Zahra Safarfashandi

Zahra Safarfashandi

London, England, United Kingdom
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Imperial College London

About

Partner at CF UK and Lead Partner for CF Middle East, providing award-winning consulting…

Activity

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Experience

  • CF Graphic

    CF

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    London, United Kingdom

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    London, United Kingdom

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    London, United Kingdom

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    Manitoba, Canada

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    Hammersmith Hospital

Education

  • Imperial College London

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Publications

  • Communication aid requirements of intensive care unit patients with transient speech loss

    Augmentative and Alternative Communication Journal

    Abstract
    Alert and transiently nonvocal intensive care unit (ICU) patients are dependent on augmentative and alternative communication (AAC). Unfortunately, the literature demonstrates that existent AAC devices have not been widely adopted, and unaided methods are often the primary modalities used despite being insufficient, and frustrating. We present the results of a qualitative semi-structured interview study with 8 ex-ICU patients, 4 ICU patient relatives, and 6 ICU staff, exploring…

    Abstract
    Alert and transiently nonvocal intensive care unit (ICU) patients are dependent on augmentative and alternative communication (AAC). Unfortunately, the literature demonstrates that existent AAC devices have not been widely adopted, and unaided methods are often the primary modalities used despite being insufficient, and frustrating. We present the results of a qualitative semi-structured interview study with 8 ex-ICU patients, 4 ICU patient relatives, and 6 ICU staff, exploring their AAC needs and requirements. Participants identified important AAC hardware, software, and content requirements. Salient factors impacting on AAC adoption in the ICU setting were also highlighted and included the need for staff training and bedside patient assessment. Based on the study results, we propose a series of recommendations regarding the design and implementation of future AAC tools specifically targeted at this group.

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  • Major Trauma patients with spinal injuries have more complex injuries than non-major trauma patients

    The British Editorial Society of Bone & Joint Surgery.

    This study examined spinal fractures in patients admitted to a Major Trauma Centre via two independent pathways, a major trauma (MT) pathway and a standard unscheduled non-major trauma (NMT) pathway. A total of 134 patients were admitted with a spinal fracture over a period of two years; 50% of patients were MT and the remainder NMT. MT patients were predominantly male, had a mean age of 48.8 years (13 to 95), commonly underwent surgery (62.7%), characteristically had fractures in the…

    This study examined spinal fractures in patients admitted to a Major Trauma Centre via two independent pathways, a major trauma (MT) pathway and a standard unscheduled non-major trauma (NMT) pathway. A total of 134 patients were admitted with a spinal fracture over a period of two years; 50% of patients were MT and the remainder NMT. MT patients were predominantly male, had a mean age of 48.8 years (13 to 95), commonly underwent surgery (62.7%), characteristically had fractures in the cervico-thoracic and thoracic regions and 50% had fractures of more than one vertebrae, which were radiologically unstable in 70%. By contrast, NMT patients showed an equal gender distribution, were older (mean 58.1 years; 12 to 94), required fewer operations (56.7%), characteristically had fractures in the lumbar region and had fewer multiple and unstable fractures. This level of complexity was reflected in the length of stay in hospital; MT patients receiving surgery were in hospital for a mean of three to four days longer than NMT patients. These results show that MT patients differ from their NMT counterparts and have an increasing complexity of spinal injury

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  • The incidence of complex regional pain syndrome (CRPS) post trauma and the possible role of tight plaster of Paris in the aetiology of CRPS

    The Journal of Observational Pain Medicine


    The cause of complex regional pain syndrome (CRPS) is still unknown, although numerous risk factors have been identified. Commonly, noxious events such as limb trauma, with the commonest type being a fracture or a nerve lesion precede the development of CRPS. The percentage of CRPS cases preceded by trauma has been quoted to vary from less than 1% up to 5–77%.

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