A5003707102- Palliative Care and End-of-Life Issues
- Innovations in Medical Education
- Empathy and Medical Education
- Childhood Cancer Survivors' Quality of Life
- Ethics in medical practice
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Interprofessional Education and Collaboration
- Family and Patient Care in Intensive Care Units
- Religion, Spirituality, and Psychology
- Cancer survivorship and care
- Patient-Provider Communication in Healthcare
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare professionals’ stress and burnout
- Dementia and Cognitive Impairment Research
- Geriatric Care and Nursing Homes
- Electronic Health Records Systems
- Global Health Workforce Issues
- Medical Education and Admissions
- Pituitary Gland Disorders and Treatments
- Child and Adolescent Health
- Education and Critical Thinking Development
- Family Support in Illness
- Disaster Response and Management
Indiana University – Purdue University Indianapolis
2016-2025
Indiana University School of Medicine
2015-2024
Indiana University Health
2020-2024
Regenstrief Institute
2006-2024
Indiana University
2006-2022
University School
2012-2022
Background: Advance care planning (ACP) is recommended for all persons to ensure that the they receive aligns with their values and preferences. Objective: To evaluate an ACP intervention developed better meet needs priorities of chronic diseases, including mild cognitive impairment. Research Design: A year-long, pre-post using lay community health workers [care coordinator assistants (CCAs)] trained conduct document conversations patients during home visits evaluation. Subjects: The 818...
The United States has a significant shortage of trained geriatricians and nurses, social workers, paraprofessionals educated to care for elderly adults. As the aging population continues grow, providing high‐quality will require new models that better address many needs individuals their caregivers, using cost‐effective strategies. Responding this need, Indiana University Center Aging Research implementation scientists developed, tested, are now scaling up successful collaborative...
Emotional distress often causes patients with cancer and their family caregivers (FCGs) to avoid end-of-life discussions advance care planning (ACP), which may undermine quality of life (QoL). Most ACP interventions fail address emotional barriers that impede timely ACP.We assessed feasibility, acceptability, preliminary effects a mindfulness-based intervention facilitate for adults advanced-stage FCGs.A single-arm pilot was conducted assess the impact 6-week group mindfulness on behaviors...
This pilot study was designed to measure teamwork and the relationship of patient perceptions care among 63 members 12 oncology teams at a Cancer Centre in Midwest. Lack cancer can result serious clinical errors, fragmentation care, poor quality care. Many team members, highly skilled are not trained work effectively as team. The research administered Relational Coordination survey core members-medical oncologists, nurse coordinators, secretaries-to seven dimensions skills (four relating...
Abstract Background Electronic health records (EHRs) can accelerate documentation and may enhance details of notes, or complicate introduce errors. Comprehensive assessment quality requires comparing to what transpires during the clinical encounter itself. We assessed outpatient primary care notes corresponding recorded encounters determine accuracy, thoroughness, several additional key measures quality. Methods Patients clinicians across five midwestern clinics US Department Veterans...
Abstract Objective Advance care planning (ACP) increases quality of life and satisfaction with for those cancer their families, yet these important conversations often do not occur. Barriers include patients’ families’ emotional responses to cancer, such as anxiety sadness, which can lead avoidance discussing illness-related topics ACP. Interventions that address psychological barriers ACP are needed. The purpose this study was explore the effects a mindfulness intervention designed...
In the Intensive Care Unit (ICU), family members experience psychological and spiritual distress as they cope with fear, grief, medical decisions for patients. The study team developed pilot tested a semistructured chaplain intervention that included proactive contact assessment, interventions, documentation. An interdisciplinary intervention, Spiritual Assessment Intervention (SCAI) Framework. Three chaplains delivered to surrogates in two ICUs. There were 25 of 73 eligible...
Brain tumors, including pituitary adenomas (PA), cause anxiety and distress, with a high unmet need for information correlating increased anxiety. Condition-specific education may alleviate We explored patients' experience around the diagnosis of PA piloted patient intervention to address peridiagnostic in adults diagnosed PA.Anxiety, satisfaction, knowledge, were measured prior to, immediately after, 1 month following appointment this multimethods study. A phone interview explore diagnostic...
Objectives: Advance care planning (ACP) enables individuals to deliberate about future preferences for based upon their values and beliefs what is important in life. For many patients with advanced cancer, however, these critical conversations do not occur. A growing body of literature has examined the end-of-life wishes seriously ill patients. Few studies have explored persons as they live cancer. The aim current study was address this gap understand how clinicians can support patients’...
Abstract Objective Dignity therapy (DT) is designed to address psychological and existential challenges that terminally ill individuals face. DT guides patients in developing a written legacy project which they record share important memories messages with those will leave behind. has been demonstrated ease concerns for adults advanced-stage cancer; however, lack of institutional resources limits wide implementation clinical practice. This study explores qualitative outcomes an abbreviated,...
Abstract Objective: Although patients want to participate in discussions and decisions about their end-of-life care, studies show that providers frequently fail invite them explore advanced care preferences or goals for living. The purpose of our demonstration project was provide education coaching individuals, health providers, organizations across the state Indiana intended facilitate these conversations, documenting honoring individuals' life during final stages life. Method: Education...
More physicians need to acquire the skills of primary palliative care. Medical students' clerkship experiences with death, dying, and care (DDPC), however, may create barriers learning such during residency. Whether professional development is differentially affected by DDPC unknown. This knowledge gap potentially hinders educational strategies optimize preparedness for care.Third-year students submitted professionalism narratives (N = 4062) their internal medicine between 2004 2011. We...
Introduction: Palliative sedation for refractory existential distress (PS-ED) is ethically troubling but potentially critical to quality end-of-life (EOL) care. Physicians’ in postgraduate training support toward PS-ED unknown nor it known how empathy, hope, optimism, or intrinsic religious motivation (IRM) affect their support. These knowledge gaps hinder efforts physicians who struggle with patients’ EOL care preferences. Methods: One hundred thirty-four rated of PS physical pain (PS-PP)...
In-hospital resuscitation events have complex and enduring effects on clinicians, with implications for job satisfaction, performance, burnout. Ethically ambiguous cases are associated increased moral distress. We aim to quantitatively describe the multidisciplinary experience.Multidisciplinary in-hospital healthcare professionals at an adult academic health center in Midwestern United States completed surveys one six weeks after a event. Surveys included demographic data, task load...
To evaluate the effect of Aging Brain Care (ABC) Medical Home program's depression module on patients' severity measurement over time.Retrospective chart review.Public hospital system.Patients enrolled in ABC program between October 1, 2012 and March 31, 2014.The response 773 patients who had multiple patient health questionnaire-9 (PHQ-9) scores recorded care protocol was evaluated. Repeatedly measured PHQ-9 change were dependent variables mixed effects models, demographic comorbid medical...