A5103187958- Palliative Care and End-of-Life Issues
- Ethics in medical practice
- Patient Dignity and Privacy
- Geriatric Care and Nursing Homes
- Amyotrophic Lateral Sclerosis Research
- Health, Medicine and Society
- Grief, Bereavement, and Mental Health
- Chronic Disease Management Strategies
- Neurogenetic and Muscular Disorders Research
- Intensive Care Unit Cognitive Disorders
- Healthcare Decision-Making and Restraints
- Neonatal Respiratory Health Research
- Genetic Neurodegenerative Diseases
- Patient-Provider Communication in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Respiratory Support and Mechanisms
- Childhood Cancer Survivors' Quality of Life
- Family and Patient Care in Intensive Care Units
- Healthcare Systems and Challenges
- Neuroscience of respiration and sleep
- Family Support in Illness
- Frailty in Older Adults
- Medical Malpractice and Liability Issues
- Pediatric health and respiratory diseases
- Global Healthcare and Medical Tourism
Shropshire Council
2015-2024
Severn Trent (United Kingdom)
2013-2024
University of Chester
2017-2024
Ochsner Medical Center
2023
Monroe Carell Jr. Children's Hospital
2023
Shrewsbury and Telford Hospital NHS Trust
2018-2022
Arkansas Children's Hospital
2020-2021
University of Wolverhampton
2019
Warwickshire Hospital
2018
Coventry (United Kingdom)
2018
Background and Purpose The aim of the study was to observe patients on a stroke unit compare their activity with that conventional hospital wards identify aspects rehabilitation practice might account for differences in outcome. Methods Stroke admitted were observed three 8-hour shifts over 3 consecutive days. An observer recorded, at 10-minute intervals, where were, what they doing, whether positioning as recommended by therapists. Patients compared those wards. Results spent less time beds...
There are growing numbers of adults with Duchenne Muscular Dystrophy living well into their fourth decade. These patients have complex medical needs that to date not been addressed in the International standards care. We sought create a consensus based standard care through series multi-disciplinary workshops specialists from wide range clinical areas: Neurology, Cardiology, Respiratory Medicine, Gastroenterology, Endocrinology, Palliative Care Rehabilitation, Renal, Anaesthetics and...
We studied the ventilatory parameters and pattern of breathing including onset respiration in 20 healthy infants immediately after cesarean-section delivery. In eight further measurements were obtained at 60 min life. The delivery is very irregular with a marked tendency to keep lung inflated mainly through interruptions expiration. After first expiration some air remains representing formation functional residual capacity (FRC). FRC breath proportional previous inspired volume largest...
As a result of performing pressure standardised lumbar discography, in vivo measurements within discs have been recorded. Our results support the theory that for normal discs, internal nucleus pulposus increases when subject changes from lying prone to standing and thence sitting. However, comparing our with other published data, we consistently show reduction absolute values We discuss possible reasons this discrepancy. Arguments advanced literature both against disc behaving...
Palliative care for adults with neuromuscular conditions is an emerging field. Previous guidelines regarding myotonic dystrophy and palliative have only mentioned end-of-life little else. The following been written using national experts as a description of best practice part the Dystrophia Myotonica National Care Guidelines Consortium.
Methadone as an 'adjuvant' has proven to be effective and safe used in conjunction with opioids. Generally, only a low dose is required improve pain control.
Background/Aims Identifying patients at the end of life can facilitate easier access to support and reduce unnecessary emergency care admissions. This study aimed increase number adults on palliative end-of-life register by least 10% in 20% primary practices an English integrated system. Methods A quality improvement project was carried out, using Model for Improvement, with plan-do-study-act cycles. hospice within a UK system added standard wording codes letters sent patients’ provider. The...
<h3>Background</h3> Supportive Care UK provides a nationwide remote palliative consultant led service to support medical professionals. This study aimed characterise the nature of calls made their out hours (OOH) helpline. <h3>Methods</h3> Retrospective review 126 anonymised call logs, documenting second on phone advice given across 19 sites during OOH periods between January and September 2021. Data was collected demographics call, patient complexity advice. <h3>Results</h3> • 68% (86) were...
Background Evidence regarding out-of-hours (OOH) community palliative care provision is required to inform the need for a 7-day work. Aim This paper seeks provide evidence this discussion by defining general practitioners’ (GPs) OOH workload and patients’ demographics, symptomology interventions. By quantifying challenges faced, we can understand current practice focus on what required. Design Using Shropshire Doctors Co-operative’s recorded data, authors have collated representative picture...
Conscience objection is a proposed way of ensuring that medical practitioners who object to physician-assisted suicide may avoid having be involved in such procedure if this legalised. This right on the part healthcare professionals already exists certain circumstances. paper examines ethical and legal grounds for conscientious shows how it heavily criticised circumstances where used. The comes conclusion as application conscience are no longer widely accepted, its future any legislation can...
We recently reported preliminary results of a novel joint clinic between an adult specialist palliative care team and regional paediatric neuromuscular team.1 The have now developed ‘traffic light’ tool to identify prioritise those who might benefit from advance planning integration into the palliative/neuromuscular described. In paediatrics, ‘The Spectrum Children’s Palliative Care Needs’ classification2 helps when introduce planning. Using this, traffic light system has been specifically...
<h3>Background</h3> The Palliative and End of Life Care (PEoLC) Clinical Development Group in Shropshire, Telford, Wrekin (STW) found the number patients on Primary PEoLC registers, uptake advance care plans (ACP) was low across region. Identifying predicted to be last year life reduces unnecessary admissions hospitals; improves patients' families' access support; confidence healthcare professionals' ACP conversations. <h3>Primary Aim</h3> To increase adults a Register 20% Practices STW by...