A5061089877- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Migration, Health and Trauma
- Dementia and Cognitive Impairment Research
- Family Caregiving in Mental Illness
- Childhood Cancer Survivors' Quality of Life
- Ethics in medical practice
- Food Security and Health in Diverse Populations
- Adolescent Sexual and Reproductive Health
- Pain Management and Opioid Use
- Anesthesia and Sedative Agents
- Healthcare Decision-Making and Restraints
- Balance, Gait, and Falls Prevention
- Traumatic Brain Injury Research
- Health Systems, Economic Evaluations, Quality of Life
- Digital Mental Health Interventions
- Mobile Health and mHealth Applications
- Cognitive Functions and Memory
- Bone fractures and treatments
- Chronic Disease Management Strategies
University College London
2020-2024
The University of Texas at Austin
2024
Marie Curie
2020-2024
NHS England
2024
The London College
2021
Amsterdam Public Health
2014-2017
Community Impact
2014
Ospedale Policlinico San Martino
2013-2014
University of North Carolina at Chapel Hill
2001-2002
University of Washington
1996
Despite the recent declines in rates of teenage pregnancy, relatively little is known about few programs that have been successful reducing adolescent pregnancy.Six agencies New York City each randomly assigned 100 disadvantaged 13-15-year-olds to their usual youth program or intervention being tested--the Children's Aid Society-Carrera program, a year-round afterschool with comprehensive development orientation. Both and control were followed for three years. Multivariate regression...
Pain and delirium are common problems for older people. Both conditions prevalent in acute hospital settings. In people living the community, often precipitates presentation to emergency department. known interact a complex multidirectional way. This can make it challenging staff recognize treat pain with delirium.This paper aims explore relationship between on assessment delirium, drawing together evidence from range of settings including medical, cardiac orthopaedic post-operative cohorts,...
Abstract Background Dementia leads to multiple issues including difficulty in communication and increased need for care support. Discussions about the future often happen late or never, partly due reluctance fear. In a sample of people living with dementia carers, we explored their views perceptions condition future. Methods Semi-structured interviews were conducted 2018-19 11 six family members England. Interviews audio-recorded, transcribed analysed using reflexive thematic analysis....
Despite community efforts to support and enable older vulnerable people during the COVID-19 pandemic, many with dementia their family carers are still finding it difficult adjust daily living in light of disruption that pandemic has caused. There may be needs specific black, Asian minority ethnic (BAME) populations these circumstances remain thus far unexplored.
People from ethnic minority backgrounds living with dementia are more likely to be diagnosed later and have less access health social care support than their White counterparts in the United Kingdom (UK). Covid-19 has exacerbated inequalities diminished trust underserved communities government services. The wider aim of study was explore impact covid-19 on Black South-Asian people carers as well exploring experiences care. present paper specifically explores views mistrust using an...
Abstract Introduction COVID‐19 has disproportionately affected people living with dementia and their carers. Its effects on health social care systems necessitated a rapid‐response approach to planning decision‐making in this population, reflexivity responsiveness changing individual system needs at its core. Considering this, decision‐aid help families of persons was developed. Objectives To coproduce dementia, the who for them, family carers support decisions during pandemic beyond....
BACKGROUND: Visiting policies have been liberalized in ICUs, but the process and outcome of policy modifications not well described. OBJECTIVES: To describe by which nurses one critical care unit modified visiting from a restricted to (i.e., open) policy, evaluate nurses' perceptions about before after was liberalized. METHODS: A group ICU/coronary met discuss changes their unit's policy. Before change initiated, (N = 36) were informally surveyed regarding attitudes visiting. After 3-month...
A palliative approach at the end of life typically involves forgoing certain drugs and procedures starting others - weighing burden against potential benefit. An assessment may be undertaken by investigating which are used in dying phase, what frequencies.
Abstract Background People living with dementia account for a large proportion of deaths due to COVID-19. Family carers are faced making significant and emotive decisions during the pandemic, including about end life. We aimed explore challenges by family people first wave COVID-19 pandemic in England, as reported charity telephone support line staff, who were able objectively discuss range different experiences many call helpline. In particular, we focussed on key concerns areas decision at...
Ten percent of non-sudden deaths in the Netherlands occur inpatient hospice facilities. To investigate differences between patients who are admitted to care or not following application, how diagnoses compare national population, characteristics and associations with being not. Data from a database representing over 25 % facilities were analysed. The study period spanned years 2007–2012. Multivariate regression analyses performed demographic application characteristics, admittance. thousand...
Background: The Liverpool Care Pathway (LCP) is extensively used in hospices, but the literature on process of implementation scarce. Aim: Developing, piloting, and preliminarily assessing LCP program within inpatient hospice setting. Methods: This a phase 0-1 study, according to Medical Research Council (MRC) Framework, divided into three phases: review development Italian version (LCP-I), procedure for quality feasibility process, piloting 7 hospices. Results: was implemented all hospices...
St Christopher's Hospice, London, was founded to provide specialist care the incurably ill. We studied dimensions of difference that set Hospice apart from hospital dying, focusing on physical space and social organization. Material 1953 1980 Cicely Saunders Archive analyzed qualitatively. Through thematic analysis, quotes were found using open coding. Five themes developed. Themes identified home/homelike, community, consideration others, link with outside world, privacy. The hospice...
Acute hospital wards can be difficult places for many people living with dementia. Promoting comfort and wellbeing challenging in this environment. There is little evidence-based support professionals working on acute care how to respond distress maximise among patients
People with dementia are at risk of unplanned hospital admissions and commonly have painful conditions. Identifying pain is challenging may lead to undertreatment. The psychometric properties the Pain Assessment in Advanced Dementia (PAINAD) scale, medical inpatients not been evaluated.A secondary data analysis from a longitudinal study 230 people admitted two acute general hospitals London, UK. Internal consistency, inter-rater reliability, test-retest concurrent validity, construct...
Abstract Objectives To explore the experiences, acceptability and utility of a decision aid for family carers people with dementia towards end life. Methods We conducted semi‐structured interviews sample enroled into 6‐month feasibility study in England, sampling to gain range experiences views, based on relationship person they cared (e.g., spouse, adult child), age, gender, self‐reported use during study. Interviews were March 2021–July 2021 analysed using reflexive thematic analysis. used...
In 2009 two randomised cluster trials took place to assess the introduction of Italian Version Liverpool Care Pathway in hospitals and hospices. Before after data were gathered. The primary aim this study is evaluate feasibility using a combination assessment methods aimed at different proxy respondents create means measuring quality care end life. We also explore whether there are differences response approach between hospice hospital inpatient settings.A retrospective design was used....