Browsing by Author "Herbert, Anthony"
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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
- ItemPrinciples of a paediatric palliative care consultation can be achieved with home telemedicine.(2014-11-17) Bradford, Natalie K; Armfield, Nigel R; Young, Jeanine; Herbert, Anthony; Mott, Christine; Smith, Anthony CWe compared the records of paediatric palliative consultations undertaken face to face with telemedicine consultations undertaken in patients homes A convenience sample of consecutive paediatric palliative care patients was identified from the hospital s palliative care database A total of 100 consultations was reviewed 50 telemedicine consultations during home visits and 50 face to face consultations according to 14 established principles and components of a paediatric palliative care consultation In the telemedicine group there was a higher proportion of patients in a stable condition 58 vs 7 and a lower proportion of patients in terminal phase 2 vs 17 Discussion about pain and anorexia were significantly more common in the telemedicine group Discussion about follow up was significantly more common in the telemedicine group 86 vs 56 whilst resuscitation planning was more common in deteriorating patients receiving inpatient care All other components and principles of a palliative care consultation were documented equally regardless of method of consultation The findings confirm that palliative consultations via telemedicine are just as effective as face to face consultations in terms of the documented components of the consultation