A5051899639- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Pain Management and Opioid Use
- Intensive Care Unit Cognitive Disorders
- Empathy and Medical Education
- Patient Dignity and Privacy
- Childhood Cancer Survivors' Quality of Life
- Cancer Treatment and Pharmacology
- Pediatric Pain Management Techniques
- Grief, Bereavement, and Mental Health
- Healthcare professionals’ stress and burnout
- Pharmacological Effects and Toxicity Studies
- Ethics in medical practice
- Pain Management and Placebo Effect
- Ginseng Biological Effects and Applications
- Anesthesia and Sedative Agents
- Cardiovascular Health and Risk Factors
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Nerve Injury and Rehabilitation
- Nausea and vomiting management
- Dermatology and Skin Diseases
- Social Media in Health Education
- Access Control and Trust
The University of Texas MD Anderson Cancer Center
2016-2025
University of Virginia Health System
2016
National University of Computer and Emerging Sciences
2012
National University of Malaysia
2010
Background: Despite the high frequency, severity, and effects of cancer-related fatigue (CRF) on quality life (QoL) patients with cancer, limited treatment options are available. The primary objective this study was to compare oral Panax ginseng extract (PG) placebo CRF. Secondary objectives were determine PG QoL, mood, function. Methods: In randomized, double-blind, placebo-controlled study, CRF ≥4/10 Edmonton Symptom Assessment System (ESAS) eligible. Based a pilot we randomized receive...
ABSTRACT Background Patients with advanced cancer are at risk for malnutrition and anorexia‐cachexia syndrome. The study objective was to determine the frequency of these conditions in patients evaluated an outpatient supportive care clinic (SCC). Methods One hundred were prospectively enrolled complete a cross‐sectional one‐time survey. We collected patient demographics, diagnosis, weight history height Zubrod performance status from electronic health records. completed Functional...
ContextThe optimal dose of fentanyl sublingual spray (FSS) for exertional dyspnea has not been determined.ObjectivesWe examined the effect two doses prophylactic FSS on dyspnea.MethodsIn this parallel, dose-finding, double-blind randomized clinical trial, opioid-tolerant cancer patients completed a shuttle walk test at baseline. Patients second 10 minutes after single equivalent to either 35%–45% (high dose) or 15%–25% (low total daily opioid dose. The primary outcome was change in modified...
The purpose of this study was to determine the effects an open-labeled placebo (OLP) compared a waitlist control (WL) in reducing cancer-related fatigue (CRF) patients with advanced cancer using Functional Assessment Chronic Illness Therapy-Fatigue (FACIT-F).
This randomized controlled crossover study compares patients' perception of physicians' compassion and communication skills professionalism overall physician preference after watching two standardized scripted-video vignettes physicians.
Abstract Background There is limited evidence about the response of breakthrough pain (BTP) to most commonly used oral immediate-release (IR) opioids. Our aim was determine rate IR opioids for BTP control in patients with advanced cancer. Materials and Methods In this prospective study, palliative care outpatients, cancer adequately managed background pain, were asked complete a self-administered survey. We assessed patients’ baseline demographics, characteristics, alcoholism (CAGE...
Health care professionals may have limited exposure to home-based care. There is no published literature that has described the experiences and satisfaction of participation in patient home visits (PHV).The objective this article describe characteristics PHV, our approach, evaluation by participants over a nine-year period.We conducted review surveys completed PHV from 2005-2013. All anonymously questionnaires at end PHVs. Different assessment forms were used for 2005-2010 2011-2013 time...
Background: The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented experience that has had profound impact and consequences for health care providers, visitation policies, procedures. Hospitals facilities were forced to implement changes in effort, minimize transmission of the virus, which unfortunately negative on patients' family members' well-being as well moral distress staff. Objectives: We present here a case illustration impacts such response situation at our...
Patients with advanced illnesses, especially near the end of life, often experience multiple complex symptoms which may have profound impact on quality life not only patients but also their family members. Early and prompt recognition such clinical challenges is linked better care for dying patients, caregivers In this narrative, meant to be an in-depth systematic review, we attempt provide overview some commonly used outcome measurement tools available bedside assessment different...
Background The concurrent use of opioids with benzodiazepines (BZD) or nonbenzodiazepine sedatives (S) recently was found to be associated an increased risk overdose death compared the alone. In current study, authors examined frequency and trend opioid/BZD‐S its factors among patients cancer. Methods Data regarding were extracted for 1500 randomly selected referred outpatient palliative care clinic at University Texas MD Anderson Cancer Center between calendar years 2011 2016. To explore...
Palliative care is seeing cancer patients earlier in the disease trajectory with a multitude of chronic issues. Chronic non-malignant pain (CNMP) under-studied. In this prospective study, we examined prevalence and management CNMP seen at our supportive clinic for consultation. We systematically characterized each type Brief Pain Inventory (BPI) documented current treatments. The attending physician made diagnoses according to International Association Study (IASP) task force classification....
Checklists are used in many different settings for the purpose of standardization and reduction preventable errors practice. Our group sought to determine whether a palliative care checklist (PCC) would improve clinical documentation key patient information.An initial review 110 randomly selected medical records dictated by 10 physicians was performed. The authors identified portions that were included regularly, as well those frequently missed. A PCC drafted after final approval obtained...
Background Patients with cancer prefer and positively perceive physicians who communicate face‐to‐face without the use of a computer. However, electronic health records (EHRs) in examination room remains practical necessity. On basis existing literature, authors developed tested an integration model, PRIME‐EHR, that focuses on best‐practice guidelines. To their knowledge, no randomized controlled trials (RCTs) have been conducted to test effectiveness such models. Methods In this...
Abstract Background In a previous randomized crossover study, patients perceived physician delivering more optimistic message (MO) as compassionate and professional. However, the impact of clinical outcome patient on patient's perception physician's level compassion professionalism has not been previously studied. Our aim was to determine if reported modified compassion, professionalism, impression, preference for physician. Materials Methods One hundred twenty-eight advanced cancer in an...
Access control is the process by which system grants or denies a request made to it, user, for data it maintains. Often systems providing services are open ended and face access dilemma. If beneficiaries of too restricted, then servicing nature loses flexibility. Otherwise with lenient policy posses threats existence itself. As remedy several models like ACL, DAC, MAC, RBAC other have been proposed each comes its own baggage pros cons. These protect only against unauthorized until some...
Abstract Background, Aim, and Hypothesis This randomized controlled trial aimed to compare the impact of a physician's attire on perceptions patients with cancer compassion, professionalism, physician preference. Our hypothesis was that would perceive formal as more compassionate than wearing casual attire. Materials Methods One hundred five adult follow-up advanced were watch two standardized, 3-minute video vignettes same script, depicting routine physician-patient clinic encounter. Videos...