Publications by staff affiliated to Marymount University Hospital & Hospice

Recent Submissions

  • Place of care: from referral to specialist palliative care until death.

    O'Leary, Mary Jane; O'Brien, Alison C; Murphy, Marie; Crowley, Claire M; Leahy, Helen M; McCarthy, Jill M; Collins, Joan C; O'Brien, Tony (BMJ Publishing Group Ltd, 2014-12-08)
    A significant number of patients received specialist palliative care across multiple care settings. Late referral is associated with a single domain of care. General practitioner involvement supports patient care and death at home. Place of care and ease of transfer between care settings may be better indicators of the quality of care we provide.
  • The Attractiveness of Opposites: Agonists and Antagonists.

    O'Brien, Tony (2015-02-02)
    ABSTRACT Opioid-induced bowel dysfunction, of which constipation is the most common aspect, is a major limiting factor in the use of opioids for pain management. The availability of an oral, long-acting formulation of oxycodone and naloxone represents a highly significant development in pain management. The combination of an opioid analgesic with an opioid antagonist offers reliable pain control with a significant reduction in the burden of opioid-induced constipation. This report is adapted from paineurope 2014; Issue 3, ©Haymarket Medical Publications Ltd, and is presented with permission. paineurope is provided as a service to pain management by Mundipharma International, LTD and is distributed free of charge to healthcare professionals in Europe. Archival issues can be accessed via the website: http://www.paineurope.com at which European health professionals can register online to receive copies of the quarterly publication.
  • Cancer pain and opioid use--a global issue.

    O'Brien, Tony (Oxford University Press, 2013-07)
  • Information transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients.

    Kiely, Fiona; Murphy, Marie; O'Brien, Tony (BMJ Publishing Group Ltd, 2013-12)
    A structured format for information transfer regarding end-of-life care is deemed important by GPs when working on-call at night and weekends. Diagnosis, patient preference and management plans are valued.
  • Residents' perceptions of relocating from one long-term setting to another.

    Murphy, Lynda; McCarthy, Geraldine; Cornally, Nicola (RCN Publishing Co Ltd, 2013-02)
    By understanding residents' perspectives a more person-centred approach can be taken to reduce the negative impact of the transition from one care setting to another.
  • The landscape of blogging in palliative care.

    Lowney, A C; O'Brien, T; Department of Palliative Medicine, Marymount Hospice and Cork University Hospital, Cork, Ireland. aoifelowney@gmail.com (2012-09)
    We present the case of a 30-year-old patient with pontine glioblastoma multiforme, World Health Organisation grade IV (WHO IV). This case is of particular interest in terms of the patient's use of social media as a medium of expression. This popular form of communication raises important clinical, ethical and social issues relating to confidentiality and the nature of the physician-patient relationship in a unique context.
  • Neuropathic pain management in children.

    Hyde, Catherine; Price, Jayne; Nicholl, Honor; Marymount Hospice/ St. Patrick's Hospital, Curraheen Road, Cork, Ireland. (2012-10)
    There are difficulties in assessing, managing, and evaluating neuropathic pain in dying children, particularly those with neurological impairment. Neuropathic pain in children often presents differently to how it presents in the adult population. Comprehensive assessment as well as pharmacological and non-pharmacological interventions are crucial to its successful management and frequently require input from an interdisciplinary team. Notwithstanding the need for further research, this paper brings together research papers, reviews, and clinical guidelines to present an exploration of existing evidence regarding care for children with neuropathic pain and their families.
  • Person-centred care in nursing documentation.

    Broderick, Margaret C; Coffey, Alice; St Patricks Hospital, Cork, Ireland. (2012-12-07)
    BACKGROUND: Documentation is an essential part of nursing. It provides evidence that care has been carried out and contains important information to enhance the quality and continuity of care. Person-centred care (PCC) is an approach to care that is underpinned by mutual respect and the development of a therapeutic relationship between the patient and nurse. It is a core principle in standards for residential care settings for older people and is beneficial for both patients and staff (International Practice Development in Nursing and Healthcare, Chichester, Blackwell, 2008 and The Implementation of a Model of Person-Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). However, the literature suggests a lack of person-centredness within nursing documentation (International Journal of Older People Nursing 2, 2007, 263 and The Implementation of a Model of Person-Centred Practice in Older Person Settings, Dublin, Health Service Executive, 2010a). AIMS AND OBJECTIVES: To explore nursing documentation in long-term care, to determine whether it reflected a person-centred approach to care and to describe aspects of PCC as they appeared in nursing records. METHOD: A qualitative descriptive study using the PCN framework (Person-centred Nursing; Theory and Practice, Oxford, Wiley-Blackwell, 2010) as the context through which nursing assessments and care plans were explored. RESULTS: Findings indicated that many nursing records were incomplete, and information regarding psychosocial aspects of care was infrequent. There was evidence that nurses engaged with residents and worked with their beliefs and values. However, nursing documentation was not completed in consultation with the patient, and there was little to suggest that patients were involved in decisions relating to their care. IMPLICATIONS FOR PRACTICE: The structure of nursing documentation can be a major obstacle to the recording of PCC and appropriate care planning. Documentation that is focused on the 'person' will contribute to a more meaningful relationship between nurses and residents.