Publications by authors named "C E Urch"

Reflection on professional practice (either individually or in dialogue with peers or seniors) will often focus on doctors' skills. This approach emphasises compliance and competence. This paper suggests that an alternative and useful lens for professional reflection and development can be drawn from the framework of virtue ethics to encourage consideration of the ultimate purpose of medicine, and the character or virtues needed to be a good doctor.

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People living with treatable-but-not-curable (TbnC) cancer encounter cancer-related needs. While the NHS long-term plan commits to offering a Holistic Needs Assessment (HNA) and care plan to all people diagnosed with cancer, the content, delivery and timing of this intervention differs across practice. Understanding how people make sense of their cancer experience can support personalised care.

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Background: Lung cancer is the third most common type of cancer in the UK. Treatment outcomes are poor and UK deaths from lung cancer are higher than any other cancer. Prehabilitation has shown to be an important means of preparing patients both physically and psychologically for cancer treatment.

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Article Synopsis
  • A new prehabilitation program for lung cancer patients, mainly focusing on those receiving non-surgical treatment, aims to improve their quality of life and survival, inspired by the benefits seen in surgical patients.
  • The study will recruit 30 participants from a London hospital to undergo a personalized program that includes nutritional, physical, and psychological interventions, along with regular appointments and check-ins during treatment.
  • Researchers will evaluate the feasibility of this program by looking at factors like patient recruitment, drop-out rates, and overall satisfaction, while measuring secondary outcomes such as quality of life and functional capacity.
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Background: Home-based and supervised prehabilitation programmes are shown to have a positive impact on outcomes in patients with oesophago-gastric (OG) cancer. The primary aim of this study was to establish the feasibility of delivering a digital prehabilitation service.

Methods: Patients undergoing treatment for OG cancer with curative intent were recruited into the study.

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