A5009400790- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Health Systems, Economic Evaluations, Quality of Life
- Cancer survivorship and care
- Oral health in cancer treatment
- Migration, Health and Trauma
- Family and Patient Care in Intensive Care Units
- Head and Neck Cancer Studies
- Homelessness and Social Issues
- Religion, Spirituality, and Psychology
- Oral and Craniofacial Lesions
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Intensive Care Unit Cognitive Disorders
- Healthcare cost, quality, practices
- Dysphagia Assessment and Management
South Western Sydney Local Health District
2013-2025
Liverpool Hospital
2022-2024
University of Technology Sydney
2022
Ingham Institute
2022
UNSW Sydney
2022
Concord Repatriation General Hospital
2022
The University of Sydney
2022
Illawarra Shoalhaven Local Health District
2022
Nepean Hospital
2022
University of Tasmania
2022
Background: Delirium has a significant impact on nursing practice from diagnosis and management, with under-detection variable management of delirium being international problems. This study aimed to explore nurses’ assessment when caring for people cancer, the elderly or older requiring psychiatric care in inpatient setting. Methods: Participants this qualitative were nurses working Australian public hospital dedicated units palliative care, aged (geriatrics), (geriatric) psychiatry...
Objective The aim of this study was to evaluate the cost-effectiveness a home-based palliative care model relative usual in expediting discharge or enabling patients remain at home. Design Economic evaluation pilot randomised controlled trial with 28 days follow-up. Methods Mean costs and effectiveness were calculated for Palliative Care Extended Packages Home (PEACH) arms including: home; place death; PEACH intervention costs; specialist service use; acute hospital unit inpatient stays;...
Comparing multiple, diverse outcomes with cost-effectiveness analysis (CEA) is important, yet challenging in areas like palliative care where domains are unamenable to integration survival. Generic multi-attribute utility values exclude important and non-health outcomes, while partial analyses-where considered separately, their joint relationship under uncertainty ignored-lead incorrect inference regarding preferred strategies.The objective of this paper consider whether such decision making...
Abstract Background The COVID-19 pandemic disrupted many areas of life, including culturally accepted practices at end-of-life care, funeral rites, and access to social, community, professional support. This survey investigated the mental health outcomes Australians bereaved during this time determine how these factors might have impacted bereavement outcomes. Methods An online indexing experiences, levels grief, depression, anxiety, health, work, social impairment. Latent class analysis...
Background: Oral health problems are common, but often overlooked, among people receiving palliative care. Aim: To better understand how oral can be addressed in this population, study aimed to explore the perceptions of care medical practitioners who provide inform development a program. Design: A descriptive qualitative design was adopted. Setting/participants: single focus group conducted with 18 at facility Sydney, Australia. All participants had experience providing services clients....
<title>Abstract</title> <bold>Background:</bold> Poor oral health among people receiving palliative care is often overlooked professionals. Little known about the experiences of dentists and potential for an model in setting. <bold>Methods:</bold> A focus group with 21 was conducted a public service Sydney, Australia. The audio-recorded, transcribed, thematically analysed. <bold>Results:</bold> Three themes were identified: Awareness care; Challenges to providing new care. While good...
A wide range of services are provided to palliative care clients alleviate pain and improve their quality life. The purpose this study was explore the perceptions carers regarding in New South Wales, Austalia. Ten patients (n=7) were randomly selected from a sample informed interviewed. Interview data coded independently by three researchers thematic analysis undertaken. themes identified similar for both included: access services; service provision; impact on way life; usefulness staffing....
Abstract Objective: This study aimed to investigate health-related quality of life palliative care (PC) clients and their caregivers, at baseline follow-up, following a referral community PC service. Method: Quality caregivers was respectively measured using the McGill Life instrument (MQoL) Caregiver Cancer Index (CQoLC) instruments. Participants were recruited from June 8 October 27, 2006. undertaken in one zone an Area Health Service New South Wales, which has diverse socioeconomic...
Australian COVID-19 public health measures reduced opportunities for people to communicate with healthcare professionals and be present at the death of family members/friends.
Palliative care clients often have a reduced quality of life (QOL). The purpose this study was to explore the QOL trajectory and carers newly referred community palliative service. A total 49 43 respectively completed McGill scale (MQOL) caregiver cancer (CQOLC) questionnaires. Baseline data relating demographics, health status, are presented for participants their carers, these compared with follow-up from 22 13 (matched pairs). On average, there were no significant differences between...
Palliative Extended and Care at Home (PEACH) is a rapid response nurse-led package of care mobilized for palliative patients who have an expressed preference to die home. This study aimed identify the demographic clinical predictors home death receiving package. Deidentified data were used from administrative information systems. Univariate multivariate analyses conducted assess association sociodemographic factors with mode separation. Furthermore, 1754 clients received PEACH during period....
Objectives Tailored models of home-based palliative care aimed to support death at home, should also ensure optimal symptom control. This study explore occurrence and distress over time in Palliative Extended And Care Home (PEACH) model recipients. Design was a prospective cohort study. Setting participants Participants were consecutive recipients the PEACH rapid response nurse-led metropolitan Sydney (December 2013–January 2017) who last weeks life with terminal or deteriorating phase...
Background COVID-19 disrupted access to bereavement support. The objective of this study was identify the supports used by Australians during pandemic, perceived helpfulness used, prevalence and areas unmet support need, characteristics those with needs. Methods A convenience sample bereaved adults completed an online questionnaire (April 2021-April 2022) about their experiences including use helpfulness, needs mental health. Multiple logistic regression conducted determine sociodemographic...
In December 2013, a partnership between five local health districts and non-governmental organisation implemented the Palliative Care Home Support Packages (PEACH) Program. The PEACH Program aims to support palliative care clients in their last days of life at own home. This study sought evaluate quality delivered by service from perspective clients' primary carers.A letter was sent carers 6-10 weeks after client's death, inviting them participate an anonymous survey. survey measured level...
Although primary care is a well suited context for conducting advance planning (ACP), there are many barriers to initiating discussions regarding future health preference and end-of-life conversations.This qualitative study conducted 30 detailed individual interviews with senior administrators, medical nurse practitioners of local district, NSW Ambulance, e-Health NSW, general practice nurses find out about ACP in South Western Sydney.Thematic analysis was on the interviews. Six major themes...
Background: Economic evidence in palliative care is important for making decisions regarding allocation of resources and support patient preferences end-of-life (EOL) care.However, there limited on the costeffectiveness EOL models to inform healthcare funding decisions.Aim: To evaluate cost-effectiveness providing Palliative Care Extended Packages at Home (PEACH) addition usual clients their wish be cared for, die home.Design: A modelled analysis was conducted from a provider perspective...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)The IJIC 20th Anniversary Issue was published 2021.
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)The IJIC 20th Anniversary Issue was published 2021.