55 episodes

Welcome to the official free Podcast site from SAGE Publications for Palliative Medicine & Chronic Care.

SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.

SAGE Palliative Medicine & Chronic Care SAGE Publications Ltd.

    • Science

Welcome to the official free Podcast site from SAGE Publications for Palliative Medicine & Chronic Care.

SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.

    The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review

    The effectiveness of aromatherapy, massage and reflexology in people with palliative care needs: A systematic review

    This episode features Dr Bridget Candy and Dr Megan Armstrong (Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK). Aromatherapy, massage and reflexology are widely used in palliative care. Patients themselves often report that these therapies are helpful. It is important to demonstrate value for money in health care service provision including in palliative care. This is the first systematic review to focus on aromatherapy, massage and reflexology in palliative care and to synthesise the evidence using established systematic review methodology. Low-quality trials, and differences in the nature of the comparison arms and in the type of evaluation between trials made it difficult to draw any firm conclusions about the effectiveness of these therapies. Although there was limited evidence on the effectiveness of aromatherapy, massage and reflexology equally no evidence of harm was reported. Heterogeneity across the body of trials suggests the need for theoretical research to understand more clearly how complementary therapies are delivered in palliative care and the best way to measure any purported benefits.

    • 4 min
    Online training improves medical students’ ability to recognise when a person is dying: The ORaClES randomised controlled trial

    Online training improves medical students’ ability to recognise when a person is dying: The ORaClES randomised controlled trial

    This episode features Dr Nicola White  and Dr Linda Oostendorp (Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London (UCL), London, UK). Recognising dying is a core clinical skill. There is inconsistent training in the United Kingdom and both medical students and doctors report feeling unsure and ill prepared when working with a dying patient and their family. This study suggests that the online training resource can alter what information medical students review, to make decisions more like that of the experts. This online training resource could be used to facilitate learning in this complex area, and provide a complementary education approach to clinical training.

    • 4 min
    Consumer and carer leadership in palliative care academia and practice: A systematic review with narrative synthesis

    Consumer and carer leadership in palliative care academia and practice: A systematic review with narrative synthesis

    This episode features Brett Scholz (Medical School, The Australian National University, Acton, ACT, Australia).  Consumer involvement is required by policy at all levels of health services. Some health disciplines have well-established research programmes focusing on consumer leadership. Palliative care is philosophically consumer-centred, but there has been less of a focus on consumer leadership at the systemic level of palliative care services. The review demonstrates that consumer leadership is an emerging practice in palliative care services and academia. Despite the potential challenges of consumer leadership, consumers are motivated to be engaged with the sector. Consumers are still not as involved in setting agendas in palliative care as policies require. The review findings extend understandings of how to better support consumer leaders, suggesting palliative care service providers educated by consumer academics may be more aware of power imbalances and thus later be able to use their influence for further consumer leadership. To meet policy requirements and realise benefits brought by consumers’ perspectives, more research conducted with (rather than on) consumers in palliative care is needed. Policy requires partnerships with consumers at all stages of palliative service planning, implementation, delivery and evaluation, but does not provide a guide for best practice about how such partnerships are done without tokenism.

     
    Full paper available from: https://journals.sagepub.com/doi/full/10.1177/0269216319854012
     
    If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk

    • 4 min
    Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review

    Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review

    This episode features Mary Scott (Ottowa Hospital Research Institute. Bruyere Research Institute). Many patients and families report improved satisfaction of care when palliative care when they are supported by palliative care specialist teams. Transitions of care from one setting to another are burdensome. Evidence suggests that palliative care can improve this transition from hospital to community support. This narrative systematic review aimed to determine whether paliative care can impact that transition from hospital to home. Fifteen articles were included. Involvement of specialist inpatient palliative care was associated with lower readmission rates, higher referral to hospice and better provision of services after discharge. Heterogenity of study designs were evident. Consequently, futher research is needed to evaluate this area further.

     
    Full paper available from: https://journals.sagepub.com/doi/full/10.1177/0269216319870649
    If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk
     
     
    Dr Amara Nwosu, MBChB (Commendation), MRCP, PhD

    Consultant in Palliative Medicine, Academic Palliative & End of Life Care Department, Royal Liverpool & Broadgreen University Hospitals NHS Trust. 
    Honorary Senior Clinical Lecturer, Palliative Care Institute Liverpool, University of Liverpool.
    Research Lead, Marie Curie Hospice Liverpool.
    Research Scholars Programme, National Institute for Health Research (NIHR) North West Clinical Research Network (CRN)
    Technology Editor, Palliative Medicine. Sage Publications. http://pmj.sagepub.com/ 

    Office:             0044 151 706 2274
    Email:              anwosu@liverpool.ac.uk
    Web:                www.pcil.org.uk

    http://www.amaranwosu.com/ 
    Twitter: @amaranwosu 
    AmiPal Palliative care podcast: https://soundcloud.com/mypal

    • 3 min
    AJMQ 2019 Special Issue Podcast

    AJMQ 2019 Special Issue Podcast

    • 20 min
    Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats

    Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats

    This episode features Dr Amara Nwosu (Palliative Care Institute Liverpool and Marie Curie Hospice Liverpool, Liverpool, UK).  Medical robots have mainly been used to support surgical procedures and for a variety of assistive uses in dementia and elderly care. There has been limited debate about the potential opportunities and risks of robotics in other areas of palliative, supportive and end-of-life care. The potential opportunities of robotics in palliative, supportive and end-of-life care include a number of assistive, therapeutic, social and educational uses. There is concern that robots will exacerbate healthcare inequalities, disrupt the workforce and reduce face-to-face human interaction. Future work should evaluate the health-related, economic, societal and ethical implications of using robotic technology in palliative, supportive and end-of-life care. There is a need for collaborative research to establish use-cases and policy recommendations to guide the appropriate use of robots for people with serious illness.

    Full paper available from:   https://journals.sagepub.com/doi/full/10.1177/0269216319857628
     
    If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk

    • 4 min

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