) transfusions are commonly prescribed for palliative care patients symptoms. However, RBCs a limited resource, transfusion is not without risk, and may be of variable benefit in people approaching the end life. The aim this study was to review RBC our unit (PCU), examining evidence or harms, preparing prospective multisite study.This consecutive cohort retrospectively reviewed administered during PCU admission. Hemoglobin levels, physical function, symptom rating...
Abstract Background and Aims Palliative care referral for end‐stage liver disease (ESLD) is uncommon usually occurs late. We aimed to review the rate of early palliative (EPCR) in ESLD patients, its associations, impacts on resource utilization survival. Methods A retrospective all patients with admitted a single Hepatology Unit between 2013 2016. Inclusion criteria study entry were at least two admissions decompensated within 6‐month period not eligible transplantation. The EPCR group was...
Background: Continuous quality improvement is fundamental in all health care, including hospice and palliative care. Identifying systematically reducing symptomatic adverse events limited care because these are mostly attributed to disease progression. Objectives: The aim of this study was assess the feasibility assessing their incidence. Methods: A retrospective, consecutive cohort notes from a specialist inpatient service surveyed by clinical nurse consultant for events: falls, confusion,...
Abstract Objective Population‐based data on the required needs for palliative care in residential aged have been highlighted as a key information gap. This study aimed to provide comprehensive estimate of among Australia's population using validated algorithm based causes death. Methods A population‐based retrospective cohort was conducted from Registry Senior Australians non‐Indigenous residents services New South Wales, Victoria, and Australia older than 65 years, who died between 2016...
Regulatory bodies including the European Medicines Agency register medications (formulation, route of administration) for specific clinical indications. Once registered, prescription is at clinicians' discretion. Off-label use beyond registered use. While off-label prescribing may, times, be appropriate, efficacy and toxicity data are often lacking.The aim this study was to document policies (including disclosure consent) in Australian palliative care units current practices by clinicians.A...
Meticulous assessment, monitoring, and treatment of symptoms are key components palliative care. The Symptom Assessment Scale (SAS) is a 0-10 numerical rating scale (NRS) used for self-report sleep, appetite, nausea, bowels, breathing, fatigue, pain. Ideally, symptom should be by self-report; however, the ratings often completed nurses. aim this study was to examine relationship between simultaneous patients nurses in an Australian inpatient care unit.All inpatients their treating nurse...
Continuous monitoring and management of a person’s symptoms performance status are critical for the delivery effective palliative care. This occurs routinely in inpatient settings; however, such close evaluation community has remained elusive. Patient self-reporting using telehealth offers opportunities to identify symptom escalation functional decline real time, facilitate timely proactive management. We report case 57year-old man with advanced non-small cell lung cancer who participated...
Benefits of case conferencing for people with palliative care needs between a general practitioner, the person and other key participants include improving communication, advance planning, coordination care, clarifying goals support patient, families carers. Despite growing evidence base benefits, uptake has been limited in South Australia. The aim this study is to explore beliefs practice Australian practitioners towards needs. Using an online survey, were asked about demographics,...