A5056104492- Pain Management and Opioid Use
- Palliative Care and End-of-Life Issues
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Opioid Use Disorder Treatment
- Cancer survivorship and care
- Management of metastatic bone disease
- Cancer Treatment and Pharmacology
- Pain Management and Treatment
- Pain Management and Placebo Effect
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Musculoskeletal pain and rehabilitation
- Pain Mechanisms and Treatments
- Nerve Injury and Rehabilitation
- Head and Neck Cancer Studies
- Patient Dignity and Privacy
- Empathy and Medical Education
- Advances in Oncology and Radiotherapy
- Innovations in Medical Education
- Pharmacological Effects and Toxicity Studies
- Transcranial Magnetic Stimulation Studies
- Interprofessional Education and Collaboration
- Cardiac, Anesthesia and Surgical Outcomes
- Cancer, Stress, Anesthesia, and Immune Response
Fox Chase Cancer Center
2016-2025
Temple University Health System
2023-2025
Research for Equity And Community Health Trust
2024
Realistic Education in Action Coalition to Foster Health
2024
Temple University
2023
Arcadia University
2021
University of Pittsburgh
2012
Memorial Sloan Kettering Cancer Center
2005
Bridgeport Hospital
2001
In recent years, the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Adult Cancer Pain have undergone substantial revisions focusing on appropriate and safe prescription of opioid analgesics, optimization nonopioid analgesics adjuvant medications, integration nonpharmacologic methods cancer pain management. This selection highlights some these changes, covering topics management adult including pharmacologic interventions, treatment specific syndromes. The complete...
<ns4:p>Cancer pain remains a significant clinical problem worldwide. Causes of cancer are multifactorial and complex likely to vary with an array tumor-related host-related factors processes. Pathophysiology is poorly understood; however, new laboratory research points cross-talk between cells host’s immune neural systems as important potential mechanism that may be broadly relevant many syndromes. Opioids remain the most effective pharmaceuticals used in treatment pain. However, their role...
Importance Numerous studies show that early palliative care improves quality of life and other key outcomes in patients with advanced cancer their caregivers, although most lack access to this evidence-based model care. Objective To evaluate whether delivering via secure video vs in-person visits has an equivalent effect on non–small cell lung (NSCLC). Design, Setting, Participants Randomized, multisite, comparative effectiveness trial from June 14, 2018, May 4, 2023, at 22 US centers among...
In this narrative medicine essay, a palliative physician reflects on what is gained and lost in the turn toward telemedicine during COVID-19 pandemic from cornerstone belief that in-person encounter an anchoring condition for patient-physician relationship.
We have developed an integrated caregiver patient-portal system (i.e., patient-caregiver portal) that (1) allows a patient to identify their primary and communication preferences with in the healthcare setting; (2) connects unique portal page indicate needs; (3) informs team of responses aid integrating caregiver. The purpose this manuscript is report on formative phases (Phases I II) development. Phase involved pre-assessment anticipate complexity or barriers design future implementation....
The engagement of family caregivers in oncology is not universal or systematic.
The current study reviews the Bridgeport Hospital experience with gallstone pancreatitis (GP) and examines its incidence by race gender.Consecutive patients admitted acute between October 1994 1996 were identified using discharge diagnosis codes. Demographics clinical information abstracted. Patients categorized as having definite GP, probable non-GP available information.One hundred twenty-three met criteria for pancreatitis. Of these, 40 GP; 14, probable; 69, non-GP. estimated was 45 per...
Patients undergoing radiation treatment for head and neck cancer experience significant side-effects that can impact a wide range of daily activities. often report receiving insufficient information during after treatment, which could impede rehabilitation efforts; they may also encounter practical logistical barriers to receipt supportive care. Thus, we developed web-based program, My Journey Ahead, provide strategies managing symptom-focused concerns, be easily accessed from the patient's...
Abstract Introduction The objective of this study was to comprehensively understand the burden experienced by caregivers (CGs) providing home-based, end-of-life care patients with cancer. We examined relationship between and subjective including whether how changes over time. Methods A case series terminal cancer patient-caregiver dyads (n = 223) were recruited from oncology clinics followed for 12 months or until patient death. Data collected every other week in-person CGs in their homes...
Pain is the most prevalent symptom in cancer patients. To improve pain care, World Health Organization (WHO) ladder was introduced 1986 as a template for choosing medications oncological settings. Since then, advancements treatments have improved survival of patients, requiring prolonged analgesia various treatment stages. Additionally, there been newer challenges management with opioid epidemic and associated use disorders. This has shifted focus from WHO Ladder brought new importance to...
Despite recommendations and policies to integrate family caregivers into U.S. healthcare settings, are not systematically involved. Thus, we developed an Integrated Caregiver Patient-Portal system that (1) allows a patient identify their primary caregiver communication preferences; (2) connects the unique portal page indicate needs; 3) informs care team of dyad responses aid in integrating caregiver.This formative research explored palliative clinicians' perceptions inform refinements before...
Objectives: To explore anxiety experienced by caregivers providing home-based, end-of-life care to patients with cancer. We examined the relationship between caregiver and receipt of palliative patient. Methods: A case series terminal cancer patient-caregiver dyads (n = 223) were recruited from oncology clinics in Virginia Pennsylvania followed for 12 months or until patient death. Data collected included qualitative, quantitative, observational data; this analysis utilizes quantitative...
Background: Palliative care improves symptoms and coping in patients with advanced cancers, but has not been evaluated for curable solid malignancies. Because of the tremendous symptom burden high rates psychological distress head neck cancer (HNC), we feasibility acceptability a palliative intervention HNC receiving curative-intent chemoradiation therapy (CRT). Methods: This was prospective single-arm study CRT at single center United States. The entailed weekly visits integrated oncology...
9007 Background: Despite national guidelines advocating that patients (pts) with advanced cancer receive dedicated palliative care (PC) services, many pts lack access to specialty PC, due PC workforce shortage. Training hematology-oncologists (HOs) provide primary could close this gap and ensure basic needs of are met. While HO fellowships require demonstration competence in skills, studies have shown major deficits knowledge, educational experiences confidence. We designed a longitudinal,...
Background: Opioids remain the cornerstone for treatment of moderate to severe cancer pain. Due benefits over full agonist opioids (FAO), buprenorphine has emerged as an alternative treatment. Purpose/hypothesis: Buprenorphine is only approved pain that chronic non-cancer. Cancer-related often progressive with breakthrough There limited evidence using short-acting FAO in combination buprenorphine. are concerns about withdrawal and efficacy control We hypothesize buprenorphine, FAOs, can...