Publications by authors named "Gillian M Chumbley"
Article Synopsis
- The article analyzes nurses' experiences working with patients who have substance dependence and pain in the UK, focusing on ethical issues identified in their study.
- Six key themes emerged from the analysis: trust, paternalism, coercion, failure to respect autonomy, advocacy, and withholding, which are examined through the lens of the Four Principles of Biomedical Ethics.
- The authors recommend that clinicians use a collaborative approach in managing pain for these patients, emphasizing the need for awareness of power dynamics, effective communication, and access to ethical guidance in their practice.
Objectives: Errors in medication administration are common, with many interventions suggested to reduce them. For intravenous infusion-related errors, "smart infusion devices" incorporating dose error reduction software are widely advocated. Our aim was to explore the role of smart infusion devices in preventing or contributing to medication administration errors using retrospective review of 2 complementary data sets that collectively included a wide range of errors with different levels of actual or potential harm.
View Article and Find Full Text PDFIntroduction: Pain which persists after thoracotomy is well recognized, and activation of the N-methyl-d-aspartate (NMDA) receptor could be a contributing factor. This study sought to establish whether ketamine given peri-operatively could reduce persistent post-surgical pain.
Trial Design: Double-blind, randomized, placebo-controlled trial comparing low-dose intravenous ketamine and saline placebo.
Aims Of The Study: To formulate and evaluate an information leaflet for patients using patient-controlled analgesia (PCA), incorporating information thought to be important by patients.
Rationale: The benefit of current information leaflets, written by professionals, has not been studied and their value to patients is unknown.
Background: Previous studies have shown that information leaflets were poorly designed and written in language too difficult for patients to understand.