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One chance to get it right

Jill Dobson
Palliative care in the UK has been ranked as the best in the world. So where did palliative care go so wrong that a 168-page document is required to inform staff how to care for dying patients if it has been going so well for so long? Those nearing the end of their life deserve to be given optimum care, attention, compassion and consideration, but this is not always the case. The Liverpool Care Pathway was a tool originally devised to help health professionals provide high-quality end-of-life care to people in the final phase of life...
November 9, 2017: British Journal of Nursing: BJN
Aisha Arshad, Munira Borhany, Nida Anwar, Imran Naseer, Rehan Ansari, Samson Boota, Naveena Fatima, Mustansir Zaidi, Tahir Shamsi
BACKGROUND: Transfusion-transmitted infections threaten the safety of patients requiring blood transfusion, which in turn imposes serious challenges for the availability of safe blood products that are still affordable in health care systems with limited resources. The aim of the study was to determine the prevalence of transfusion-transmitted infections in blood donors and to evaluate the demographic characteristics of reactive and non-reactive blood donors. METHODS: A prospective cohort study was conducted at our institute in Karachi, Pakistan...
2016: BMC Hematology
M Ellies, M Grotz, W Seger
Objective: In a retrospective study the cases of possibly false medical treatment investigated by the Health Advisory Boards (MDK) in Lower Saxony and Bremen, Germany, in the years from 2012 to 2015 were analyzed. Material and Methods: All relevant data - especially diagnoses and procedures - were recorded in accordance to a standardized data entry form and were evaluated. In addition, relevant case studies are presented. Results: Altogether 206 cases of possibly false medical treatment were recorded for the investigated period...
November 2016: Laryngo- Rhino- Otologie
Nuwan Galappathie, Sobia Tamim Khan
End-of-life care has been given increasing importance within healthcare settings. In June 2014, the Leadership Alliance for the Care of Dying People published One Chance to Get it Right. This nationally accepted guidance replaces previous end-of-life care pathways such as the Liverpool Care Pathway and outlines how dying patients should be managed irrespective of setting. Increasingly, patients with mental health problems are entering their final days of life within psychiatric in-patient or acute hospital settings, and psychiatrists need to be aware of the new guidance and ready to implement it within psychiatric practice...
February 2016: BJPsych Bulletin
Ashkan Ebadi, Andrea Schiffauerova
Funding has been viewed in the literature as one of the main determinants of scientific activities. Also, at an individual level, securing funding is one of the most important factors for a researcher, enabling him/her to carry out research projects. However, not everyone is successful in obtaining the necessary funds. The main objective of this work is to measure the effect of several important factors such as past productivity, scientific collaboration or career age of researchers, on the amount of funding that is allocated to them...
2015: PloS One
John C Hagan
No abstract text is available yet for this article.
May 2015: Missouri Medicine
Nigel Sykes
BACKGROUND: Following criticism of the Liverpool Care of the Dying Pathway (LCP), widely used to guide care of dying people in British health-care settings, the UK Government set up an independent review which in 2013 recommended that use of the LCP be discontinued. In response, the Leadership Alliance for the Care of Dying People, a coalition of a wide range of stakeholders, recently published guidance entitled One Chance to Get it Right. This guidance contains five Priorities of Care for the dying person that are intended to guide clinical staff and will inform Care Quality Commission inspections of health-care providers...
September 2015: British Medical Bulletin
Ann Regan, Jane Colling
Care of people who are dying is an emotive topic, and there is only one chance to get it right for each individual approaching death. Failure to do so can hinder and complicate the grieving process of those left behind. Embedding core nursing values is integral to improving the quality of care given to all patients and those close to them. The Leadership Alliance for the Care of Dying People examined criticism of the Liverpool Care Pathway and formulated a new proposal, introducing five priorities for end of life care...
February 17, 2015: Nursing Standard
Jonathan Totman, Nancy Pistrang, Susan Smith, Susan Hennessey, Jonathan Martin
BACKGROUND: Relatives looking after a terminally ill family member at home face numerous challenges. Studies into relatives' experiences of home caregiving have been criticised for their descriptive nature and lack of theoretical underpinnings. AIM: To explore the emotional challenges faced by home caregivers, and their experiences of healthcare professionals, from the perspective of existential psychology. DESIGN: A qualitative study using semi-structured interviews...
June 2015: Palliative Medicine
(no author information available yet)
No abstract text is available yet for this article.
