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Renal Dialysis Abatement: Decision-making & Social Impact Of The Transition To Terminal Care
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
A study of the impact on patients and their families of the decision to stop kidney machine dialysis, and the transition to terminal care, either in an in-patient hospice-palliative care unit or domicillary service. The study will employ a combination of quantitative demographic and qualitative social science methodologies. There will be a special focus on the decision-making process, given that a dialysis cessation decision will usually lead to death within a few weeks.
Supporting The Pathways To Palliative Care For People Diagnosed With Chronic Kidney Disease
Funder
National Health and Medical Research Council
Funding Amount
$43,575.00
Summary
Palliative care is highly relevant to the care of people with chronic kidney disease (CKD). As the person’s kidneys fail, dialysis or transplant will be required to prolong life. Palliative care is another option should patients choose not to have treatment. The health care team plays an important role in offering and supporting this choice but the planned patient care pathway often does not include palliative care as an option until the patient’s prognosis is very poor. Health professionals’ ow ....Palliative care is highly relevant to the care of people with chronic kidney disease (CKD). As the person’s kidneys fail, dialysis or transplant will be required to prolong life. Palliative care is another option should patients choose not to have treatment. The health care team plays an important role in offering and supporting this choice but the planned patient care pathway often does not include palliative care as an option until the patient’s prognosis is very poor. Health professionals’ own beliefs, values and knowledge about palliative care, death and dying, impact upon their decision to offer and support a palliative care option. This research which will be conducted in Northern Tasmania and will explore how palliative care is currently integrated into the care of patients with CKD and the perceptions that health professionals have about palliative care that may influence their decision making. From this information the research team and participating staff will develop the foundational protocols, resources and education and support program needed to introduce a multidisciplinary care pathway that integrates palliative care for all CKD patients.Read moreRead less
A Type II Diabetes Adn Obesity Prevention Program For Primary School Aged Rural Indigenous Children
Funder
National Health and Medical Research Council
Funding Amount
$1,497,369.00
Summary
This project aims to develop and evaluate the impact of an innovative multi-component community and school-based program for type II diabetes and obesity prevention program for Indigenous and non-Indigenous rural children.
Informing The Development Of A Model Of Care For Patients With End Stage COPD: What Are Their Needs And And They Being Met
Funder
National Health and Medical Research Council
Funding Amount
$49,425.00
Summary
Currently there is no specific model of care for people with end stage chronic obstructive pulmonary disease (COPD), despite growing evidence of the specific symptoms and issues of this patient group. Interviews with end stage COPD patients and their carers will be undertaken to explore the services currently being accessed, and how well patients’ needs are being met by these services. This project will conduct an audit of available services in South Australia and then examine how hospital, spec ....Currently there is no specific model of care for people with end stage chronic obstructive pulmonary disease (COPD), despite growing evidence of the specific symptoms and issues of this patient group. Interviews with end stage COPD patients and their carers will be undertaken to explore the services currently being accessed, and how well patients’ needs are being met by these services. This project will conduct an audit of available services in South Australia and then examine how hospital, specialist palliative care units and primary care services (including general practice) can interface to meet these identified patient and carer needs. The results from this study will be used to inform development of a distinct model (or models) of care that addresses the needs of patients with end stage COPD.Read moreRead less
CAM Use Among Mid-age Women: A National Mixed-methods Study Across The Urban-rural Divide
Funder
National Health and Medical Research Council
Funding Amount
$452,251.00
Summary
The aim of this project is to understand and explain why higher proportions of mid-age women in regional areas use complementary and alternative medicine (CAM) than those in urban areas of Australia. Such work will provide an evidence-base for policy and practice on this topic and the project findings will help develop CAM initiatives and programs for women’s health that are sensitive to geographical variations in community health, health practice and provision. Women are significantly more like ....The aim of this project is to understand and explain why higher proportions of mid-age women in regional areas use complementary and alternative medicine (CAM) than those in urban areas of Australia. Such work will provide an evidence-base for policy and practice on this topic and the project findings will help develop CAM initiatives and programs for women’s health that are sensitive to geographical variations in community health, health practice and provision. Women are significantly more likely to utilise CAM treatments than males and mid-age women have been found to be the highest CAM user group amongst Australian women. Researchers and practitioners have identified treatments from within CAM as potentially well-suited to dealing with a range of health problems and associated symptoms prevalent amongst mid-age women including the onset of cancer, arthritis, diabetes and asthma as well as menopause. Our previous pilot work found that mid-age women in regional areas are significantly more likely to use CAM than those in urban areas. A number of explanations as to why this is so can be or have been proposed. These include: limited access to conventional health care services in regional areas; closer working ties between non-urban general practitioners and CAM provision; dissatisfaction with conventional health care services in regional areas and stronger informal community networks in nonurban areas. Our proposed project, drawing upon a national representative sample of mid-age women will test such hypotheses and will provide findings of benefit and interest to policy makers, practitioners, consumers and all involved in women’s health and health care across urban and regional Australia.Read moreRead less
Care-seeking, Use Of CAM, And Self-management Among People With Type 2 Diabetes And
Funder
National Health and Medical Research Council
Funding Amount
$663,576.00
Summary
Chronic disease and related health problems are increasing in prevalence in Australia. Recent estimates suggest that Type 2 diabetes and heart disease cost the Australian community almost $9 billion in direct costs per annum. People with chronic conditions follow medical and behavioural prescriptions variably, however, while also using complementary and alternative (CAM) therapies, practitioners, vitamins and herbs. We will explore the reasons for presentation to and use of CAM practitioners and ....Chronic disease and related health problems are increasing in prevalence in Australia. Recent estimates suggest that Type 2 diabetes and heart disease cost the Australian community almost $9 billion in direct costs per annum. People with chronic conditions follow medical and behavioural prescriptions variably, however, while also using complementary and alternative (CAM) therapies, practitioners, vitamins and herbs. We will explore the reasons for presentation to and use of CAM practitioners and therapies by people diagnosed with and under treatment for two of the most commonly diagnosed chronic conditions - cardiovascular disease and diabetes - in order to establish the relationship with adherence to their prescribed treatment. The focus is on what is described as the “drivers, costs and benefits” of the use of CAM, and how the practical interaction of CAM and conventional health care approaches may support adherence. This research program will have very important implications for the control of these diseases and individual wellbeing. Using an innovative interdisciplinary approach and a mix of research methods, the research will provide a unique evidencebase on community approaches to and use of complementary and alternative medicine, and the significance of this to current and future health needs. The program will take advantage of the interdisciplinary skills in novel ways to explore areas of health and society that have so far received limited attention. By including two PhDs, we will strengthen Australia’s research capacity in health social sciences and public health in this field, generating new skills important to population health practice and policy in this country.Read moreRead less
The Role Of Spirometry In Managing Chronic Respiratory Diseases In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$487,427.00
Summary
This study will compare the use of spirometry (a lung function test) in general practice, with and without feedback of results, against the delivery of usual medical care without spirometry. If positive, the trial will result in better health outcomes for patients with chronic respiratory disease.