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The aim of palliative care is to improve the quality of life in the broadest sense for patients with incurable disease. It also aims to improve the quality of dying (to achieve a “good” death) and to ameliorate the devastating effect of dying on the family and carers. Specialist palliative care is a young speciality in the UK. Many of the modern concepts(More)
OBJECTIVES To explore patients' understanding of chronic heart failure; to investigate their need for information and issues concerning communication. DESIGN Qualitative analysis of in-depth interviews by a constant comparative approach. PARTICIPANTS 27 patients identified by cardiology and care of the elderly physicians as having symptomatic heart(More)
OBJECTIVES To explore patients' understanding of their symptoms and the treatment of their heart failure. DESIGN Qualitative analysis of in-depth interviews, using a constant comparative approach. SUBJECTS 27 patients identified by Cardiology and Care of the Elderly physicians as having (a) symptomatic heart failure (New York Heart Association(More)
Stroke is the third leading cause of death in the UK. Despite this, little is known about the care needs of people who die from or following a stroke. In early 2003, a total of 183 questionnaires were returned from a survey of 493 people who had registered a stroke-related death in four Primary Care Trusts, giving a response rate of 37%. This paper reports(More)
Patient satisfaction surveys are seen as an important way of obtaining 'user views' of health service provision. However, there is a growing body of research and theoretical literature that questions the validity of the concept of 'patient satisfaction' and hence the use of this type of survey. A postbereavement survey of people who registered a random(More)
OBJECTIVES To describe factors that contribute to variations in health-related behaviours and attitudes among inner city 12-year-olds. To see if there was an identifiable patterning by ethnic group. DESIGN Semi-structured interviews with a stratified sample of 12-year-old students and their parents from four ethnic groups, attending state secondary(More)
Approximately half of all patients who die do so in hospital. Despite the advent of palliative care in the UK, there is evidence that the care that many patients receive in the final phase of their illness in hospital is poor. Building on a study of bereaved relatives' views of the information provided by an inner city hospital trust during an admission in(More)
AIM This paper is a report of a study conducted to explore the determinants of satisfaction with health and social care services in the last 3 months and 3 days of life as reported by bereaved relatives of those who died from a stroke in an institutional setting. BACKGROUND There is limited research about how best to meet the needs of those who die from(More)
OBJECTIVES To explore ethnic variations in drug, tobacco and alcohol use and their correlation with other factors which operate through peer, familial and religious influences. DESIGN Semi-structured interviews with 132 12-13-year-old young people from four ethnic groups attending secondary schools in two inner London boroughs and a follow-up interview(More)
OBJECTIVE To explore patient experience of breathlessness in heart failure. METHODS Semi-structured interviews were undertaken with 27 patients with chronic heart failure and were analysed using a constant comparative approach. RESULTS The patients had a mean age of 69 (range 38-94 years). All had chronic heart failure with a mean left ventricular(More)