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Biomedical subjects

B Monroe

Publications and source records attributed to B Monroe.

11 recordsLinked to original sources
PubMed2006

Psychological services in hospices in the UK and Republic of Ireland.

OBJECTIVE: To evaluate the level of psychological services available to patients and staff in hospices. DESIGN: Questionnaire analysis. SETTING: Hospices in the UK and Republic of Ireland. PARTICIPANTS: 224 hospices. MAIN OUTCOME MEASURES: The availability of professional psychological support for those with advanced disease. RESULTS: Responses were received from 166 hospices (74%). Only 50 hospices (30%) have access to a psychiatrist, whilst 68 (41%) have access to a clinical psychologist and 92 (45%) have neither. Only 21 hospices (12%) have service level agreements with local mental health trusts. Counsellors, complementary therapists and spiritual advisors such as chaplains were more plentiful. CONCLUSIONS: Delivery of the NICE guidelines, especially tier four, may be compromised by limited availability of specialist services. This has implications for the psychological assessment of applicants for voluntary euthanasia under an Assisted Dying Act.

Counseling↗
PubMed1994

Role of the social worker in palliative care.

The role of the social worker in the palliative care team is defined by five main functions--assessment, counselling, liaison with local resources and agencies, training and development activities, and staff support. The difference between the social work task, which may be undertaken by any member of the palliative care team, and the social work role is emphasized. Social workers bring to the team particular skills in working with families, children and groups. Their training helps them to locate the patient and family within a social and cultural context and thus to exploit resources which may help the family to resolve the difficulties they face. A method of family assessment is explored and a case study illustrates a family intervention including direct work with children.

Adaptation, Psychological↗
PubMed1989

Effect of prenatal ethanol administration on the urogenital system of mice.

The purpose of the present series of studies was to determine whether an obstruction in the urogenital system or vesicoureteral reflux (reflux, the retrograde passage of urine from the bladder into the kidney) existed in mice prenatally exposed to ethanol which might account for the high incidence of hydronephrosis and hydroureter observed. In order to examine these possibilities, indigo carmine was injected into the bladder of 19-day fetuses previously exposed to ethanol on Day 10 of gestation and the presence of hydronephrosis and/or reflux determined. As expected, we found a greatly increased incidence of hydronephrosis and hydroureter. In addition, there was a significant increase in reflux in the ethanol-treated mice. The incidence of reflux appeared to be related to the severity of the hydronephrosis observed, though cases of hydronephrosis without reflux and reflux without hydronephrosis were found. These data suggest both hypotheses may be salient and that a multiplicity of urogenital abnormalities are found following prenatal ethanol exposure.

Animals↗
PubMed1984

Auditory evoked potentials--the cochlear summating potential in detection of endolymphatic hydrops.

With an expanded clinical and normative SP amplitude series, we have re-examined the incidence of SP enlargement in clinically defined Meniere and cochlear ears. The overall incidence of SP enlargement in the expanded series is somewhat less than that found in our previous study (56% versus 68%). This difference may be due to considerable preselection of patients included in the previous smaller clinical population, since many of these patients were recruited for the study because of diagnosed Meniere's disease. In contrast, the present, larger clinical population was selected from our normal service referral base, and thus contains a much higher percentage of diagnostic problems. The comparison between SP enlargement and hearing levels demonstrates that the SP test for Meniere's disease must be interpreted in the light of high-frequency hearing levels. If the patient has normal or near-normal hearing (4- to 8-kHz hearing levels 25 dB or less), SP enlargement will not be a good criterion for detecting the presence of Meniere's disease. Gibson and colleagues and Kumagami and associates have reported similar observations. Also, in the presence of severe high-frequency hearing loss (above about 70 dB), SP enlargement occurs relatively infrequently among ears with clinical diagnoses of Meniere's disease. However, in the mid-range (25 to 70 dB) of high-frequency loss, SP enlargement appears to provide a reasonably accurate test for Meniere's disease (with a "hit rate" among clinically defined Meniere ears of about 71%).(ABSTRACT TRUNCATED AT 250 WORDS)

Brain Stem↗
PubMed1984

Cardiac neurilemoma. Report of a case with electron microscopic examination.

A cardiac neurilemoma was found at autopsy in a 70-year-old man. The patient had an adenocarcinoma of the lung with metastases to hilar lymph nodes and various organs. Light microscopic examination showed a small nodule of metastatic adenocarcinoma in the cardiac neurilemoma. Electron microscopic examination confirmed the Schwann's cell origin of the cardiac tumor. To our knowledge, this is the fifth reported case of cardiac neurilemoma.

Adenocarcinoma↗
PubMedDate not supplied

Children and loss.

Where possible children should receive help before a bereavement. this article explores children's experiences of grief and examines their needs. It describes ways in which professionals can help parents and children.

Adolescent↗