7 july 2005 and aftermath

Les attentats du 07 juillet 2005 à Londres et les événements qui ont suivi dans la capitale du Royaume-Uni ont été l\u27occasion de revoir les procédures de réaction à une situation d\u27urgence tant du point de vue de l\u27université que de la bibliothèque, tant pour sauver les gens que les collections

End-of-life care: Proactive clinical management of older Australians in the community

Background Due to the changing demographics of ageing and death in Australia, general practitioners (GPs) are caring for greater numbers of people with advanced chronic conditions that will soon lead to death. GPs play a pivotal role in proactively preparing these people for end of life. Objective This article introduces GPs to a framework of care, based on a palliative care approach, which supports proactive management of end-of-life care for older Australians living in the community. Discussion Embedding the above framework into routine practice can help GPs deliver care, aligned with patients’ preferences, at the right time and in the right place. Experience has shown that implementing proactive management of end-of-life care can increase satisfaction with GP care and help GPs meet the clinical, legal and ethical challenges associated with caring for older patients with advanced progressive conditions

Specialist palliative care in care homes: Integrating care could improve quality of life and reduce costs (Pilot study)

The Scottish Government’s Strategic Framework for Action on Palliative and End of Life Care sets out a vision of universal access to palliative care by 2021. This includes individuals, families and carers having timely and focused conversations with appropriately skilled professionals to plan end of life care, in accordance with their needs and preferences. The vision will be achieved by widening the range of health and care staff providing palliative care, delivering appropriate training, and supporting clinical and health economic evaluations of palliative and end of life care models. Despite care homes being a key location where older people die, access to specialist palliative care is limited. Staff often feel inadequately trained or prepared to look after people who are dying. Consequently, care home residents are more likely to die in hospital, with uncontrolled symptoms, or without adequate care planning in place

Improving the respiratory health of adults with learning disabilities

People with learning disabilities are more likely to die from respiratory tract disease and infections than people without learning disabilities. This article describes a lung health group developed by physiotherapists and speech and language therapists that was set up to improve the respiratory health of people with vulnerable respiratory status, particularly over the period of greatest risk of airborne respiratory infections. Its aim was to reduce the number and/or severity of chest infections and improve carers’ knowledge of respiratory health. The authors describe the group’s content and format, methods trialled to evaluate the group and the benefits of attending the group

Integrating specialist palliative care into residential care for older people: a stepped wedge trial (INSPIRED trial)

Residential facilities for older persons (hereafter “facilities”) are increasingly involved in supporting older people at end of life; consequently, the provision of palliative care is required to improve outcomes for residents. The national palliative care strategy sets a vision which aims to (i) improve awareness and understanding, (ii) be appropriate and effective, (iii) has high quality leadership and governance and (iv) builds capacity and capability. The national palliative care standards re-assert the need for palliative care to be available to all people living with progressive or advanced disease. In 2014-2015, we developed and tested a new approach to integrating specialist palliative care into residential care to meet the objectives of the national strategy and improve the delivery of high quality appropriate care to older Australians. The study was funded by ACT Health

Integrating specialist palliative care into residential care for older people: a stepped wedge trial (INSPIRED trial)

Residential facilities for older persons (hereafter “facilities”) are increasingly involved in supporting older people at end of life; consequently, the provision of palliative care is required to improve outcomes for residents. The national palliative care strategy sets a vision which aims to (i) improve awareness and understanding, (ii) be appropriate and effective, (iii) has high quality leadership and governance and (iv) builds capacity and capability. The national palliative care standards re-assert the need for palliative care to be available to all people living with progressive or advanced disease. In 2014-2015, we developed and tested a new approach to integrating specialist palliative care into residential care to meet the objectives of the national strategy and improve the delivery of high quality appropriate care to older Australians. The study was funded by ACT Health

Negotiating a third space for participatory research with people with learning disabilities: an examination of boundaries and spatial practices

The focus of this paper is participatory research with and by people with learning disabilities. Drawing on presentations and discussions that took place across five funded seminars we use the concepts of space and boundaries through which to examine the development of a shared new spatial practice through creative responses to a number of challenges. We examine the boundaries that exist between participatory research and non-participatory research' participatory research with people with learning disabilities and participatory research with other groups and between different stakeholders of participatory research with people with learning disabilities. With a particular focus on participatory data analysis and participatory research with people with high support needs we identify a number of ways in boundaries are being opened. We argue that the pushing of new boundaries opens up both new and messy spaces and that both are important for the development of participatory research methods

The Aussie, 1918-1931: cartoons, digger remembrance and First World War identity

Feelings of community, cultural definition and memory were kept alive through the soldiers’ mass circulation tabloid, the Aussie, examined here in the light of theorization of memory and representation, applied to both text and cartoons. The publication’s aim for veterans’ values to become shared national values is analysed in the light of its high profile usage of soft cartoon humour and also of nostalgia – highlighting the limitations as well as the effectiveness in terms of Australia’s evolving national identity. When the post-war economic situation worsened, deeper issues of national tension were glossed over by the use of scapegoats such as ‘profiteers’ and ‘lazy workers’. The armed forces were obliged to take on a political role of lobbying for their cause, but the Aussie as ‘cheerful friend’ experienced its own identity crisis that proved to be terminal

Reintroducing face-to-face support alongside remote support to form a hybrid stop smoking service in England: a formative mixed methods evaluation

Background: During the COVID-19 pandemic, United Kingdom (UK) stop smoking services had to shift to remote delivery models due to social distancing regulations, later reintroducing face-to-face provision. The “Living Well Smokefree” service in North Yorkshire County Council adopted a hybrid model offering face-to-face, remote, or a mix of both. This evaluation aimed to assess the hybrid approach’s strengths and weaknesses and explore potential improvements. Methods: Conducted from September 2022 to February 2023, the evaluation consisted of three components. First, qualitative interviews involved 11 staff and 16 service users, analysed thematically. Second, quantitative data from the QuitManager system that monitored the numbers and proportions of individuals selecting and successfully completing a 4-week quit via each service option. Third, face-to-face service expenses data was used to estimate the value for money of additional face-to-face provision. The qualitative findings were used to give context to the quantitative data via an “expansion” approach and complementary analysis. Results: Overall, a hybrid model was seen to provide convenience and flexible options for support. In the evaluation, 733 individuals accessed the service, with 91.3% selecting remote support, 6.1% face-to-face, and 2.6% mixed provision. Remote support was valued by service users and staff for promoting openness, privacy, and reducing stigma, and was noted as removing access barriers and improving service availability. However, the absence of carbon monoxide monitoring in remote support raised accountability concerns. The trade-off in “quantity vs. quality” of quits was debated, as remote support reached more users but produced fewer carbon monoxide-validated quits. Primarily offering remote support could lead to substantial workloads, as staff often extend their roles to include social/mental health support, which was sometimes emotionally challenging. Offering service users a choice of support options was considered more important than the “cost-per-quit”. Improved dissemination of information to support service users in understanding their options for support was suggested. Conclusions: The hybrid approach allows smoking cessation services to evaluate which groups benefit from remote, face-to-face, or mixed options and allocate resources accordingly. Providing choice, flexible provision, non-judgmental support, and clear information about available options could improve engagement and match support to individual needs, enhancing outcomes