A5055088010- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Patient Dignity and Privacy
- Economic and Financial Impacts of Cancer
- Grief, Bereavement, and Mental Health
- Frailty in Older Adults
- Family Support in Illness
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Global Cancer Incidence and Screening
- Pharmacological Effects and Toxicity Studies
- Family and Patient Care in Intensive Care Units
- Clinical practice guidelines implementation
- Pain Management and Opioid Use
- Healthcare Decision-Making and Restraints
- Pediatric Pain Management Techniques
- Ethics in medical practice
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Empathy and Medical Education
- Electronic Health Records Systems
- Cardiac Arrest and Resuscitation
- Brain Metastases and Treatment
- Intensive Care Unit Cognitive Disorders
Alberta Health Services
2013-2025
University of Calgary
2016-2025
Queen's University
2021-2025
University of Alberta
2022-2025
Lakeridge Health
2021-2024
Foothills Medical Centre
2019
Lifeline Hospital
2018
Alberta Health
2018
BC Cancer Agency
2016
Healthcare providers are considered the primary conduit of compassion in healthcare. Although most healthcare desire to provide compassion, and patients families expect receive it, an evidence-based understanding construct its associated dimensions from perspective is needed.The aim this study was investigate providers' perspectives experiences order generate empirically derived, clinically informed model.Data were collected via focus groups with frontline interviews peer-nominated exemplary...
Conservative kidney management is increasingly accepted as an appropriate treatment option for patients with eGFR category 5 CKD who are unlikely to benefit from dialysis and/or choose a nondialysis care option. However, there remains great variation in the delivery of their care. As part development conservative pathway that undergoing evaluation, set recommendations specific managing complications and common symptoms was developed. These focus on patient's values preferences aim optimize...
Palliative care is an evolving field with extensive studies demonstrating its benefits to patients, families, and the health system. Many systems have developed or are developing palliative programs. The Canadian Society of Care Physicians (CSPCP) often asked recommend how many specialists needed implement support integrated program. This information would allow service decision makers educational institutions plan resources accordingly manage needs their communities. CSPCP well positioned...
Objective The COVID-19 pandemic has highlighted ongoing challenges to optimal supportive end-of-life care for adults living in long-term (LTC) facilities. A approach emphasises family involvement, symptom control, multidisciplinary team collaboration and death bereavement support services residents families. Community-based palliative specialist physicians who visit LTC facilities play an important role care. Yet, perspectives, experiences perceptions of these remain unknown. objective this...
Abstract Objective The purpose was to describe the physical, psychological, social, and spiritual needs of patients with non-cancer serious illness diagnoses compared those cancer. Method We conducted a retrospective chart review all diagnosis admitted tertiary palliative care unit between January 2008 December 2017 their matched cohort cancer diagnoses. prevalence within following four main concerns recorded data analyzed using descriptive statistics content analysis: • Physical: pain,...
To explore healthcare provider perspectives and experiences of perceived barriers facilitators compassion.Compassion is considered a component quality health care that providers are increasingly expected to provide. While there have been some studies exploring facets providers' on the providing compassion, comprehensive understanding based direct reports from lacking.Data were collected via focus groups semi-structured interviews. Data was analyzed in accordance with Straussian grounded...
Objectives Compassion is a key indicator of quality care that reportedly eroding from patients’ experience. While the need to assess compassion recognised, valid and reliable measures are lacking. This study developed validated clinically informed, psychometrically rigorous, patient-reported measure. Design Data were collected participants living with life-limiting illnesses over two phases across four settings (acute care, hospice, long term (LTC) homecare). In phase 1, data analysed...
Medications are often needed to manage distressing end-of-life symptoms (eg, pain, agitation).
Objectives To investigate relationships between age, clinical characteristics, and breathlessness sufficient to have people spend at least half a day month in bed or cut down on their usual activities (restricting breathlessness) during the last year of life. Design Secondary data analysis. Setting General community. Participants Nondisabled persons aged 70 older (N = 754). Measurements Monthly telephone interviews were conducted determine occurrence restricting breathlessness. The primary...
<h3>Background:</h3> The relation between emergency department opioid prescribing and subsequent harm is complex poorly studied. We sought to quantify adverse outcomes, incremental risk, rates of prolonged use among patients receiving an prescription propensity-matched controls. <h3>Methods:</h3> used administrative data sample all Alberta visits over 10 years, excluding with cancer, palliative care, or concurrent use. Treated filled within 72 hours after their index visit; untreated did...
