A5076953268- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Grief, Bereavement, and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Nausea and vomiting management
- Geriatric Care and Nursing Homes
- Gastrointestinal Bleeding Diagnosis and Treatment
- Primary Care and Health Outcomes
- Anesthesia and Pain Management
- Patient Dignity and Privacy
- Healthcare Policy and Management
- Complementary and Alternative Medicine Studies
- Intensive Care Unit Cognitive Disorders
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Innovations in Medical Education
- Pain Management and Opioid Use
- Delphi Technique in Research
- Family Support in Illness
- Helicobacter pylori-related gastroenterology studies
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Quality and Management
- Cancer Treatment and Pharmacology
- Clinical practice guidelines implementation
Lancaster University
2015-2024
University of Glasgow
2017
University of Central Lancashire
2017
Furness College
2015-2016
King's College London
2014
Norwegian University of Science and Technology
2014
Cicely Saunders International
2014
Whipps Cross University Hospital
1995-2013
Barts Health NHS Trust
2013
The Christie NHS Foundation Trust
2009
To assess the effectiveness of a symptom-focused home care program in patients with cancer who were receiving oral chemotherapy relation to toxicity levels, anxiety, depression, quality life, and service utilization.A randomized, controlled trial was carried out 164 diagnosis colorectal (n = 110) breast 54) cancers capecitabine. Patients randomly assigned receive either by nurse or standard for 18 weeks (ie, six cycles chemotherapy). Toxicity assessments weekly duration patients'...
From October 1980 to September 1983 all patients with upper gastrointestinal bleeding were admitted a centralised unit and investigated by early endoscopy. A total of 142 proved duodenal or gastric ulcer randomised after stratification for age site (aggressive) surgical management delayed (conservative) policy. Significantly more operations (n = 42; 60%) performed in the than 9; 20%) groups (p less 0.01). There no deaths among 42 under 60. The overall mortality 100 aged over 60 was 10% when...
<h3>Objective:</h3> To investigate the utility of GMC patient and colleague questionnaires in assessing professional performance a large sample UK doctors. <h3>Design:</h3> Cross-sectional questionnaire surveys. <h3>Setting:</h3> Range clinical practice settings. <h3>Participants:</h3> 541 doctors gave preliminary agreement to take part study. Responses were received from 13 754 patients attending one 380 participant doctors, 4269 colleagues 309 <h3>Main outcome measures:</h3> Questionnaire...
Objective To explore how bereaved family members recall managing end of life medications when delivering care to a patient dying at home in England. Design Qualitative study. Setting Domestic homes two contrasting areas Participants 59 carers who have delivered spent minimum 2 weeks prior their death from cancer or other non-malignant condition. Cases were excluded if the place was: hospice, nursing National Health Service (NHS) hospital. Results identified number important concerns about...
End-of-life care is often provided in primary settings.To describe and compare general-practitioner end-of-life for Dutch patients who died from 'cancer', 'organ failure' 'old-age or dementia'.A cross-sectional, retrospective survey was conducted within a sentinel network of general practitioners. General practitioners recorded the all (1 January 2009 to 31 December 2011). Differences between patient groups were analysed using multivariate logistic regressions performed with generalised...
Background: Caring for dying people can contribute to moral distress experienced by healthcare professionals. Moral occur when this caring is restricted organisational processes, resources or the provision of futile care. These factors apply end life care in nursing homes but research lacking. Aim: To describe how home staff experience residents during and at life. Methods: An interpretive descriptive design, using critical incident technique semi-structured interviews collect data from...
<h3>Background</h3> Dying at home is the preference of many patients with life-limiting illness. This often not achieved and a key factor availability willing able family carers. <h3>Aim</h3> To elicit carers' views about community support that made death possible. <h3>Design setting</h3> Qualitative study in East Devon, North Lancashire, Cumbria. <h3>Method</h3> Participants were bereaved carers who had provided care end life for dying home. Semi-structured interviews conducted 6–24 months...
Background: older people aged 80 and over are increasingly providing end-of-life care to spouses at home often do so for long periods of time, while also trying manage their own illnesses disabilities. Little the research on spousal carers has focussed oldest carers; hence, needs this particular population not fully known. Objective: explore experiences 'oldest carers' in caring a dying spouse home. Methods: secondary analysis was undertaken subset data from larger qualitative interview...
Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) of a sufficiently high scientific