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Biomedical subjects

Louise Lee

Publications and source records attributed to Louise Lee.

3 recordsLinked to original sources

Administration of as required subcutaneous medications by lay carers: developing a procedure and leaflet.

Good symptom control is considered one of the factors that determines whether patients are able to die at home. This article describes a practice development project to enable carers to administer as required (PRN) subcutaneous medication, via a subcutaneous butterfly device in a community setting. Medications were mainly analgesic injections, although others, such as midazolam, were also given. The article highlights the lack of literature on the topic, reviews relevant background information and presents two successful case histories. It outlines the development of a procedure and accompanying leaflet to support community nurses in teaching relatives how to carry out this task, and the implementation of the process.

Aged↗

Interprofessional working in hospice day care and the patients' experience of the service.

This in-depth study of hospice day care considers professional team working and patient experience of the service. It includes an analysis of how patients' time is spent. The qualitative single case study design involved patient and staff interviews, observations and document analysis. A theoretical framework of interprofessional working informed the study. Analysis of the data revealed a range of goals, variable communication patterns and the existence of core and extended teams. The results challenge the theoretical literature by suggesting that the presence of a team structure alone did not promote interprofessional working. Patients were also seen as integral members of the team. Their experience of day care was a social one, with a wide range of patients identified unmet needs, day care was largely seen as positive. This was despite interprofessional working not clearly being identified in the results. Suggestions for future research are made and implications for practice discussed.

Aged↗

A guide to selecting and using urinary sheaths.

Male continence is a neglected area of care, with many products, such as incontinence pads, being used for patients when more comfortable alternatives, such as urinary sheaths, are available. However, publications such as The National Service Framework for Older People (DoH, 2002) and Good Practice in Continence Services (DoH, 2000) have encouraged health and social care professionals to look at the way continence problems are managed.

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