July 12, 2014: Lancet
Ajai R Singh
This paper outlines six important tasks for psychiatry today, which can be put in short as: Spread and scale up services;Talk;Science,Psychotherapy;Integrate; andResearch excellence. As an acronym, STSPIR. Spread and scale up services: Spreading mental health services to uncovered areas, and increasing facilities in covered areas:Mental disorders are leading cause of ill health but bottom of health agenda;Patients face widespread discrimination, human rights violations and lack of facilities;Need to stem the brain drain from developing countries;At any given point, 10% of the adult population report having some mental or behavioural disorder;In India, serious mental disorders affect nearly 80 million people, i...
January 2014: Mens Sana Monographs
Helen Nina Pearson
The aim of this study was to understand children's cancer nurses experiences of providing palliative care in the acute hospital setting. Palliative care for children with cancer is rarely hospital- centred and predominately care is provided in the community or hospice setting. Vast research has looked at the experiences of children's nurses providing palliative care within the child's home environment or the hospice. This research has suggested that nurses need adequate support to avoid stress and burnout. Parental views focus on the nurses attributes as opposed to the clinical skills which are required...
September 2013: Issues in Comprehensive Pediatric Nursing
Perry Fine
No abstract text is available yet for this article.
June 2013: Journal of Pain & Palliative Care Pharmacotherapy
Soo Downe, Ellie Schmidt, Carol Kingdon, Alexander E P Heazell
OBJECTIVE: To obtain the views of bereaved parents about their interactions with healthcare staff when their baby died just before or during labour. DESIGN: Qualitative in-depth interview study, following an earlier national survey. All interviews took place during 2011, either face-to-face or on the telephone. Data analysis was informed by the constant comparative technique from grounded theory. SETTING: Every National Health Service (NHS) region in the UK was represented...
2013: BMJ Open
Mary Maley, Barbour S Warren, Carol M Devine
OBJECTIVE: To understand the meanings of diet, physical activity, and body weight in the context of women's cancer experiences. DESIGN: Grounded theory using 15 qualitative interviews and 3 focus groups. SETTING: Grassroots community cancer organizations in the northeastern United States. PARTICIPANTS: Thirty-six white women cancer survivors; 86% had experienced breast cancer. MAIN OUTCOME MEASURES: Participants' views of the meanings of body weight, diet, and physical activity in the context of the cancer...
May 2013: Journal of Nutrition Education and Behavior
Ajai R Singh
Covert treatment raises a number of ethical and practical issues in psychiatry. Viewpoints differ from the standpoint of psychiatrists, caregivers, ethicists, lawyers, neighbours, human rights activists and patients. There is little systematic research data on its use but it is quite certain that there is relatively widespread use. The veil of secrecy around the procedure is due to fear of professional censure. Whenever there is a veil of secrecy around anything, which is aided and abetted by vociferous opposition from some sections of society, the result is one of two: 1) either the activity goes underground or 2) it is reluctantly discarded, although most of those who used it earlier knew it was needed...
January 2008: Mens Sana Monographs
Tomasz Zabkowski, Leszek Bortnowski, Henryk ZieliƄski
Bladder Pain Syndrome remains a great challenge for urologists, both in diagnostics and treatment. Etiopathogenesis of the disease is unknown. It is reported that the reason for Bladder Pain Syndrome is the urothelium dysfunction resulting in the destruction of the protective glycosaminoglycan layer/barrier protecting the urothelium from bacteria adhesion and penetration of toxic substances/by bacteria. It is considered to be a syndrome of dysuria and diuresis. Urine analysis usually is normal. It is diagnosed after exclusion of other causes leading to painful symptoms...
March 2011: Ginekologia Polska
Martin Sundqvist, Gunnar Kahlmeter
Antibiotic resistance is increasing and beginning to affect the outcome of empirical antimicrobial therapy of urinary tract infections. Associated resistance, i.e. the fact that a bacterium resistant to one antibiotic is often much more likely to be resistant to other antibiotics, drastically decreases our chances of getting a second empirical attempt right. To increase the use of narrow-spectrum antibiotics, which are considered to be less selective for resistance, we need to develop new strategies from the laboratory to support our clinical colleagues...
August 2009: Journal of Antimicrobial Chemotherapy
Jan H B Geertzen, Paul Jutte, Christiaan Rompen, Merse Salvans
A limb amputation is a traumatic experience for the amputee but it is also a challenge for the recipient to get used to a new situation and reach her/his greatest level of independence. Two patients are presented who had undergone a total calcanectomy. In the first case, a woman with spina bifida aperta L4-L5, calcanectomy was performed to excise a non-healing ulcer and osteomyelitis of the right heel. In the second case, a woman of 72 years of age, calcanectomy was the treatment of the isolated central chondrosarcoma...
March 2009: Prosthetics and Orthotics International
Deborah Sturdy
No abstract text is available yet for this article.
December 2008: Nursing Older People
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