- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Opioid Use
- Optimism, Hope, and Well-being
- Family Support in Illness
- Patient Dignity and Privacy
- Pharmacological Effects and Toxicity Studies
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Pediatric Pain Management Techniques
- Pain Management and Placebo Effect
- Art Therapy and Mental Health
- Empathy and Medical Education
- Intergenerational Family Dynamics and Caregiving
- Pain Mechanisms and Treatments
- Dementia and Cognitive Impairment Research
- Health, psychology, and well-being
- Intensive Care Unit Cognitive Disorders
- Religion, Spirituality, and Psychology
- Anesthesia and Sedative Agents
- Health disparities and outcomes
- Music Therapy and Health
- Musculoskeletal pain and rehabilitation
- Advances in Oncology and Radiotherapy
University of Alberta
2013-2022
Alberta Health Services
2018-2021
Covenant Health
2012-2020
Grey Nuns Community Hospital
2000-2020
Cancer Institute (WIA)
2008
Alberta Cancer Foundation
2004-2008
Trinity College Dublin
2007
The University of Texas MD Anderson Cancer Center
2006
McGill University
2005
The purpose of this study was to compare patient and proxy (physician nurse) assessments symptoms in advanced cancer patients. sample consisted 49 patients with admitted an acute palliative care unit. Three independent were completed for each on two occasions within 11 days admission. On occasion, rated independently by the proxies (treating physician nurse), using Edmonton Symptom Assessment System (ESAS). ESAS is a nine-item visual analogue scale (VAS) assessing pain, activity, nausea,...
Delirium is a common neuropsychiatric complication in patients with advanced cancer. The Memorial Assessment Scale (MDAS) recently developed 10-item severity rating instrument. purpose of the current prospective study was to further assess clinical utility, factor structure, and validity MDAS relatively homogeneous population cancer.Study entry 104 occurred on their consecutive admission tertiary-level, acute palliative care unit university-affiliated teaching hospital. Patients underwent...
PURPOSE: The purpose of this study was to examine the reliability symptom assessments in advanced cancer patients under various conditions, including multiple raters (patients, nurses, and family caregivers), occasions, symptoms. PATIENTS AND METHODS: sample consisted 32 admitted a tertiary palliative care unit. Symptom were completed for each patient on two separate approximately 24 hours apart. On occasion, patient, primary nurse, caregiver independently an assessment using Edmonton...
The lack of a standardized cancer pain (CP) classification system prompted the development Edmonton Classification System for Cancer Pain (ECS-CP). Its five features have demonstrated value in predicting management complexity. intensity (PI) at initial assessment has been proposed as having additional predictive value. We hypothesized that patients with moderate to severe CP would take longer achieve stable control, use higher opioid doses, and require more complicated analgesic regimens...
The nature of sleep disturbances in palliative cancer patients has not been delineated clearly or fully understood due to limited clinical information. purpose this study was describe disturbance patterns, treatments, and communication an advanced outpatient population attending a pain symptom control clinic.One hundred oncology outpatients who came for consultation at multidisciplinary clinic were asked agreed complete self-report questionnaire that elicited information about their sleeping...
The purpose of this study was to gather construct validity evidence for a pain classification system advanced cancer patients using content experts. Two expert panels, representing regional (Panel A, n / 18) and national/international B, 52) palliative medicine specialists, were purposefully selected participate in modified Delphi survey technique, evaluate an existing system, the Revised Edmonton Staging System (rESS). Each panel participated two rounds, with response rates 67% Round 1),...
Abstract Objective : One in three cancer patients will experience significant psychosocial distress, yet less than 10% seek formal counseling. Who are the accessing counseling and what their presenting needs? The purpose of this study was to identify referral patterns distress newly referred a psycho‐oncology service. Methods Consecutive new referrals were tracked over 1 year ( n =361). On initial visit, 145 completed demographic survey, Brief Symptom Inventory‐18 (BSI‐18), Cancer Coping...
Standardized approaches for assessing and classifying cancer pain are required to improve treatment of patients with complex profiles. The Edmonton Classification System Cancer Pain (ECS-CP) offers a starting point the evolution standardized international classification system was introduced into multisite research initiatives European Palliative Care Research Collaborative (EPCRC).The primary purpose this study describe prevalence five ECS-CP features: mechanism, incident pain,...