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Full-Text Articles in Medicine and Health Sciences
Perceptions, Impact And Scope Of Medication Errors With Opioids In Australian Specialist Palliative Care Inpatient Services: A Mixed Methods Study (The Periscope Project), Nicole Heneka
Theses
Background: Opioids are a high-risk medicine, and one of the most frequently reported drug classes causing patient harm. In specialist palliative care inpatient services opioids are widely used to manage cancer pain and other symptoms. Palliative care inpatients are vulnerable to both exposure to, and harm from, opioid errors due to a combination of their: advanced age, comorbidities which affect drug metabolism, polypharmacy, and the seriousness of their illness. Despite this potential for harm, and the frequency of opioid administration in this specialist setting, little is known about opioid errors in palliative care. Better understanding the prevalence, patient impact and …
Delirium Epidemiology, Systems And Nursing Practice In Palliative Care Inpatient Settings: A Descriptive Mixed Methods Project (The Depac Project), Annmarie Hosie
Theses
Background: Delirium is a distressing and serious acute neurocognitive disorder frequently experienced by hospitalised patients yet under-recognised by nurses.
Aim: To identify the actions required to improve the capabilities of specialist inpatient palliative care nurses to recognise and assess delirium.
Design: A two-phase sequential transformative mixed methods project, involving five studies and underpinned by a knowledge translation conceptual framework – collectively termed the DePAC project.
Methods: A mixed methods design was used to examine delirium in palliative care inpatient settings from epidemiological, systems and nursing practice perspectives. Participants were nurses, physicians, allied health professionals, managers and patients of Australian palliative …