Adam Hurlow
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View article: Investigation of an integrated standardised pain assessment and management tool in addition to usual care versus usual care alone in oncology outpatient clinics for adults with pain: the CAPTURE cluster randomised pilot trial protocol. ISRCRN86926298
Investigation of an integrated standardised pain assessment and management tool in addition to usual care versus usual care alone in oncology outpatient clinics for adults with pain: the CAPTURE cluster randomised pilot trial protocol. ISRCRN86926298 Open
View article: Acceptability, fidelity and implementation of systematic integrated pain management in oncology outpatient services: a process evaluation protocol for a multicentre clustered randomised pilot trial
Acceptability, fidelity and implementation of systematic integrated pain management in oncology outpatient services: a process evaluation protocol for a multicentre clustered randomised pilot trial Open
Introduction In the UK National Health Service (NHS), most people with cancer are cared for at oncology outpatient services, where there are no standardised procedures for managing pain. As a result, patients with cancer may receive inadeq…
View article: Characterising trends in the initiation, timing, and completion of recommended summary plan for emergency care and treatment (ReSPECT) plans: Retrospective analysis of routine data from a large UK hospital trust
Characterising trends in the initiation, timing, and completion of recommended summary plan for emergency care and treatment (ReSPECT) plans: Retrospective analysis of routine data from a large UK hospital trust Open
Variation in the initiation, timing, and completion of ReSPECT plans was identified by applying an evaluation framework. Digital storage of ReSPECT plan data presents opportunities for assessing trends and completion of the ReSPECT plannin…
View article: Exploration of pain assessment and management processes in oncology outpatient services with healthcare professionals: a qualitative study
Exploration of pain assessment and management processes in oncology outpatient services with healthcare professionals: a qualitative study Open
Objectives This study explored cancer pain management practices and clinical care pathways used by healthcare professionals (HCPs) to understand the barriers and facilitators for standardised pain management in oncology outpatient services…
View article: Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey
Eye donation in hospice and hospital palliative care settings: perceptions, practice, and service development needs – findings from a national survey Open
View article: 52 Needs assessment of end-of-life care in the emergency department
52 Needs assessment of end-of-life care in the emergency department Open
Background Improving end-of-life care (EOLC) in Emergency Departments (ED) is a top research priority for the Royal College of Emergency Medicine1 Our hospital palliative care team created a Senior Clinical Nurse Specialist (CNS…
View article: The potential for eye donation from hospice and palliative care clinical settings in England: a retrospective case note review of deceased patients' records
The potential for eye donation from hospice and palliative care clinical settings in England: a retrospective case note review of deceased patients' records Open
There is a need to identify additional routes of supply for ophthalmic tissue in the UK. This paper reports the findings from a national study exploring the potential for eye donation (ED) from three Hospice Care (HC) and three Hospital Pa…
View article: 10 Eye donation in palliative and hospice care settings: patient views and missed opportunities!
10 Eye donation in palliative and hospice care settings: patient views and missed opportunities! Open
It is imperative that patients who would want to be a donor are identified and assessed for eligibility for donation as part of high-quality end of life care. It is clear from studies reported over the past 10 years that not a lot has chan…
View article: 12 The potential for eye donationfrom hospice and palliative care clinical settings in England – a retrospective case notes review of deceased patient records
12 The potential for eye donationfrom hospice and palliative care clinical settings in England – a retrospective case notes review of deceased patient records Open
Significant potential exists for eye donation from the clinical sites in this study. This potential is not currently being realised. In view of the predicted increase in need for ophthalmic tissue it is essential that the potential route t…
View article: P-104 Greater ReSPECT: identifying the factors which affect doctors’ engagement with the ReSPECT form within LTHT
P-104 Greater ReSPECT: identifying the factors which affect doctors’ engagement with the ReSPECT form within LTHT Open
Introduction The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) process encourages early conversations with patients and their loved ones to agree, document and share care and treatment recommendations ahead of serious…
View article: O-10 Palliative medicine specialist training: designing and implementing an oncology placement fit for the future
O-10 Palliative medicine specialist training: designing and implementing an oncology placement fit for the future Open
Background Palliative Medicine trainees in Yorkshire and the Humber undertake a largely observational Oncology rotation. A successful pilot of proactive early palliative care (PC) input was conducted in an Acute Oncology Assessment Unit (O…
View article: O-19 Eye donation in palliative and hospice care settings: patient views and missed opportunities
O-19 Eye donation in palliative and hospice care settings: patient views and missed opportunities Open
Background: there is a global shortage of donated eye tissue for use in sight saving and sight restoring operations such as corneal transplantation.
Patients who die in palliative and hospice care settings could potentially donat…
Patients who die in palliative and hospice care settings could potentially donat…
View article: P-107 Earlier specialist palliative care input on the acute oncology assessment unit: is it beneficial?
