Browsing by Author "Bradford, Natalie"
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- ItemHome telemedicine for paediatric palliative care.(2010-12-30) Bradford, Natalie; Herbert, Anthony; Walker, Rick; Pedersen, Lee-Anne; Hallahan, Andrew; Irving, Helen; Bensink, Mark E; Armfield, Nigel R; Smith, Anthony CChildren with life limiting conditions require intensive complex management of the physical psychosocial and spiritual issues that evolve for the child and their family as the focus of care moves from curative treatment to palliation Optimal palliative care for children can be limited by the lack of health professionals with the necessary skills and experience to confidently and competently manage the care of both the child and the family The University of Queensland s Centre for Online Health has been working closely with the Paediatric Palliative Care Service PPCS at the Royal Children s Hospital RCH in Brisbane Australia to investigate the potential of telemedicine for the delivery of specialist support in the home or local community Research conducted in Queensland has shown how telemedicine can be effectively used to link the specialist paediatric palliative care team into the home of families caring for a child receiving palliative care regardless of their physical distance from the RCH This qualitative report describes two case studies each illustrating the value of home telemedicine for families at this vulnerable and distressing time This work should provide a useful insight for other specialty disciplines contemplating home telemedicine applications
- ItemHumour sans frontieres: the feasibility of providing clown care at a distance.(2011-05-26) Armfield, Nigel R; Bradford, Natalie; White, Megan M; Spitzer, Peter; Smith, Anthony CClown care has been shown to have health related benefits and is a well established part of the routine in many children s hospitals However children who have been admitted to general hospitals or who are being cared for at home cannot usually enjoy visits by Clown Doctors Therefore the aim of this work was to investigate whether an existing telemedicine network could be used to improve equity of access to humor for sick children specifically those who are hospitalized away from the nearest clown enabled hospital or who are being cared for at home Using videoconferencing we conducted regular clown outreach links from The Royal Children s Hospital in Brisbane Australia to children in regional hospitals and to sick children in their homes Using a program of performance which was modified for delivery by videoconference teleclowning was found to be feasible Further work is required to determine whether the health related benefits that accrue from in person clowning are successfully translated to the video based modality
- ItemTelemedicine--is the cart being put before the horse?(2014-05-19) Armfield, Nigel R; Edirippulige, Sisira K; Bradford, Natalie; Smith, Anthony CA large literature base on telemedicine exists but the evidence base for telemedicine is very limited There is little practical or useful information to guide clinicians and health policymakers Telemedicine is often implemented based on limited or no prior formal analysis of its appropriateness to the circumstances and adoption of telemedicine by clinicians has been slow and patchy Formal analysis should be conducted before implementation of telemedicine to identify the patients conditions and settings that it is likely to benefit Primary studies of telemedicine tend to be of insufficient quality to enable synthesis of formal evidence Methods typically used to assess effectiveness in medicine are often difficult expensive or impractical to apply to telemedicine Formal studies of telemedicine should examine efficacy effectiveness economics and clinician preferences Successful adoption and sustainable integration of telemedicine into routine care could be improved by evidence based implementation