A5070034048- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Childhood Cancer Survivors' Quality of Life
- History and Developments in Astronomy
- Cardiac Arrest and Resuscitation
- Ethics in medical practice
- Geriatric Care and Nursing Homes
- Occupational Therapy Practice and Research
- Grief, Bereavement, and Mental Health
- Healthcare Decision-Making and Restraints
- Ethics and Legal Issues in Pediatric Healthcare
- Patient Dignity and Privacy
- Academic and Historical Perspectives in Psychology
- Anesthesia and Sedative Agents
- Avian ecology and behavior
- Neonatal Respiratory Health Research
- Airway Management and Intubation Techniques
- Health disparities and outcomes
- Cancer survivorship and care
- Nursing Education, Practice, and Leadership
- Animal Vocal Communication and Behavior
- Nursing Diagnosis and Documentation
Wayne State University
2016-2025
University of Colorado Denver
2022-2025
Government of Canada
2023-2024
Environment and Climate Change Canada
2013-2024
Wayne State College
2014-2024
Business Roundtable
2024
John Wiley & Sons (United States)
2023
Dana-Farber Cancer Institute
2022
Boston University
2022
RELX Group (United States)
2021
Background: These recommendations have been developed to improve the care of intensive unit (ICU) patients during dying process. The build on those published in 2003 and highlight recent developments field from a U.S. perspective. They do not use an evidence grading system because most are based ethical legal principles that derived empirically evidence. Principal Findings: Family-centered care, which emphasizes importance social structure within embedded, has emerged as comprehensive ideal...
PURPOSE To provide guidance on the clinical management of dyspnea in adult patients with advanced cancer. METHODS ASCO convened an Expert Panel to review evidence and formulate recommendations. An Agency for Healthcare Research Quality (AHRQ) systematic provided base nonpharmacologic pharmacologic interventions alleviate dyspnea. The included randomized controlled trials (RCTs) observational studies a concurrent comparison group published through early May 2020. also wished address...
Despite an ethical and legal consensus regarding the right of patients or their surrogates to refuse life-prolonging therapy, surveys show that dying in hospitals United States frequently receive unwanted interventions.1,2 One reason for this may be a lack training among physicians nurses clinical aspects withdrawing intensive life support. Staff members are highly skilled aggressive life-extending treatment, some now have services specializing palliative care forgoing treatment. But there...
Standard measures of dyspnea rely on self-report. Cognitive impairment and nearness to death may interfere with symptom distress reporting leading underrecognition overtreatment or undertreatment. Previous psychometric testing the Respiratory Distress Observation Scale (RDOS) demonstrated internal consistency convergent validity self-report discriminant pain no dyspnea. Additional was needed patients unable The aim this study establish further reliability construct a revised RDOS.An...
Although successful models for palliative care delivery and quality improvement in the intensive unit have been described, their applicability surgical settings has not fully addressed. We undertook to define specific challenges, strategies, solutions integration of unit.We searched MEDLINE database from inception May 2011 all English language articles using term "surgical care" or terms critical care," ICU," "surgeon," "trauma" "transplant," "palliative "end-of- life hand-searched our...
In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation acute episodes dyspnea. We conducted a comprehensive search medical literature evaluated available evidence from systematic evidence-based reviews (SEBRs) using modified AMSTAR approach then summarized palliative management knowledge base participants use in discourse at 2009 ATS...
To describe unique features of neurocritical illness that are relevant to provision high-quality palliative care; discuss key prognostic aids and their limitations for illnesses; review challenges strategies establishing realistic goals care patients in the neuro-ICU; elements best practice concerning symptom management, limitation life support, organ donation neurocritically ill.A search PubMed MEDLINE was conducted from inception through January 2015 all English-language articles using...
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ABSTRACT Following the detection of novel highly pathogenic avian influenza virus (HPAIV) H5N1 clade 2.3.4.4b in Newfoundland, Canada, late 2021, (AIV) surveillance wild birds was scaled up across Canada. Herein, we present results Canada’s Interagency Surveillance Program for Avian Influenza Wild Birds during first year (November 2021–November 2022) following incursions HPAIV from Eurasia. The key objectives program were to (i) identify presence, distribution, and spread other AIVs; (ii)...
This statement outlines a review of the literature and current practice concerning prevalence, clinical significance, diagnosis management dyspnoea in critically ill, mechanically ventilated adult patients. It covers definition, pathophysiology, epidemiology, short- middle-term impact, detection quantification, prevention treatment dyspnoea. represents collaboration European Respiratory Society Intensive Care Medicine. Dyspnoea ranks among most distressing experiences that human beings can...
To compare usual care with a proactive case-finding approach for critically ill patients terminal dementia using an inpatient palliative service.Prospective comparison to historical control.Urban, university-affiliated hospital.Total of 52 men and women end-stage dementia, 26 subjects in each control intervention group.Proactive by the service was done offer early assistance intensive unit staff about treatment dementia. Results were compared data obtained retrospectively.Measurements...
The purpose of this study was to establish the reliability and construct validity a new behavioral instrument measure presence intensity respiratory distress for patients who are unable self-report about dyspnea. Patient reports dyspnea were compared displayed behaviors in three groups 70 (n = 210). Pulmonary rehabilitation assessed with observation scale (RDOS) after controlled exercise while hypoxemic subsequently asked report current on visual analog (DVAS). Patients postoperative...
Palliative care is increasingly recognized as an integral component of comprehensive intensive for all critically ill patients, regardless prognosis, and their families. Here we discuss the key role that nurses can must continue to play in making this evidence-based paradigm a clinical reality across broad range ICUs. We review contributions implementation ICU safety initiatives model be applied palliative integration. focus on importance nursing involvement design application work processes...
ABSTRACT Acoustic recording systems are being used more frequently to estimate habitat occupancy or relative abundance, and monitor population trends over time. A potential concern with digital is that changes in technology could affect detectability of birds cause bias trend estimates based on counts detected. We evaluated several currently available commercial ranging from low-cost multipurpose recorders custom-designed wildlife (US$250–$7000 price range) examine possible differences among...