412 research outputs found
Author Peter FitzSimons speaking at the National Library of Australia, Canberra, 13 November 2012 /
No full textTitle from acquisitions documentation.; Part of the collection: Portraits of author Peter FitzSimons speaking at the National Library of Australia, Canberra, 13 November 2012.; Acquired in digital format; access copy available online.; Mode of access: Online.; Photographed by a staff member of the National Library of Australia
Care of the patient with cardiac arrhythmias
No full textChapter 7: this chapter discusses the care of patients with cardiac arrhythmias. It describes the different types of arrhythmias, their treatment, and nursing priorities for patient care
Front Matter of Combating Violence & Abuse of People with Disabilities: A Call to Action
No full textComplete Digitized Text of the Front Matter (Contents, About the Author, Contributors, Forward by Dick Sobsey, Preface, and Acknowledgments) of the book Combating Violence & Abuse of People with Disabilities: A Call to Action by Nancy M. Fitzsimons.https://cornerstone.lib.mnsu.edu/books-fitzsimons-combating-violence/1001/thumbnail.jp
Gender disparities in cardiovascular care: the need to educate and advocate for equal care for women
No full textFollowing the International Women’s Day campaign in March, Fitzsimons and colleagues highlight current gender disparities in cardiovascular disease care, diagnosis and treatment and discuss how gender equality can be promoted in clinical practice
sj-pdf-1-pmj-10.1177_02692163221101748 – Supplemental material for Exploring the prevalence, impact and experience of cardiac cachexia in patients with advanced heart failure and their caregivers: A sequential phased study
No full textSupplemental material, sj-pdf-1-pmj-10.1177_02692163221101748 for Exploring the prevalence, impact and experience of cardiac cachexia in patients with advanced heart failure and their caregivers: A sequential phased study by Matthew A Carson, Joanne Reid, Loreena Hill, Lana Dixon, Patrick Donnelly, Paul Slater, Alyson Hill, Susan E Piper, Theresa A McDonagh and Donna Fitzsimons in Palliative Medicine</p
Care of the patient with cardiac arrhythmias
No full textChapter 7: this chapter discusses the care of patients with cardiac arrhythmias. It describes the different types of arrhythmias, their treatment, and nursing priorities for patient care
An anxious wait: a combined qualitative and quantitative study of anxiety on the waiting list for coronary artery bypass surgery
No full textHeart disease is one of the biggest sources of mortality and morbidity in the developed world to-day. Coronary artery bypass surgery (CABS) is the gold-standard treatment. However, due to finite resources, demand has out-stripped capacity in many countries and long queues are common. Waiting lists for CABS have been associated with many problems, including pain, unemployment, uncertainty and death (McHugh et al 2001). However, one of the most salient features of this experience is undoubtedly the anxiety experienced by patients who face a lifethreatening diagnosis but indeterminate wait for treatment (Fitzsimons et al 2003). The aim of this paper was to describe the nature and intensity of anxiety experienced by patients awaiting CABS. Therefore a combined qualitative and quantitative approach was appropriate. Data were collected using semi-structured interview and the State Trait Anxiety Inventory (STAI) (Spielberger et al 1983), at three intervals over participants’ first year on the waiting list. The randomised sample comprised 70 patients recruited within 4 weeks of surgical referral. Interviews were recorded, transcribed verbatim and analysed using Colaizzi’s approach. Quantitative data were entered onto SPSS and analysed using standard non-parametric statistics and t-tests. Participants cited 5 main sources of anxiety:- chest pain, uncertainty, fear of operation, physical incapacity,and dissatisfaction. The STAI scores were significantly higher than other comparable groups at all stages of data collection and there was a statistically significant relationship between STAI scores and angina levels (p=<0.05). We have identified the sources and severity of the anxiety experienced by patients awaiting CABS. Thus, our findings may facilitate greater understanding of the needs of these patients and assist in the development of specific nursing interventions to help alleviate their specific problems. The combination of qualitative and quantitative methods generated a much more complete description of this construct than may have been achieved by either method in isolation
A phenomenological study exploring the patients’ experience and views on the structure and content of an intervention for patients waiting for coronary artery bypass surgery.
