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  1. Article ; Online: Response: Slykerman et al.'s antibiotics in the first year of life and subsequent neurocognitive outcome.

    Renton, Kate / Low, Allison

    Acta paediatrica (Oslo, Norway : 1992)

    2017  Volume 106, Issue 6, Page(s) 1009

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Cognition/drug effects ; Humans ; Infant ; Infant, Newborn
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2017-03-19
    Publishing country Norway
    Document type Letter ; Comment
    ZDB-ID 203487-6
    ISSN 1651-2227 ; 0365-1436 ; 0803-5253
    ISSN (online) 1651-2227
    ISSN 0365-1436 ; 0803-5253
    DOI 10.1111/apa.13795
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Definition and Assessment of Paediatric Breakthrough Pain: A Qualitative Interview Study.

    Dawson, Eleanor / Greenfield, Katie / Carter, Bernie / Bailey, Simon / Anderson, Anna-Karenia / Rajapakse, Dilini / Renton, Kate / Mott, Christine / Hain, Richard / Harrop, Emily / Johnson, Margaret / Liossi, Christina

    Children (Basel, Switzerland)

    2024  Volume 11, Issue 4

    Abstract: Infants, children and young people with life-limiting or life-threatening conditions often experience acute, transient pain episodes known as breakthrough pain. There is currently no established way to assess breakthrough pain in paediatric palliative ... ...

    Abstract Infants, children and young people with life-limiting or life-threatening conditions often experience acute, transient pain episodes known as breakthrough pain. There is currently no established way to assess breakthrough pain in paediatric palliative care. Anecdotal evidence suggests that it is frequently underdiagnosed and undertreated, resulting in reduced quality of life. The development of a standardised paediatric breakthrough pain assessment, based on healthcare professionals' insights, could improve patient outcomes. This study aimed to explore how healthcare professionals define and assess breakthrough pain in paediatric palliative care and their attitudes towards a validated paediatric breakthrough pain assessment. This was a descriptive qualitative interview study. Semi-structured interviews were conducted with 29 healthcare professionals working in paediatric palliative care across the UK. An inductive thematic analysis was conducted on the data. Five themes were generated: 'the elusive nature of breakthrough pain', 'breakthrough pain assessment', 'positive attitudes towards', 'reservations towards' and 'features to include in' a paediatric breakthrough pain assessment. The definition and assessment of breakthrough pain is inconsistent in paediatric palliative care. There is a clear need for a validated assessment questionnaire to improve assessment, diagnosis and management of breakthrough pain followed by increased healthcare professional education on the concept.
    Language English
    Publishing date 2024-04-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children11040485
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  3. Article ; Online: Educational impact of paediatric palliative simulation study days.

    Renton, Kate / Quinton, Hilary / Mayer, Anton-Paul Thomas

    BMJ supportive & palliative care

    2017  Volume 7, Issue 1, Page(s) 88–93

    Abstract: Background: The use of simulation-based medical/nursing teaching is increasingly widespread. Simulation-based teaching offers an immersive learning experience where professionals can practice communication and practical skills in a safe, authentic ... ...

    Abstract Background: The use of simulation-based medical/nursing teaching is increasingly widespread. Simulation-based teaching offers an immersive learning experience where professionals can practice communication and practical skills in a safe, authentic environment. We designed a paediatric palliative simulation study day primarily aimed at nursing staff who manage these patients in the community/hospice. We believe this is the first of its kind in the UK.
    Aims: To establish whether attendance at a paediatric palliative simulation study day improved confidence and knowledge in management of common and/or difficult situations in palliative care.
    Method: Health professionals working at local paediatric hospices or in associated specialties to palliative care were invited to attend the free 1-day course. 5 scenarios were developed by experienced health professionals working in paediatric palliative care. On the day, participants were asked to complete a questionnaire to check basic demographic data, confidence levels and knowledge (50 true/false questions). Following participation/observation of 5 scenarios, they again completed the same questionnaire regarding confidence levels and knowledge. Results were analysed with Excel and XLStat using basic demographic data and Wilcoxon signed rank two-tailed test.
    Results: 57 healthcare workers participated in 5 study days. 81% (n=47) professionals described themselves as working primarily in palliative care. Only 35% (n=20) had previously experienced simulation. Based on confidence questions, attendees felt more confident in managing specific palliative scenarios (p<0.0001). Based on true/false questions prestudy and poststudy day, 86% (n=49) of participants improved their knowledge. The median improvement score for the cohort was 3 (p<0.0001).
    Conclusions: The study demonstrated a significant improvement in confidence and knowledge following the simulation course. This supports further time/financial investment in developing this type of study day. Simulation is a useful teaching adjunct in paediatric palliative care. The course also provides a valuable opportunity for professionals to network and discuss/share experiences.
    MeSH term(s) Curriculum/standards ; Humans ; Nursing Staff/education ; Palliative Care/methods ; Palliative Medicine/education ; Pediatrics/education ; Simulation Training
    Language English
    Publishing date 2017-03
    Publishing country England
    Document type Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/bmjspcare-2015-000883
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: BTS Clinical Statement on the prevention and management of community-acquired pneumonia in people with learning disability.

