A5061276751- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Patient Dignity and Privacy
- Cardiac Arrest and Resuscitation
- Ethics in medical practice
- Mechanical Circulatory Support Devices
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Opioid Use
- Cancer survivorship and care
- Ethics and Legal Issues in Pediatric Healthcare
- Cardiac Structural Anomalies and Repair
- Patient-Provider Communication in Healthcare
- Healthcare Decision-Making and Restraints
- Innovations in Medical Education
- Intensive Care Unit Cognitive Disorders
- Empathy and Medical Education
- Geriatric Care and Nursing Homes
- Pharmacological Effects and Toxicity Studies
- Anesthesia and Pain Management
- Grief, Bereavement, and Mental Health
- Psychedelics and Drug Studies
- Mental Health and Psychiatry
- Pediatric Pain Management Techniques
- Hemoglobinopathies and Related Disorders
- Complementary and Alternative Medicine Studies
Memorial Sloan Kettering Cancer Center
2024-2025
Columbia University
2013-2024
Columbia University Irving Medical Center
2013-2023
NewYork–Presbyterian Hospital
2015-2021
Baptist Hospital of Miami
2021
Baptist Health South Florida
2021
James J. Peters VA Medical Center
2021
Novartis (United States)
2021
Montefiore Health System
2021
New York Hospital Queens
2016-2020
Patients with metastatic non-small-cell lung cancer have a substantial symptom burden and may receive aggressive care at the end of life. We examined effect introducing palliative early after diagnosis on patient-reported outcomes end-of-life among ambulatory patients newly diagnosed disease.We randomly assigned to either integrated standard oncologic or alone. Quality life mood were assessed baseline 12 weeks use Functional Assessment Cancer Therapy-Lung (FACT-L) scale Hospital Anxiety...
Pain is a common symptom associated with cancer and its treatment. management an important aspect of oncologic care, unrelieved pain significantly comprises overall quality life. These NCCN Guidelines list the principles acknowledge range complex decisions faced in pain. In addition to assessment techniques, these guidelines provide use, dosing, adverse effects, safe handling procedures pharmacologic therapies discuss multidisciplinary approach for
Use of triggers for palliative care consultation has been advocated in intensive units (ICUs) to ensure appropriate specialist involvement patients at high risk unmet needs. The volume meeting these triggers, and thus the potential workload providers, is unknown.
Pain is a common symptom associated with cancer and its treatment. management an important aspect of oncologic care, unrelieved pain significantly comprises overall quality life. These NCCN Guidelines list the principles acknowledge range complex decisions faced in pain. In addition to assessment techniques, these guidelines provide use, dosing, adverse effects, safe handling procedures pharmacologic therapies discuss multidisciplinary approach for
This case series examines the clinical characteristics and outcomes of patients who received intervention by a novel coronavirus disease 2019 palliative care response team, focused on providing high-quality goals-of-care conversations in time-critical situations.
Existential distress has been recognized as a source of suffering for oncology patients. This study focusses on existential issues and coping mechanisms unique culturally diverse Jewish/Middle Eastern population. A qualitative assessment 40 patients with advanced cancer was undertaken through an interview process addressing the following themes: autonomy, dignity/body image, social isolation, mechanisms, guilt/past disappointments, spiritual health, meaning, hope death/dying. The findings...
Background: The optimal level of palliative care (PC) involvement in left ventricular assist device (LVAD) therapy has yet to be determined. Objective: Describe the feasibility PC intervention elucidate patients' goals and values LVAD both destination (DT) bridge transplant (BTT). Design: Single center, prospective, single-arm study. Setting/Subjects: All patients who received mandatory consultation, using a semistructured script, before implantation (PreVAD evaluation). Measurements: We...
Background: We conducted a multicenter, randomized trial of early integrated palliative and oncology care in patients with advanced cancer to confirm the benefits (PC) seen prior single-center studies. Methods: randomly assigned newly diagnosed incurable (n = 195) or usual 196) at sites through Alliance for Clinical Trials Oncology. Patients intervention were expected meet PC clinician least monthly until death, whereas consulted on request. The primary endpoint was change quality life from...
Purpose: We sought to describe practice patterns, attitudes, and barriers the integration of palliative care services by gynecologic oncologists. Methods: Members Society Gynecologic Oncology were electronically surveyed regarding their incorporating identify for consultation. Descriptive statistics used, two-sample z-tests proportions performed compare responses related questions. Results: Of 145 respondents, 71% attending physicians 58% worked at an academic medical center. The vast...
Rationale: Adults with chronic critical illness (tracheostomy after ≥ 10 d of mechanical ventilation) have a high burden palliative needs, but little is known about the actual use and potential need care services for larger population older intensive unit (ICU) survivors discharged to post–acute facilities.Objectives: To determine whether ICU facilities potentially unmet needs.Methods: We examined electronic records from 1-year cohort 228 consecutive adults 65 years age who had their first...
Objectives To assess symptoms in older intensive care unit ( ICU ) survivors and determine whether post‐ frailty identifies those with the greatest palliative needs. Design A prospective cohort study. Setting Urban tertiary hospital community hospital. Participants Medical of mechanical ventilation aged 65 (N = 125). Measurements Baseline measurements Edmonton Symptom Assessment Scale ESAS ), categorized as mild (0–3), moderate (4–6), severe (7–10), phenotype were made during week before...
The difference of end-of-life care for left ventricular assist device (LVAD) patients, between destination therapy (DT) and bridge to transplant (BTT), the effect palliative in this population remain unknown.The primary outcomes retrospective cohort study were place death, do-not-resuscitate (DNR) order, consultation last month, hospice enrollment. Secondary time on LVAD, life-sustaining treatment week life, LVAD deactivation, clinical trajectory.Eighty-nine patients who newly underwent 2010...
The first known coronavirus disease 2019 (COVID-19) related hospitalization in New York City was reported at Columbia University Irving Medical Center/NewYork-Presbyterian Hospital. Since then, the rapid increase number of patients with COVID-19 associated acute respiratory distress syndrome (ARDS)1 and high rates mortality2, 3 has highlighted critical need for high-quality end-of-life care. On March 31, 2020, an eight-bed Palliative Care Unit (PCU) established our institution whose...
Context: The COVID-19 pandemic resulted in a surge of critically ill patients that strained health care systems throughout New York City March and April 2020. At the peak crisis, consults for palliative increased four- to sevenfold at NewYork-Presbyterian (NYP), an academic system with 10 campuses City. We share our challenges, solutions, lessons learned help peer institutions meet demands during future crises address pre-existing subspecialist shortages nonpandemic times.