P-107 Earlier specialist palliative care input on the acute oncology assessment unit: is it beneficial? Open
Background Emerging evidence suggests early palliative care (PC) is beneficial in the care of patients with cancer (Berman, Mola, Elliott, et al., 2018; Mola, Campbell, Berman, et al., 2018; Temel, Greer J, et al., 2010). Clinicians' views…
View article: An evaluation of advance care planning during the COVID-19 pandemic: a retrospective review of patient involvement in decision making using routinely collected data from digital ReSPECT records
An evaluation of advance care planning during the COVID-19 pandemic: a retrospective review of patient involvement in decision making using routinely collected data from digital ReSPECT records Open
Increased ACP during a crisis can be achieved alongside increased patient participation in decision making. A tool such as ReSPECT that supports recommendations for, as well as limitations on, treatment may have enabled the expansion of AC…
View article: 195 Prescription and use of anticipatory medications in patients dying at home, in hospices and in hospitals
195 Prescription and use of anticipatory medications in patients dying at home, in hospices and in hospitals Open
Background NICE guidance advises an 'individualised approach' to prescribing anticipatory medications including consideration of what medications are likely to be required depending on expected symptoms. We audited the prescription and adm…
View article: 1 Returning to work in specialist palliative care following personal bereavement
1 Returning to work in specialist palliative care following personal bereavement Open
Background During their working career, most people will experience a personal bereavement. Our perception was that a return to work might be difficult in a speciality with high patient mortality rates. Despite this, there is a paucity of …
View article: Understanding care when cure is not likely for young adults who face cancer: a realist analysis of data from patients, families and healthcare professionals
Understanding care when cure is not likely for young adults who face cancer: a realist analysis of data from patients, families and healthcare professionals Open
Objectives To understand the experiences of young adults with cancer for whom cure is not likely, in particular what may be specific for people aged 16–40 years and how this might affect care. Design We used data from multiple sources (sem…
View article: Access to palliative care for patients with advanced cancer: A longitudinal population analysis
Access to palliative care for patients with advanced cancer: A longitudinal population analysis Open
Background
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\nThe UK National Health Service is striving to improve access to palliative care for patients with advanced cancer however limited information exists on the level of palliative care support currently provided in the UK…
View article: Access to hospital and community palliative care for patients with advanced cancer: A longitudinal population analysis
Access to hospital and community palliative care for patients with advanced cancer: A longitudinal population analysis Open
Timely supportive care for cancer patients is advocated but these results suggest that older patients and those who do not receive anti-cancer treatment or opioid analgesics miss out. These patients should be targeted for assessment to ide…
View article: Older age is associated with less cancer treatment: a longitudinal study of English cancer patients
Older age is associated with less cancer treatment: a longitudinal study of English cancer patients Open
older patients are less likely to receive cancer therapies or hospital palliative care before death. Further research is needed to identify the extent to which these results reflect unmet need.
View article: 116 Measuring the impact of end of life care quality improvement (qi) projects
116 Measuring the impact of end of life care quality improvement (qi) projects Open
Aim To demonstrate the application of QI methodology to improving end of life care (EOLC), using improvement data (run charts/statistical process control charts (SPC)) to measure the impact of interventions. Background QI methods are appl…
View article: 46 Using a quality improvement approach to improve treatment escalation plans and reduce cardiac arrests at a large acute nhs trust
46 Using a quality improvement approach to improve treatment escalation plans and reduce cardiac arrests at a large acute nhs trust Open
Background Cardiopulmonary resuscitation (CPR) is effective for a minority of patients, with survival to discharge of less than 20%. A recent UK review of in-hospital CPR attempts identified failure to recognise patients at risk of cardiac…
View article: 53 Transfer of care from hospital to home in the last days of life: is it safe and effective?
53 Transfer of care from hospital to home in the last days of life: is it safe and effective? Open
Background Hospital teams must plan a safe and effective transfer of care for patients returning home in the last days of life. To support this Leeds Teaching Hospitals NHS Trust (LTHT) launched a revised Rapid Discharge Plan (RDP) in Janu…
View article: Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study
Is palliative care support associated with better quality end-of-life care indicators for patients with advanced cancer? A retrospective cohort study Open
Objectives This study aimed to establish the association between timing and provision of palliative care (PC) and quality of end-of-life care indicators in a population of patients dying of cancer. Setting This study uses linked cancer pat…
View article: P-35 Will i ever be me again? the supportive care needs of patients attending a cancer of unknown primaryoutpatient clinic
P-35 Will i ever be me again? the supportive care needs of patients attending a cancer of unknown primaryoutpatient clinic Open
Background Cancer of unknown primary (CUP) is associated with clinical uncertainty, limited treatment options and a short prognosis. Guidelines recognise that patients need the input of dedicated multidisciplinary teams. Yet there is littl…
View article: What determines duration of palliative care before death for patients with advanced disease? A retrospective cohort study of community and hospital palliative care provision in a large UK city
What determines duration of palliative care before death for patients with advanced disease? A retrospective cohort study of community and hospital palliative care provision in a large UK city Open
Objective For patients with advanced cancer, several randomised controlled trials have shown that access to palliative care at least 6 months before death can improve symptoms, reduce unplanned hospital admissions, minimise aggressive canc…