Ann L Caress

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BACKGROUND Breathlessness is a debilitating and distressing symptom in a wide variety of diseases and still a difficult symptom to manage. An integrative review of systematic reviews of non-pharmacological and pharmacological interventions for breathlessness in non-malignant disease was undertaken to identify the current state of clinical understanding of(More)
Cross-cultural provider-patient communication difficulties identified in Manchester Needs Assessment study with Somali patients with limited or no English (Lovel et al., 1999). A higher incidence of asthma morbidity and mortality among ethnic minorities in the UK and abroad. Asthma is an unfamiliar condition to manage for Somalis once in the UK. High(More)
BACKGROUND Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses. METHODS Following the RCT, a costing study was undertaken using the trial data to account(More)
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