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149 results on '"Nwosu, Amara Callistus"'

3. Understanding barriers and facilitators to palliative and end-of-life care research: a mixed method study of generalist and specialist health, social care, and research professionals

Author

Walshe, Catherine, Dunleavy, Lesley, Preston, Nancy, Payne, Sheila, Ellershaw, John, Taylor, Vanessa, Mason, Stephen, Nwosu, Amara Callistus, Gadoud, Amy, Board, Ruth, Swash, Brooke, Coyle, Seamus, Dickman, Andrew, Partridge, Andrea, Halvorsen, Jaime, and Hulbert-Williams, Nick

Published
2024
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5. Hospital-initiated palliative care interventions for adults with frailty: findings from a systematic review and narrative synthesis.

Author

Sharratt, Phoebe, Zacharias, Antony, Nwosu, Amara Callistus, and Gadoud, Amy

Subjects
MEDICAL care use, PALLIATIVE treatment, RESEARCH funding, FRAIL elderly, TREATMENT effectiveness, SYMPTOM burden, SYSTEMATIC reviews, QUALITY of life, HOSPITAL care of older people, NEEDS assessment, OLD age
Abstract

Background Adults with frailty have palliative care needs [ 1 ] but have disproportionately less access to palliative care services [ 2 ]. Frailty affects ~4000 patients admitted to hospital per day in the UK [ 3 ], making the hospital admission a unique opportunity to assess palliative care needs and deliver interventions. Objectives Synthesise the evidence regarding hospital palliative care (HPC) for patients with frailty. Narratively analyse the evidence regarding methods used to identify palliative care needs; types of palliative care interventions studied; and whether HPC improves outcomes. Methods Systematic literature review and narrative synthesis of experimental, observational and systematic review articles investigating palliative care interventions for hospitalised adults aged ≥65 years with frailty. Electronic search of five databases from database inception to 30 January 2023. Included studies analysed using narrative synthesis according to Popay et al [ 4 ]. Results 15 465 titles retrieved, 12 included. Three studies detailed how they identified palliative care needs; all three used prognostication e.g. the 'surprise question'. Most papers (10/12) investigated specialist palliative care interventions. These interventions addressed a wider range of care needs than non-specialist interventions. Evidence suggested an improvement in some symptom burden and healthcare utilisation outcomes following HPC. Conclusion Prognostication was the main method of identifying palliative care needs, rather than individuals' specific needs. Specialist palliative care interventions were more holistic, indicating that non-specialist palliative care approaches may benefit from specialist team input. Despite suggestions of improvement in some outcomes with palliative care, heterogenous evidence prevented establishment of conclusive effects. [ABSTRACT FROM AUTHOR]

Published
2024
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43. 857628_supp_mat_table – Supplemental material for Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats

Author

Nwosu, Amara Callistus, Sturgeon, Bethany, McGlinchey, Tamsin, Goodwin, Christian DG, Ardhendu Behera, Mason, Stephen, Stanley, Sarah, and Payne, Terry R

Subjects
FOS: Clinical medicine, 111702 Aged Health Care, FOS: Health sciences, 110308 Geriatrics and Gerontology
Abstract

Supplemental material, 857628_supp_mat_table for Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats by Amara Callistus Nwosu, Bethany Sturgeon, Tamsin McGlinchey, Christian DG Goodwin, Ardhendu Behera, Stephen Mason, Sarah Stanley and Terry R Payne in Palliative Medicine

Published
2019
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49. Longitudinal bioimpedance assessments to evaluate hydration in POEMS syndrome

Author

Nwosu, Amara Callistus, Morris, Lauren, Mayland, Catriona, Mason, Stephen, Pettitt, Andrew, and Ellershaw, John

Subjects
Quality of life, Dehydration, Clinical assessment, Case Report, Signal Processing, Computer-Assisted, Clinical decisions, Middle Aged, POEMS Syndrome, Haematological disease, Electric Impedance, Edema, Humans, Female, Longitudinal Studies, Diuretics
Abstract

Polyneuropathy, organomegaly, endocrinopathy, M-protein and skin changes (POEMS) syndrome is a rare paraneoplastic disorder associated with an underlying plasma cell dyscrasia and multiorgan failure. POEMS syndrome is potentially fatal and adversely affects quality of life. Oedema is common with many patients affected by pleural effusions, ascites and lower limb oedema. Bioelectrical impedance vector analysis (BIVA) is a non-invasive assessment tool, which enables rapid bedside assessments of nutrition and hydration. This paper describes the use of sequential BIVA assessments to evaluate the response to diuretic therapy in a woman aged 52 years with POEMS syndrome. This case illustrates the potential to use BIVA to conduct longitudinal assessments of hydration status. This provides opportunities for further research using BIVA to monitor hydration and response to interventions. This may be useful in specific situations, for example at the end of life.

Published
2016

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