A5090152542- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Renal Transplantation Outcomes and Treatments
- Pressure Ulcer Prevention and Management
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Obesity and Health Practices
- Telemedicine and Telehealth Implementation
- Blood donation and transfusion practices
- HIV/AIDS Research and Interventions
- Organ Donation and Transplantation
- Peripheral Nerve Disorders
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Craniofacial Disorders and Treatments
- Nasal Surgery and Airway Studies
- Esophageal Cancer Research and Treatment
- Diabetic Foot Ulcer Assessment and Management
- Cleft Lip and Palate Research
- Ethics and Legal Issues in Pediatric Healthcare
- Pain Mechanisms and Treatments
- Healthcare Policy and Management
- Health Literacy and Information Accessibility
- Diagnosis and Treatment of Venous Diseases
Weatherford College
2024
University of Michigan
2019-2023
Ann Arbor VA Medical Center
2023
Michigan Medicine
2020-2021
To determine the impact of COVID-19 pandemic on hospital-acquired pressure injury (HAPI) rates and composition HAPI stages among hospitalized patients across US.
Summary: Localization of neuropathic pain to a specific peripheral nerve origin relies on patient history, physical examination, and blocks. Neurectomy the involved nerve(s) can successfully alleviate patients’ pain. However, subset patients postoperatively describe persistent pain, but say that “moved” new location (eg, from dorsum foot lateral foot). This may be viewed as treatment failure by surgeon alike. Further investigation, however, localize an additional, separate injury, which was...
Despite growing research demonstrating the potential for shared decision making (SDM) to improve health outcomes, patient preferences—including financial trade-offs—are still not routinely incorporated into care making. As US delivery system transitions rewarding value-based care, question of "value whom?" assumes greater importance. To achieve goals voice must be clinical by embedding SDM as a routine part practice. Identified priority Centers Medicare & Medicaid Services (CMS), SDM-related...
Public Health Service increased risk donor kidneys are discarded 50% more often than nonincreased despite equivalent patient and graft survival outcomes. Patient provider biases as well challenges in interpretation contribute to the underuse of organs. As ultimate decision accept or reject an organ results from patient–provider conversation, there is opportunity improve this dialogue. This report introduces best-case/worst-case communication guide for structuring high-stake conversations on...
The range of decisions and considerations that women with advanced breast cancer (ABC) face can be overwhelming difficult to manage. Research shows most patients prefer a shared decision-making (SDM) approach as it provides them the opportunity actively involved in their treatment decisions. current engagement these clinical is suboptimal. Moreover, implementing SDM into routine care challenging may not always feel adequately prepared or expect process.Avalere Health developed Preparation...
In 1994, to guide patients and surgeons in making informed decisions about organ transplantation reduce transplant-mediated infectious disease transmission, the Centers for Disease Control Prevention announced Public Health Service guidelines increased risk donor (IRD) organs. This classification identifies donors associated with greater contracting human immunodeficiency virus, hepatitis B C virus as donors. These organs are discarded at higher rates than non-IRD organs, despite equivalent...
PURPOSE: The cleft nasal deformity presents a unique set of functional and aesthetic challenges. Complex congenital anatomy, deformed cartilages, scarring from prior operations, growth-related changes contribute to the challenges secondary rhinoplasty. Lack tip projection is common patient complaint; therefore, columellar support invariably addressed during operation. Traditional surgical methods that include autologous cartilage grafts are associated with donor site morbidity, limited graft...
PURPOSE: Hospital-acquired pressure injuries (HAPIs) are never-events causing significant morbidity. The COVID-19 pandemic impacted all aspects of hospital care, yet its effects on the rates HAPIs is unknown. We aimed to characterize pandemic's impact HAPI and composition stages among hospitalized patients across U.S. METHODS: Encounter-level data from adult January 2018-December 2020 were evaluated for development using Clinformatics DataMart database. Bivariate analysis comparing baseline...
<sec> <title>BACKGROUND</title> The range of decisions and considerations that women with advanced breast cancer (ABC) face can be overwhelming difficult to manage. Research shows most patients prefer a shared decision-making (SDM) approach as it provides them the opportunity actively involved in their treatment decisions. current engagement these clinical is suboptimal. Moreover, implementing SDM into routine care challenging may not always feel adequately prepared or expect process. </sec>...