• Neuropathic pain management in children.

      Hyde, Catherine; Price, Jayne; Nicholl, Honor; Marymount Hospice/ St. Patrick's Hospital, Curraheen Road, Cork, Ireland. (2012-10)
      There are difficulties in assessing, managing, and evaluating neuropathic pain in dying children, particularly those with neurological impairment. Neuropathic pain in children often presents differently to how it presents in the adult population. Comprehensive assessment as well as pharmacological and non-pharmacological interventions are crucial to its successful management and frequently require input from an interdisciplinary team. Notwithstanding the need for further research, this paper brings together research papers, reviews, and clinical guidelines to present an exploration of existing evidence regarding care for children with neuropathic pain and their families.
    • Person-centred care in nursing documentation.

      Broderick, Margaret C; Coffey, Alice; St Patricks Hospital, Cork, Ireland. (2012-12-07)
      BACKGROUND: Documentation is an essential part of nursing. It provides evidence that care has been carried out and contains important information to enhance the quality and continuity of care. Person-centred care (PCC) is an approach to care that is underpinned by mutual respect and the development of a therapeutic relationship between the patient and nurse. It is a core principle in standards for residential care settings for older people and is beneficial for both patients and staff (International Practice Development in Nursing and Healthcare, Chichester, Blackwell, 2008 and The Implementation of a Model of Person-Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). However, the literature suggests a lack of person-centredness within nursing documentation (International Journal of Older People Nursing 2, 2007, 263 and The Implementation of a Model of Person-Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). AIMS AND OBJECTIVES: To explore nursing documentation in long-term care, to determine whether it reflected a person-centred approach to care and to describe aspects of PCC as they appeared in nursing records. METHOD: A qualitative descriptive study using the PCN framework (Person-centred Nursing; Theory and Practice, Oxford, Wiley-Blackwell, 2010) as the context through which nursing assessments and care plans were explored. RESULTS: Findings indicated that many nursing records were incomplete, and information regarding psychosocial aspects of care was infrequent. There was evidence that nurses engaged with residents and worked with their beliefs and values. However, nursing documentation was not completed in consultation with the patient, and there was little to suggest that patients were involved in decisions relating to their care. IMPLICATIONS FOR PRACTICE: The structure of nursing documentation can be a major obstacle to the recording of PCC and appropriate care planning. Documentation that is focused on the 'person' will contribute to a more meaningful relationship between nurses and residents.
    • Place of care: from referral to specialist palliative care until death.

      O'Leary, Mary Jane; O'Brien, Alison C; Murphy, Marie; Crowley, Claire M; Leahy, Helen M; McCarthy, Jill M; Collins, Joan C; O'Brien, Tony (BMJ Publishing Group Ltd, 2014-12-08)
      While there are many poorly standardised studies focusing on place of death, there are limited data on place(s) of care during the final stages of disease.
    • Residents' perceptions of relocating from one long-term setting to another.

      Murphy, Lynda; McCarthy, Geraldine; Cornally, Nicola (RCN Publishing Co Ltd, 2013-02)
      To investigate older people's perceptions of a planned relocation from one long-term care facility in an older building to another modern setting almost 10km away.
    • Standards for the management of cancer-related pain across Europe-A position paper from the EFIC Task Force on Cancer Pain.

      Bennett, Michael I; Eisenberg, Elon; Ahmedzai, Sam H; Bhaskar, Arun; O'Brien, Tony; Mercadante, Sebastiano; Krčevski Škvarč, Nevenka; Vissers, Kris; Wirz, Stefan; Wells, Chris; et al. (2019-01-06)