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Your search keyword '"Lillie, Alison Kate"' showing total 17 results
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17 results on '"Lillie, Alison Kate"'

1. 'The missing discourse' : how does the family history of cancer affect the care needs of palliative care patients?

Author

Lillie, Alison Kate

Subjects
616.994, R Medicine (General), RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Abstract

There is increasing scientific understanding and growing public awareness of the influence of genetics on the development of cancer. It is known that up to ten percent of cancers are associated with a genetic predisposition. This study asks ‘How does the family history of cancer affect the care needs of palliative care patients?’ in this context. This question is addressed using the principles of phenomenology to explore the meaning of a family history of cancer for palliative care patients and nurses. Data was collected through recorded, semi-structured interviews with purposively sampled participants. The information obtained was analyzed using Miles and Huberman’s (1994) framework, where data is displayed, reduced, and conclusions drawn. Emergent themes were organized around Van Manen’s (1990) schema for existential reflection, which considers the relationship between phenomena and four universal themes: lived-body, lived-relationship, lived-time and lived-space. Findings describe how the physical, social, emotional and cultural dimensions of care are modified when viewed through the genetic lens. Patients’ poor understanding of cancer and novice nursing practice (Benner 1984) were barriers to appropriately meeting the needs of this patient group. A new approach to the care of palliative patients with a family history of cancer is proposed.

Published
2009

9. End-of-life care for people with dementia in UK care homes.

Author

Reeves, Caroline, Lillie, Alison Kate, and Burrow, Simon

Subjects
NURSING care facilities, CINAHL database, CAUSES of death, DEMENTIA, INFORMATION storage & retrieval systems, MEDICAL databases, PSYCHOLOGY information storage & retrieval systems, MEDICAL care, MEDICAL care costs, MEDLINE, PATIENTS, TERMINAL care, SYSTEMATIC reviews, ADVANCE directives (Medical care), ATTITUDES toward death, SOCIAL support, PATIENTS' attitudes, AMED (Information retrieval system)
Abstract

Dementia is the leading cause of death in England and Wales. Since the publication of the Dementia Strategy in 2009, there has been an increasing emphasis on advance care planning, with the aim of empowering people with dementia to express their wishes before mental capacity is lost, promoting a 'good death' and enabling them to 'die well'. This literature review of end-of-life care for people with dementia in UK care homes shows that dementia is still not widely regarded as a terminal condition, and that residents of care homes sometimes face unnecessary admissions to hospital in the dying phase. People with dementia at the end of their lives are still not accessing appropriate and timely palliative care, and advance care planning is still not part of routine dementia care despite the evidence and recommendations. This denies them the known benefits of reduced patient and carer distress, reduced hospital admissions and inappropriate treatments, the upholding of person-centred care principles, decision-making, and ensuring that people with dementia can expect a 'good death'. [ABSTRACT FROM AUTHOR]

Published
2019

13. Effective drain care and management in community settings.

Author

Gibson, Sarah Louise and Lillie, Alison Kate

Subjects
*NURSING, *COMMUNITY health services, *POSTOPERATIVE care, *SURGICAL complications, *MEDICAL care, *PATIENTS, *DOCUMENTATION, *SURGICAL site, *SURGICAL site infections, *COMMUNICATION, *MEDICAL drainage, *PATIENT safety, *COMMUNITY health nursing
Abstract

AUTH Why you should read this article: • To recognise the importance of effective drain management to optimise patient care and safety • To understand how you can ensure drain safety • To maintain your knowledge of drain-related complications The literature indicates that drain monitoring is a frequently undervalued aspect of patient care, and that the drain care provided is often inconsistent and inadequate. There are numerous potential implications of suboptimal drain care for patients, nurses, teams and healthcare organisations. Since acute care is increasingly being delivered in the community, there is a greater need for nurses to have an understanding of effective drain care. This article describes the rationale for drain insertion and its associated complications. It uses a case study to illustrate how suboptimal drain monitoring and documentation can negatively affect patient care and safety. This article also discusses several important issues raised in the case study, such as suboptimal documentation, and how these may have consequences for nurses, teams and healthcare organisations. Recognition of these elements supports initiatives that nurses could apply to practice to reduce the occurrence of similar incidents. [ABSTRACT FROM AUTHOR]

Published
2020
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