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Primary central nervous system lymphoma of T-cell lineage (PCNSTL) is an extremely rare entity, with relatively few cases reported in the literature. Presented here is a case of a 44-year-old, HIV negative woman found to have a solitary cerebellar lesion following presentation to the Emergency Department with a fall. The lesion responded to emergent dexamethasone and was followed with serial MRI imaging, which continued to show lesion regression. The lesion was shown to have recurred on MRI 14 months post-presentation and found to be T-cell lymphoma following immunophenotyping and TCR gene rearrangement studies of tissue specimen obtained via excisional biopsy.
Community volunteers were recruited and trained to
deliver person-centred care to patients with dementia or delirium in an acute
hospital setting, in a small rural Australian hospital. The volunteer program
was grounded in action research methodology, and modelled on a previous
research project. As a form of evaluation, interviews were conducted with
nursing staff eight weeks after implementation of the volunteer program to
explore their opinions. Data were analysed through a collaborative process and
findings revealed strong benefits from the perspectives of the nursing staff. These benefits included overall improved patient care and improved time management
for nursing tasks.