A5102841494- Palliative Care and End-of-Life Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Childhood Cancer Survivors' Quality of Life
- Cardiovascular and exercise physiology
- Emergency and Acute Care Studies
- Respiratory Support and Mechanisms
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Nursing Diagnosis and Documentation
- Phase Equilibria and Thermodynamics
- Sepsis Diagnosis and Treatment
- Occupational Health and Performance
- Petroleum Processing and Analysis
- Enhanced Oil Recovery Techniques
- Chronic Disease Management Strategies
- Gastrointestinal disorders and treatments
- Mental Health and Patient Involvement
- Delphi Technique in Research
- Cardiac, Anesthesia and Surgical Outcomes
- Bariatric Surgery and Outcomes
- Trauma Management and Diagnosis
- Tracheal and airway disorders
- Neonatal Respiratory Health Research
- Drug-Induced Adverse Reactions
- Patient Dignity and Privacy
New York University
2018-2024
NYU Langone Health
2023
Fraser Health
2015-2021
University School
2019
Burnaby Hospital
1999-2015
Cedars-Sinai Medical Center
2009-2010
Children's Cancer Center
2010
Brigham and Women's Hospital
2010
Massachusetts General Hospital
2009-2010
Northwestern University
2010
Abstract Background The emergency department is a critical juncture in the trajectory of care patients with serious, life-limiting illness. Implementation clinical decision support (CDS) tool automates identification older adults who may benefit from palliative instead relying upon providers to identify such patients, thus improving quality by assisting adhering guidelines. Primary Palliative Care for Emergency Medicine (PRIM-ER) study aims optimize use electronic health record creating CDS...
Introduction Emergency departments (ED) care for society’s most vulnerable older adults who present with exacerbations of chronic disease at the end life, yet clinical paradigm focuses on treatment acute pathologies. Palliative interventions in ED capture high-risk patients a time crisis and can dramatically improve patient-centred outcomes. This study aims to implement evaluate Primary Care Medicine (PRIM-ER) disposition, healthcare utilisation survival serious illness. Methods analysis is...
Abstract Background Involving patient and community stakeholders in clinical trials adds value by ensuring research prioritizes goals both conduct of the study application research. The use stakeholder committees their impact on a multicenter trial have been underreported clinically academically. aim this is to describe how Study Advisory Committee (SAC) recommendations were implemented throughout Emergency Medicine Palliative Care Access (EMPallA) trial. EMPallA multi-center, pragmatic...
The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models.We present the structure nurse-led telephonic palliative program and operational metrics to influence further development tele-palliative programs.The nurses engage with seriously ill patients for 6 months goal discussing advance planning (ACP) addressing self-identified issues related their illness.Of first 100 graduates, 78% were actively engaged 51% named agent and/or ACP. Of...
Exercise is recommended for people with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), yet there little information to guide safe and effective mobilization exercise these patients.The purpose this study was develop a clinical decision-making tool health care professionals in the assessment, prescription, monitoring, progression therapeutic patients AECOPD.A 3-round interdisciplinary Delphi panel identified selected items based on preselected consensus 80%. These...
Introduction: Palliative care is recommended for patients with life-limiting illnesses; however, there are few standardized protocols outpatient palliative visits. To address the paucity of data, this article aims to: (1) describe elements that generalizable across clinical sites; (2) achieve consensus about instruments used to assess domains within care; and (3) develop a protocol intervention checklist clinicians document visit might not normally be recorded in electronic heath record....
Understanding physiological responses to negative work allows therapists be more knowledgeable when they prescribe this form of exercise. The 12 men without cardiopulmonary disease, aged 39 65 years (X=49.7, SD=9.3), (eccentric muscle contractions) and positive (concentric were compared.Subjects performed the 2 types on a motorized cycle ergometer at pedaling frequencies 35, 55, 75 rpm with constant power output 60 W. Steady-rate values oxygen consumption (VO2), heart rate (HR), minute...
We present a case of azathioprine hypersensitivity presenting as sepsis with elevated procalcitonin in 68-year-old man myasthenia gravis. The patient presented fever, chills, nausea, vomiting, and headache. He developed numerous 1 cm erythematous papules over his upper torso. Infectious workup including bacteriological tests microbial cultures was negative skin biopsy performed which revealed suppurative folliculitis eosinophils, consistent drug hypersensitivity. Notably, acute phase...
Background: Improving the mobility of hospitalized patients with an acute exacerbation chronic obstructive pulmonary disease (AECOPD) is a priority care. AECOPD-Mob clinical decision-making tool for physical therapists, especially those who are newly graduated or new to caring AECOPDs in care settings. Although this has been available several years, dissemination via publication not sufficient implement it practice. Objective: The primary objective study was develop, implement, and evaluate...
Introduction: Intragastric balloon (IGB) and endoscopic sleeve gastroplasty (ESG) are bariatric therapies (EBTs) associated with weight loss improvement in metabolic comorbidities. Delayed gastric emptying (GE) has been greater after EBT. However, data utilizing GE to predict EBT is limited. Methods: Retrospective chart review was conducted on patients evaluated for from 2016-2022 at a single urban facility. Patients prior surgery were excluded. All participated program dietitian,...