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Supplemental material, sj-pdf-2-pmj-10.1177_02692163221101753 for When should palliative care be introduced for people with progressive fibrotic interstitial lung disease? A meta-ethnography of the experiences of people with end-stage interstitial lung disease and their family carers by Evelyn Palmer, Emily Kavanagh, Shelina Visram, Anne-Marie Bourke, Ian Forrest and Catherine Exley in Palliative Medicine

Supplemental material, sj-pdf-1-pmj-10.1177_02692163221101753 for When should palliative care be introduced for people with progressive fibrotic interstitial lung disease? A meta-ethnography of the experiences of people with end-stage interstitial lung disease and their family carers by Evelyn Palmer, Emily Kavanagh, Shelina Visram, Anne-Marie Bourke, Ian Forrest and Catherine Exley in Palliative Medicine

Supplemental material, sj-pdf-2-pmj-10.1177_02692163211059340 for Which factors influence the quality of end-of-life care in interstitial lung disease? A systematic review with narrative synthesis by Evelyn Palmer, Emily Kavanagh, Shelina Visram, Anne-Marie Bourke, Ian Forrest and Catherine Exley in Palliative Medicine

Supplemental material, sj-pdf-3-pmj-10.1177_02692163211059340 for Which factors influence the quality of end-of-life care in interstitial lung disease? A systematic review with narrative synthesis by Evelyn Palmer, Emily Kavanagh, Shelina Visram, Anne-Marie Bourke, Ian Forrest and Catherine Exley in Palliative Medicine

Supplemental material, sj-pdf-1-pmj-10.1177_02692163211059340 for Which factors influence the quality of end-of-life care in interstitial lung disease? A systematic review with narrative synthesis by Evelyn Palmer, Emily Kavanagh, Shelina Visram, Anne-Marie Bourke, Ian Forrest and Catherine Exley in Palliative Medicine

Background:An Acute Oncology Service (AOS) is paramount to providing timely and improved pathways of care for patients who are admitted to hospital with cancer-related problems or suspected cancer.Objective:To establish an AOS pilot study to decide how best to implement such a service locally.Methods:The AOS, which included collaboration between the oncology and palliative care teams at the Northern General Hospital in Sheffield, UK, ensured that the majority of oncology patients in the region received timely assessment by an oncologist if they became acutely unwell as a result of their cancer or its treatment. The AOS consisted of a thrice-weekly ward round, and daily telephone advice service.Results:We report on patient data during the first 12 months of the pilot study. Delivery of the AOS enhanced communication between the services and provided inter-professional education and support, resulting in earlier oncological team involvement in the management of patients with cancer admitted under other teams, as well as provision of advice to patients and their caregivers and families. Provision of the AOS shortened the mean length of hospital stay by 6 days. Two case studies are presented to illustrate the typical challenges faced when managing these patients.Conclusions:Establishment of the AOS enabled effective collaboration between the oncology and other clinical teams to provide a rapid and streamlined referral pathway of patients to the AOS. Locally, this process has been supported by the development of acute oncology protocols, which are now in use across the local cancer network.&nbsp

© 2011 Dr. Anne Bourke, This thesis explored what ideas of hospital, landscape and health could be read in the changes in hospital sites and grounds in Melbourne during a one hundred year period from 1848-1948. Why did these hospitals look the way they did, why did they change, what was their purpose and meaning for patients and staff and what do these changes reveal about cultural attitudes to hospital landscape? The contribution of this thesis has been to develop a spatial and cultural history of hospitals in Melbourne which explored these questions. This study contributed three major findings that make a significant contribution to the scholarly literature on hospital landscapes of this period. Firstly, hospital sites in Melbourne were a full generation ahead of North America in exhibiting an International Style aesthetic. Secondly, that existing hospital grounds adopted International Style modernism before it was evident in the buildings and finally, that the belief in heliotherapy as a treatment justified the use of sun balconies and flat roofs after gardens had disappeared. Further, a research approach that focused on the purpose and meaning of the grounds to staff and patients demonstrated the importance of analyzing human activity when researching the built environment, an aspect that is usually missing from historical studies in architecture. This thesis contributes to historical studies of hospital landscapes and provides context and clarity for the design of contemporary hospital sites.