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Research Programs

Research Accomplishments, Publications


 

Publications

Wells-Di Gregorio, S.M. (2008).  Family End of Life Decision-Making.  In J. Werth & D. Blevins (Eds). Decision-Making Near the End of Life:  Recent Developments and Future Directions. Routledge Publishing.

Sharma K, Adolph MD, Benedetti C (2005) Chronic pain: the cost of unrelieved pain., J Palliative Medicine, 8 (1), 212

Adolph MD, Taylor RM, Ross PM, Vaida AM, Moffatt-Bruce SD, James Thoracic Surgery Team, James Pain & Palliative Medicine Service Team (2009) Evaluating cancer patient satisfaction before and after daily multidisciplinary care for thoracic surgery inpatients., Journal of Clinical Oncology, 27 (18S), 9605

Adolph MD (2005) Pain Management at the End of Life in Special Populations, 91st National Clinical Congress, San Francisco, CA, American College of Surgeons, Chicago, IL, Division of Education, American College of Surgeons Conference Proceeding, p. 28-31 

Adolph MD, Dunn GP (2009) Postgraduate palliative medicine training for the surgeon: an update on ABMS subspecialty certification., Bulletin of the American College of Surgeons, 94 (2), 6-13, 47

Adolph MD (2007) Commentary on surgical palliative care: recognizing chronic postsurgical pain syndromes at the end of life., American Journal of Hospice & Palliative Care, 24 (4), 322-4

Adolph MD, Benedetti C (2006) Percutaneous-guided pain control: exploiting the neural basis of pain sensation., Gastroenterology Clinics of North America, 35 (1), 167-88

Benedetti C, Ibinson J, Adolph MD (2008) Cancer pain: anesthetic and neurosurgical interventions In Walsh TD (eds), Palliative Medicine, Expert consult Edition, Philadelphia, PA, Saunders

Kulich RJ, Adolph MD (2007) Multidisciplinary chronic pain treatment : minimizing financial risk In Schatman ME, Campbell A (eds), Chronic Pain Management : Guidelines for Multidisciplinary Program Development, Pain mgmt Ed 3, New York, NY, Informa Healthcare, 241-262 page

 

National Presentations

Wells-Di Gregorio, S.M. & Shepard, K. (February, 2008).  Comparison of four strategies for diagnosing depression among advanced cancer patients with severe pain.  American Psychosocial Oncology Society Annual Meeting, Irvine, California.

Wells-Di Gregorio, S.M.  & Shepard, K.  (November, 2008).  Diagnosing depression among advanced cancer patients with severe pain.  American Psychosomatic Medicine Annual Meeting, Miami, Florida.

Wells-Di Gregorio, S.M. & Shepard, K. (February, 2009).  Major depression, generalized anxiety, pain severity and pain interference among palliative care patients.  American Psychosocial Oncology Society Annual Meeting, Charlotte, North Carolina.

Wells-Di Gregorio, S.M.  (February, 2009). oncology electronic medical record: Patient preferences for disclosure of supportive care information.  American  Psychosocial Oncology Society Annual Meeting, Charlotte, North Carolina.

Adolph MD (2007) The Disposition of the Patient with Life-Limiting Illness, 93rd National Clinical Congress, New Orleans, LA, Division of Education, American College of Surgeons Conference Proceeding 

Hertig J, Hartman A, Adolph  MD (2009) Evaluation of Ketamine Infusion for Cancer Pain and Associated Adverse Drug Events. Great Lakes Region Postgraduate Pharmacy Conference, 2009

Wells-DiGregorio, S.M., Gustin, J., Do, D., Coller, K., Adolph, M., Taylor,R. (March 2010). Predictors of suicidal ideation among palliative care patients. Poster to be presented at the annual American Academy of Hospice and Palliative Medicine conference in Boston.

 

Current Studies

Cognitive-Behavioral Intervention for Insomnia and Worry

Patients with advanced cancer frequently experience multiple overlapping psychological and physical symptoms (pain, fatigue, insomnia, anxiety, depression).  The most common approach to managing these symptoms is to focus on individual symptoms – at times to the exclusion of other more pressing symptoms.   Two of the most common and stressful symptoms of patients with advanced disease are insomnia and worry.  Individuals with cancer frequently spend many sleepless  nights with uncontrolled symptoms and anxiety about these symptoms and/or the impact of the disease on their family currently and in the future.  This study examines the impact of a cognitive-behavioral “symptom cluster” intervention on patient biobehavioral outcomes (uncertainty, sleep, and immunity).

Palliative Care Needs Assessment

Despite the benefits of palliative care in reducing symptoms and improving overall quality of life for patients with advance disease, in most cancer centers referral to such services tends to be low.  Palliative care is often confused with hospice care (link to CAPC site describing difference) – so referrals often come late in the disease process, when patients and families are experiencing symptom crises.  This project examines the rates and predictors of referrals for palliative care services across multiple types of cancer.  This study will also examine predictors of distress among patients with different sites and phases of disease in order develop clinical-research collaborations to tailor palliative care services to patients who might need it most.