A5078507295- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Ethics in medical practice
- Patient-Provider Communication in Healthcare
- Cultural Competency in Health Care
- Resilience and Mental Health
- COVID-19 and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Pediatric Pain Management Techniques
- Chronic Disease Management Strategies
- Frailty in Older Adults
- HIV/AIDS Research and Interventions
- Global Health and Surgery
- Disaster Response and Management
- Migration, Health and Trauma
- Healthcare Regulation
- Global Cancer Incidence and Screening
- Innovations in Medical Education
- Wireless Body Area Networks
- Geriatric Care and Nursing Homes
- Disaster Management and Resilience
- Primary Care and Health Outcomes
Massachusetts General Hospital
2019-2024
Harvard University
2016-2024
Avera Health
2022
Pontificia Universidad Católica de Chile
2022
University of the West Indies System
2020
Neighborcare Health
2016
Harvard NeuroDiscovery Center
2016
Pennsylvania Department of Health
2016
Loyola University Chicago
2012
With the palliative care workforce shortage and changes in advance planning reimbursement, many institutions are requesting that specialists provide serious illness communication training across their institution's workforce. Based on our experience clinicians to use Partners Serious Illness Conversation Guide, a structured guide teach basic skills, we propose set of best practices help others at institution, including fostering safe learning environment, explicit teaching communication,...
Interest in global health is rapidly increasing amongst US medical students. Many students aspire to incorporate into their future careers, while others seek international opportunities better prepare themselves for domestic practice. schools have begun responding this burgeoning interest with varying intensity and through a number of different strategies.Three important themes involved include: the academic rigor programming, fostering sustainable site partnerships, encouraging mentorship...
Context: The COVID-19 pandemic presented unique challenges for health care systems. Overcrowded units, extreme illness severity, uncertain prognoses, and mistrust in providers resulted a “pressure cooker” where traditional communication strategies were often insufficient. Objectives: Building on well-studied interventions, neurobiology principles used to create novel strategy designed the COVID-ICU respond needs of patients within context high setting. Methods: hierarchy recognizes three...
With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life-limiting illnesses, which creates specific challenges for emergency departments (EDs). Older those serious illnesses have high rates ED use hospitalization, care they receive may be discordant their goals values. In response, new models delivery begun to emerge address both geriatric palliative needs in ED. However, these programs typically siloed from one another despite...
The 2015 G. Gayle Stephens Keystone conference convened a cohort of primary care professionals to discuss what promises personal physicians will make their patients going forward. New were prompted rediscover the foundational values and historic context for family medicine. At heart this rediscovery was learning writings teachings Dr. Stephens, founder medicine who emphasized essentiality relationship-centered social justice new specialty. viewed as being in countercultural relationship...
Introduction: Palliative care (PC) is essential for improving the quality of life individuals with serious illnesses, yet access to PC services remains limited, particularly in low- and middle-income countries (LMICs). This study aimed assess impact a one-day training initiative health professionals Uganda.
Abstract Background Using a validated instrument to measure palliative care (PC) educational needs of health professionals is an important step in understanding how best educate well-versed PC workforce within national system. The End-of-life Professional Caregiver Survey (EPCS) was developed U.S. interprofessional and has been for use Brazil China. As part larger research project, this study aimed culturally adapt psychometrically test the EPCS among physicians, nurses, social workers...
Background: Many seriously ill patients in need of palliative care (PC) globally never receive it, partly due to a lack well-trained providers. Objectives: We analyzed feedback from international participants U.S.-based PC training course: "Palliative Care Education and Practice" identify elements the course that would meet needs learners. Design: This was qualitative analysis participants' written survey responses. Survey questions were related anticipated practice change, barriers...
Background: A significant shortage of palliative care (PC) services exists for American Indian and Alaska Native people (AI/ANs) across the United States. Using an implementation science framework, we interviewed key individuals associated with AI/AN-focused PC programs to explore what is needed develop sustain such programs. Objectives: To identify facilitators barriers sustainability development designed AI/ANs Methods: We 12 responsible services. The Consolidated Framework Implementation...
Context: The majority of people with serious health-related suffering in low- and middle-income countries lack access to palliative care (PC). Increased PC education is greatly needed. Objectives: This paper describes the process adapt an advanced training course for a Chilean context. Methods: A joint team intercultural educators from US Chile conducted series key informant interviews target audience survey iteratively design Chile. Results: Eight identified strong need formal pathways,...