No full textIntroduction: Lengthy waiting time for coronaryartery bypass surgery (CABS) has created difficultiesfor patients (Fitzsimons et al, 2000). Althoughit has been suggestd that it may present a windowof opportunity , where patients could benefit fromstructured intervention to improve health status andfacilitate better long-term outcome. However, thereis sparse evidence on which to base the structureand contnt of a pre-surgery intervention for patientswaiting for CABS (Arthur et al,2000). This paperdescribes the first stage of a larger interventionalproject which sought to devise a nurse-led interventionfor patients waiting for CXABS and exploreassociated outcomes.Intervention: A 12 week pilot programme of cardiacrehabilitation was devloped, based on availableliterature. It included exercise, education andsupport. Exercise is a novel intervention for thispatient group.Objectives: 1. To explore the patients’ experienceof a stuctures pre-operative intervention. 2. To seelthe individuals’ views on the structure and contentof the programme.Method: A purposive sample of all seven participantswho had completed a pilot, pre-operativecardiac rehabilitation was selected. Semi-structuredinterviews were taped, transcribed, and analysedusing Colaizzi’s approach (Parahoo, 1997).Results: Before the programme participantsreported feeling worried and afraid to exercise.They all stated that the programme helped them toinmprove fitness levels and overcome fear, as well asproviding increased support and a better knowledgeof heart disease and surgery. Participants expresseda wish for the programme to continue for longer andsome wanted less information rgarding the actualsurgery. Implications This paper describes a novelapproach to caring for these patients, employingusers’ to evaluate the effectiveness of the intervention.It highlights the importance of designingresearch projects that are responsive to clinical needand discuss the inherent difficulties. We recommendinnovative ways of delivering support throughoutthe waiting period be explored
A phenomenological study exploring the patients’ experience and views on the structure and content of an intervention for patients waiting for coronary artery bypass surgery.
No full textIntroduction: Lengthy waiting time for coronaryartery bypass surgery (CABS) has created difficultiesfor patients (Fitzsimons et al, 2000). Althoughit has been suggestd that it may present a windowof opportunity , where patients could benefit fromstructured intervention to improve health status andfacilitate better long-term outcome. However, thereis sparse evidence on which to base the structureand contnt of a pre-surgery intervention for patientswaiting for CABS (Arthur et al,2000). This paperdescribes the first stage of a larger interventionalproject which sought to devise a nurse-led interventionfor patients waiting for CXABS and exploreassociated outcomes.Intervention: A 12 week pilot programme of cardiacrehabilitation was devloped, based on availableliterature. It included exercise, education andsupport. Exercise is a novel intervention for thispatient group.Objectives: 1. To explore the patients’ experienceof a stuctures pre-operative intervention. 2. To seelthe individuals’ views on the structure and contentof the programme.Method: A purposive sample of all seven participantswho had completed a pilot, pre-operativecardiac rehabilitation was selected. Semi-structuredinterviews were taped, transcribed, and analysedusing Colaizzi’s approach (Parahoo, 1997).Results: Before the programme participantsreported feeling worried and afraid to exercise.They all stated that the programme helped them toinmprove fitness levels and overcome fear, as well asproviding increased support and a better knowledgeof heart disease and surgery. Participants expresseda wish for the programme to continue for longer andsome wanted less information rgarding the actualsurgery. Implications This paper describes a novelapproach to caring for these patients, employingusers’ to evaluate the effectiveness of the intervention.It highlights the importance of designingresearch projects that are responsive to clinical needand discuss the inherent difficulties. We recommendinnovative ways of delivering support throughoutthe waiting period be explored
Developing a regional model of palliative care provision for Northern Ireland.
No full textAims: To develop a regional model of palliative care provision for Northern Ireland Background: Palliative care patients present a great challenge to professional service providers, linked with the complex physical needs but also the emotional context in which care is provided. The definition of palliative care was care delivered to any adult in the last 12 months of life. Methods: In order to achieve the aim six main work strands were developed: 1. A comprehensive review of the literature 2. A regional need assessment 3. Professional Consultation achieved by a variety of different activities, such as email discussions (n= 145 delegates), focus groups and interviews (n=87 participants included GPs, District Nurses, Palliative Care Specialists) 4. User consultation comprised of evidence from separate research studies conducted recently in NI. Through the combined efforts of these studies the views of approximately 82 patients, 91 carers (both active and bereaved) and 123 professionals have been sought. 5. District Nursing Shadowing Exercise 6. Consultation Workshop (n=60 participants) Results: Following the review of the data obtained from all the strands of work the key guiding principles and core components of service model were identified. The guiding principles included: Patient and Family Centred Care; Enhanced Community Provision: Care Supported by Specialist & Hospital Provision. The core components of the model were identified as: Timely identification of palliative care needs; Holistic Assessment; Integration of services; Co-ordination of care; End of life & Bereavement Care; and Public and Professional Awareness. Conclusions: The model proposed in this paper provides a framework around which palliative care services can be developed and made more accessible and effective to the growing numbers of people who require them. Recommended reading: NICE (2004) Guidance on Supportive and Palliative Care for Adults with Cancer. Fitzsimons, D., Mullan, D., Wilson, J.S. et al (2007). The Challenge of Patients’ Unmet Palliative Care Needs in the Final Stages of Chronic Illness. Palliative Medicine 21;4, 313 – 322 McIlfatrick, S. (2007). Assessing Palliative Care Needs: Views of Patients, Informal Carers and Healthcare Professionals. Journal of Advanced Nursing 57(1), 77-8
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