Objective For eight chronic diseases, evaluate the association of specialist palliative care (PC) exposure and timing with hospital-based acute in last 30 days life. Design Retrospective cohort study using administrative data. Setting Alberta, Canada between 2007 2016. Participants 47 169 adults deceased from: (1) cancer, (2) heart disease, (3) dementia, (4) stroke, (5) lower respiratory disease (chronic obstructive pulmonary (COPD)), (6) liver (7) neurodegenerative (8) renovascular disease....
Symptom burden is known to be high in patients with hematologic malignancies and can adversely impact patients’ quality of life. The aims this retrospective observational cohort study were explore symptoms malignancies, including during the last year life, symptom profiles associations among symptoms/symptom demographic, clinical, treatment-related variables. prevalence severity explored who completed patient-reported outcome measures (n = 6136) between October 2019 April 2020. Emergency...
ContextTimely palliative care can alleviate distress after diagnosis of an incurable cancer. However, late referrals to continue, reflecting various provider and patient barriers.ObjectiveTo determine patient/caregiver-reported acceptability a phone call offering supportive (SPC) consultation without requiring oncologist referral.MethodsTwo SPC nurses screened out-patient clinic lists at tertiary cancer center weekly called all eligible patients offer consultation. Eligibility: >18 years,...
Background: Liver cirrhosis carries high symptom burden and health care utilization. Palliative (PC) has demonstrated improvements in overall quality of life. Despite this, PC remains underutilized patients with chronic liver disease. As a step to bridge this gap, we developed cirrhosiscare.ca as an easy-to-access, evidence-, expert consensus-based online resource for providers. Methods: This short report describes the development practitioner ‘Symptom Management’ section...
Cancer inequities such as late access to cancer screening and diagnosis affect people of African Latin American descent in Canada. These addition experiences racism discrimination unequal living working conditions are detrimental their wellness. We aim delineate together with a patient-oriented pathway improve equity wellness care. This is 3-year community-based participatory research study. The study will take place Alberta Ontario involve 125 participants including cancer, family community...
Prescribing rates for subcutaneous medications may be an indicator of quality end-of-life care in long-term (LTC). It is not known if this system level measure valid across jurisdictions. We compared prescribing used symptom relief among LTC residents Alberta and Ontario. This retrospective cohort study those who died between January 1, 2017, March 17, 2020 Alberta, with a published from Prescribed during resident's last 14 days life were extracted administrative dispensation records. homes...
Objectives To characterise patient-reported financial burden of living with advanced colorectal cancer in Alberta, Canada, as part a larger prospective cohort study characterising the experiences people cancer. Methods Patients were recruited from Alberta’s tertiary centres between January 2018 and July 2020. Enrolled participants invited to complete Patient Self-Administered Financial Effects (P-SAFE) questionnaire at 1 month post-enrolment every 6 months thereafter, until death or end...
Aggressive medical management of cancer patients at the end life (EOL) is an indicator health services quality. We evaluated variations in EOL therapy utilization and acute care hospital deaths across different types within setting a regionalized program.Intravenous chemotherapy radiotherapy use last 14 30 days was identified through Alberta Cancer Registry then verified by chart review for decedents residing 50 km Tom Baker Centre between 2003 2010. Multivariable logistic regression used to...
Haloperidol is widely prescribed as an antiemetic in patients receiving palliative care, but there limited evidence to support and refine its use.To explore the immediate short-term net clinical effects of haloperidol when treating nausea and/or vomiting care patients.A prospective, multicenter, consecutive case series.Twenty-two sites, five countries: consultative, ambulatory, inpatient services.When was started routine antiemetic, data were collected at three time points: baseline; 48...
Palliative care (pc) is part of the recommended standard for patients with advanced cancer. Nevertheless, delivery pc inconsistent. Patients who could benefit from services are often referred late—or not at all. In planning improvements to oncology practice in our health system, we sought identify barriers provision earlier pc, as perceived by providers managing metastatic colorectal cancer (mcrc). We used Michie Theoretical Domains Framework (tdf) and Behaviour Change Wheel (bcw), together...
Abstract Purpose Timely access to supportive and palliative care (PC) remains a challenge. A proposed solution is trigger an automatic referral process PC by pre-determined clinical criteria. This study sought co-design with patients providers for newly diagnosed stage IV lung cancer. Methods In Step 1 of this work, nine one on phone interviews were conducted advanced cancer their perspectives the acceptability contact specialist provider triggered process. Interviews thematically analysed....
Background Palliative care is an approach that improves the quality of life patients and families facing challenges associated with life-threatening illness. In order to effectively deliver palliative care, patient caregiver priorities need be incorporated in advanced cancer care. Aim This study identified experiences living colorectal their caregivers inform development early pathway. Design Qualitative patient-oriented study. Settings/participants Patients receiving at two centres were...