A5048428625- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
- Ethics in medical practice
- Pain Management and Opioid Use
- Childhood Cancer Survivors' Quality of Life
- Clinical practice guidelines implementation
- Body Composition Measurement Techniques
- Health Systems, Economic Evaluations, Quality of Life
- Pediatric Pain Management Techniques
- Cancer survivorship and care
- Electrical and Bioimpedance Tomography
- Intravenous Infusion Technology and Safety
- Innovations in Medical Education
- Traditional Chinese Medicine Studies
- Metabolomics and Mass Spectrometry Studies
- Palliative and Oncologic Care
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Pharmacological Effects and Toxicity Studies
- Intensive Care Unit Cognitive Disorders
- Intergenerational Family Dynamics and Caregiving
University of Liverpool
2016-2025
Aintree University Hospitals NHS Foundation Trust
2023
Marie Curie Palliative Care Institute Liverpool
2013-2023
Marie Curie Hospice
2005-2023
Sheffield Teaching Hospitals NHS Foundation Trust
2023
Royal Liverpool University Hospital
2001-2021
Royal Liverpool and Broadgreen University Hospital NHS Trust
1995-2020
University Hospitals Coventry and Warwickshire NHS Trust
2019
Johannes Gutenberg University Mainz
2019
Hospital Privado
2019
Evidence based guidelines on symptom control, psychological support, and bereavement are available to facilitate a “good death”
Background: In recognition of the ongoing discussion on euthanasia and physician-assisted suicide, Board Directors European Association for Palliative Care commissioned this white paper from palliative care perspective. Aim: This aims to provide an ethical framework professionals suicide. It also overview available evidence as well a discourse principles related these issues. Design: Starting 2003 position paper, 21 statements were drafted submitted five-round Delphi process Participants: A...
In 1991, a debate at the European Parliament on euthanasia stimulated discussion all levels in Europe. Subsequently, Board of Directors EAPC organised working session together with two experts to help them clarify position organisation should adopt towards euthanasia. The collaborated document and 1994 produced first statement, Regarding euthanasia, published official journal – Journal Palliative Care . February 2001, asked an expert group form Ethics Task Force review subject advise accordingly.
ContextThe lack of palliative medicine (PM) education has been identified as a barrier to the development discipline. A number international institutions have called for its implementation within undergraduate medical curricula.ObjectivesThe objectives are describe situation PM in Europe and propose scoring system evaluate status.MethodsThis descriptive study was conducted with data provided by key experts from countries World Health Organization European Region (n = 53). numerical developed...
A prospective study was carried out of 125 hospital inpatients with malignant disease, referred to the King's College Hospital advisory palliative care team. assessment (PACA) tool developed in order assess outcome interventions made within two weeks referral regard to: symptom control, change patients' and their relatives' insight regarding diagnosis prognosis, facilitation patient placement. Reliability assessed by cross-observer analysis, validity comparison data obtained using McCorckle...
Predicting when a patient with advanced cancer is dying challenge and currently no prognostic test available. We hypothesised that process from associated metabolic changes specifically in volatile organic compounds (VOCs). analysed urine patients lung the last weeks of life by headspace gas chromatography mass spectrometry. Urine was acidified or alkalinised before analysis. VOC were identified using univariate, multivariate linear regression analysis; 12 VOCs increased (11 acid dataset, 2...
Abstract Background Accurately recognizing that a person may be dying is central to improving their experience of care at the end-of-life. However, predicting frequently inaccurate and often occurs only hours or few days before death. Methods We performed urinary metabolomics analysis on patients with lung cancer create metabolite model predict over last 30 life. Results Here we show model, using 7 metabolites, has excellent accuracy in Training cohort n = 112 (AUC 0·85, 0·88 0·86 5, 10, 20...
The Liverpool Care Pathway for the dying patient (LCP) was developed to transfer hospice model of care into other settings. It is a multiprofessional document that provides an evidence-based framework phase. guidance on different aspects required including comfort measures, anticipatory prescribing medication, and discontinuation inappropriate interventions. Additionally, psychological spiritual family support included. This article presents findings study explore hospital nurses'...
Background Medical students have traditionally received little education in palliative care. However, 1999, as part of a revised medical curriculum, Year 4 undergraduates at Liverpool University participated 2-week programme To assess the effect programme, 2 assessment scales were identified: Self-efficacy Palliative Care Scale (SEPC) (assessing efficacy communication, patient management and multiprofessional teamworking) Thanatophobia attitudes towards care). The aim this study was to...
Background The Neuberger review made a number of recommendations to improve end life care, including research into the biology dying. An important aspect dying is identification biomarkers as indices disease processes. Biomarkers have potential inform current, limited understanding process and assist clinicians in recognising dying, particular how distinguish from reversible acute deterioration. Objectives To critically appraise literature on biological factors that may be used prognostic...
Good care of the dying has been defined as being able to die in place your choice, free from pain, cared for with dignity and supported by best possible care. This definition underpinned development '10/40 Model' dying, 2013. The model includes 10 'Key Principles' that underpin 40 'Core Outcomes' It was necessary update consensus on 10/40 Model ensure it remains clinically relevant applicable practice.Update international content Model.Delphi study utilising questionnaire completion; each...
Prompted by directives from the GMC, 'care of dying' is identified as 'core curricula' for undergraduate medical education. However, there are many technical and interpersonal challenges faced in learning practice palliative medicine. Accordingly, design delivery education programmes need to be both carefully considered evaluated. Using Bandura's Social Cognitive Theory a driver, appropriate methodology evaluating novel programme medicine was drafted. A pre- post-survey an care placement...
Background: Quality indicators (QIs) are needed to monitor and improve palliative care. Care of patients in the last days life is a discrete phase care therefore specific QIs needed. This study aimed identify evaluate current against which measure future life. Methods: To for an update literature national guidelines was conducted. Subsequently, international panel experts asked identified QIs: how well they describe applicable Also additional were asked. Results: In total, 34 guidelines. The...
The Liverpool Care of the Dying Pathway (LCP) was developed to transfer hospice model care into other settings. It is a multiprofessional document providing an evidence-based framework for dying phase. Widely used in hospitals it has now been adopted use hospices.A qualitative study exploring doctors' and nurses' perceptions impact LCP using semi-structured interviews purposive sample were undertaken 30 bed north-west England. Data thematically analysed emerging themes.Eleven (eight nurses,...