    Legg, Julian / Allen, Jamie-Leigh / Andrew, Morag / Annesley, Charlotte / Chatwin, Michelle / Crawford, Hannah / Elverson, Joanna / Forton, Julian / Oulton, Kate / Renton, Kate / Tavare, Alison / Tedd, Hilary / Simpson, A John

    Thorax

    2023  Volume 78, Issue Suppl 1, Page(s) s22–s52

    MeSH term(s) Humans ; Community-Acquired Infections/prevention & control ; Learning Disabilities ; Pneumonia/prevention & control
    Language English
    Publishing date 2023-03-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thorax-2022-219698
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ui III Zs.83: Show issues Location:
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  5. Article ; Online: BTS clinical statement on aspiration pneumonia.

    Simpson, A John / Allen, Jamie-Leigh / Chatwin, Michelle / Crawford, Hannah / Elverson, Joanna / Ewan, Victoria / Forton, Julian / McMullan, Ronan / Plevris, John / Renton, Kate / Tedd, Hilary / Thomas, Rhys / Legg, Julian

    Thorax

    2023  Volume 78, Issue Suppl 1, Page(s) s3–s21

    MeSH term(s) Humans ; Pneumonia, Aspiration/diagnostic imaging ; Pneumonia, Aspiration/etiology
    Language English
    Publishing date 2023-03-31
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thorax-2022-219699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ui III Zs.83: Show issues Location:
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  6. Article ; Online: Factors associated with place of death for children in South Yorkshire: a retrospective cohort study.

    Renton, Kate / Mayer, Anton-Paul Thomas / Alison, Lilias / Yeomanson, Daniel

    BMJ supportive & palliative care

    2018  Volume 10, Issue 1, Page(s) e10

    Abstract: Objectives: Place of death (POD) is considered a key quality indicator for adult end of-life care, but paediatric evidence is limited. Data from Child Death Overview Panel (CDOP) databases provides an opportunity to describe trends in POD as regional ... ...

    Abstract Objectives: Place of death (POD) is considered a key quality indicator for adult end of-life care, but paediatric evidence is limited. Data from Child Death Overview Panel (CDOP) databases provides an opportunity to describe trends in POD as regional paediatric palliative medicine (PPM) options have increased. Aims were to identify and describe trends in POD for children in South Yorkshire.
    Methods: Retrospective cohort study. Anonymised data extracted from five CDOP databases 2008-2015. Data included age, gender, ethnicity, postcode (outward code only), POD, classification and category of death. Descriptive statistical analysis using χ
    Results: 748 deaths were notified from 2008 to 2015. Neonatal deaths were excluded, 46% (n=345). Of non-neonatal deaths (n=403), 58% (n=232) were 'expected'. Of expected deaths (n=232), 19% (n=45) died in home, 19% (n=45) died in hospice and 61% (n=141) died in hospital. This was significantly different from comparable national data which showed considerably more hospital deaths. There was no significant change in POD over time.
    Conclusion: Hospital remains the POD for most children, whether deaths are 'expected' or not, suggesting specialised PPM should be expanded into the hospital setting. More research is needed regarding preference for POD. This study may help inform future service planning for PPM and hospice development.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Databases, Factual ; Death ; England ; Female ; Hospices/statistics & numerical data ; Hospitals/statistics & numerical data ; Humans ; Infant ; Male ; Pediatrics/statistics & numerical data ; Retrospective Studies ; Terminal Care/trends
    Language English
    Publishing date 2018-11-15
    Publishing country England
    Document type Journal Article
    ISSN 2045-4368
    ISSN (online) 2045-4368
    DOI 10.1136/bmjspcare-2018-001584
    Database MEDical Literature Analysis and Retrieval System OnLINE

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