- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Primary Care and Health Outcomes
- Innovations in Medical Education
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Pharmaceutical Practices and Patient Outcomes
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Delphi Technique in Research
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Medical Education and Admissions
- Occupational Therapy Practice and Research
- Cerebral Palsy and Movement Disorders
- Global Health Workforce Issues
- Patient Dignity and Privacy
- Nursing Roles and Practices
- Clinical practice guidelines implementation
- Stroke Rehabilitation and Recovery
- Clinical Reasoning and Diagnostic Skills
- Healthcare cost, quality, practices
- Psychiatric care and mental health services
- Health, Medicine and Society
University College Cork
2015-2025
National University of Ireland
2017-2018
Monash University
2018
Royal College of General Practitioners
2018
Union County College
2017
St Thomas' Hospital
1973
Medical Research Council
1973
Rising dementia prevalence rates rise combined with the policy objective of enabling people to remain living at home, means that there will be a growing demand for care in community setting. However, GPs are challenged by and have identified it as an area which further training is needed. Previous studies educational needs explored views alone, without taking perspectives family carers into account. The aim study was explore GPs’ needs, viewed from multiple perspectives, order inform design...
The case of a patient with episodic hypothermia and profuse sweating believed to be due diencephalic epilepsy is reported. Despite intensive investigations no other manifestations hypothalamic dysfunction were found. Conventional antiepileptic drugs without effect but the was successfully treated by total sympathectomy.
Pain in people with dementia is underdiagnosed and undertreated. General practitioners (GPs) play a pivotal role care but their perspectives on pain remains under-researched. The aim of this study was to explore GPs' knowledge attitudes towards assessment management dementia.This descriptive cross-sectional study. A questionnaire adapted from previous piloted 5 GPs. posted census sample all GPs Cork city county the southern region Ireland. collected demographic information, responses series...
Abstract Background and Objectives The inability of individuals in the advanced stage dementia to communicate about preferences care at end-of-life poses a challenge for healthcare professionals family carers. proven effective Family Carer Decision Support intervention has been designed inform carers options available person living with dementia. objectives mySupport study were adapt application use different countries, assess impact on satisfaction decision-making, identify costs supportive...
<ns4:p>Falls and fall-related injuries in older people are common, with negative effects on functional independence, social engagement quality of life. The estimated cost falls related Ireland, including primary, acute care costs, is projected to exceed €2 billion by 2030. COVID-19 pandemic led an increase frailty falls. Falls Management Exercise Programme (FaME) a 24-week community-based group home exercise programme qualified Postural Stability Instructors. It has been shown reduce falls,...
A study was designed to investigate the effect on morbidity and mortality of lowering diastolic blood pressure levels between 100 120 mm Hg below Hg. Fifty-eight men women, aged from 45-69 years, with were matched for age, sex, 58 control patients. The maintenance pressures at successfully carried out without serious drug side effects. Treatment effectively maintained Hg, but no shown other terminating events. Few problems found in management patients minimally raised pressure, most whom...
Where it has been determined that a resident in nursing home living with dementia loses decisional capacity, staff must deliver care is the person's best interests. Ideally, decisions should be made involving those close to person, typically family carer and health social providers. The aim of Family Carer Decisional Support intervention inform carers on end-of-life options for person advanced enable them contribute advance planning. This implementation study proposes to; 1) adopt apply...
general practitioners (GPs) have identified the management of behavioural and psychological symptoms dementia (BPSD) as a particularly challenging aspect care. However, there is paucity research on why GPs find BPSD how this influences care they offer to their patients with dementia.to establish challenges experience when managing BPSD; explore these influence GPs' decisions; identify strategies for overcoming challenges.qualitative study experiences BPSD.semi-structured interviews were...
ObjectivesGait disturbance and impaired balance lead to a greater risk of falls hip fractures for people with dementia. Physiotherapists play an important role in multidisciplinary dementia care. This study aimed explore physiotherapists' experiences care sought identify their dementia-specific educational needs.DesignQualitative design, using focus group interviews.SettingPrimary secondary physiotherapy services the Republic Ireland.ParticipantsSix groups thirty-two physiotherapists,...
Pharmacist services in general practice are expanding worldwide, with evidence to show pharmacists' presence has financial, workload, and clinical benefits. Yet, little is known globally about practitioners' (GPs') views on their practice.To synthesize the qualitative research GPs' of pharmacist practice.Qualitative synthesis; 8 electronic databases were searched from inception April 2021 for studies that reported GPs regarding practice. Data included analyzed using thematic synthesis. The...
People with young onset dementia face unique challenges. Notably, at time of symptom presentation, many people affected by are still employed significant financial obligations. The aim this study was to explore the specific impact that has on continued employment and finances identify ways optimise post-diagnostic approaches in regard.Purposive sampling, a maximum variation technique, used recruit small but diverse range Ireland. In-depth semi-structured interviews were conducted, data...
The Screening Tool of Older Persons Prescriptions in Frail adults with limited life expectancy (STOPPFrail) criteria aim to reduce inappropriate/unnecessary medications frail older adults, which should minimise adverse drug events and additional healthcare expenditure. Little is known about the economic outcomes applying these as an intervention.
ObjectivesPhysical impairments associated with dementia include reduced gait speed, and diminished postural control, which can lead to an increase in falls hip fractures. Physiotherapy play a key role many aspects of care, including risk prevention, re-education end life care. However, there is lack education entry level physiotherapy programmes. The aim this study was map the content delivery current undergraduate curricula Ireland United Kingdom New Zealand.DesignThis cross-sectional...
In the context of rising dementia prevalence, workload general practitioners (GPs) in care is set to increase. However, there are many aspects that GPs find challenging. Behavioural and psychological symptoms (BPSD) affect majority people with an aspect particularly difficult manage. The aim this mixed methods systematic review undertake a synthesis qualitative quantitative studies on GPs' knowledge, attitudes experiences managing BPSD. Seven electronic bibliographic databases will be...
Abstract Background Pharmacists are being increasingly employed as part of general practice teams globally, and their input has been associated with several clinical economic benefits. However, there is a paucity research focussing on practitioners’ (GPs’) perceptions pharmacist integration into practices in countries where this novel role for pharmacists yet to become commonplace. Objective To explore GPs’ integrating identify the behavioural determinants GPs practices. Methods...