|Present||Professor of Psychiatry, Tufts University School of Medicine|
|Present||Psychiatric Consultation Service Division, Director, Renal Palliative Care Initiative, Baystate Health|
Honors and Awards
- Rockefeller Scholars Bellagio Residency Award
- Guggenheim Fellowship
- Tufts University School of Medicine Distinguished Faculty Award
759 Chestnut Street, WG703
Springfield, MA 01199
No Subject Area (51)
Prevalence of formal accusations of murder and euthanasia against physicians All Scholarly Works (2012)
BACKGROUND: Little is known about how often physicians are formally accused of hastening patient deaths while practicing palliative care. METHODS: We conducted an Internet-based survey on a random 50% sample of physician-members of a national ...
The "no dialysis" option All Scholarly Works (2011)
Increasing numbers of patients are starting dialysis who have limited prognoses for 6-month survival. The presence of multiple comorbidities, aging, and frailty contributes to this phenomenon. The rate of dialysis withdrawal has been accelerating over ...
Should there be an expanded role for palliative care in end-stage renal disease All Scholarly Works (2010)
PURPOSE OF REVIEW: In this review, we outline the rationale for expanding the role of palliative care in end-stage renal disease (ESRD), describe the components of a palliative care model, and identify potential barriers in ...
An integrative approach to advanced kidney disease in the elderly All Scholarly Works (2010)
Chronic kidney disease (CKD) has increasingly become a "geriatric" disease, with a dramatic rise in incidence in the aging population. Patients aged >75 years have become the fastest growing population initiating dialysis. These patients have ...
Increasing hospice services for elderly patients maintained with hemodialysis All Scholarly Works (2010)
Few dying patients undergoing dialysis receive hospice care. An intervention to facilitate hospice referral was evaluated in a longitudinal prospective cohort study. Five hemodialysis units in Massachusetts were divided into intervention sites (N = 3 ...
Predicting six-month mortality for patients who are on maintenance hemodialysis All Scholarly Works (2010)
BACKGROUND AND OBJECTIVES: Prognostic information is rarely conveyed by nephrologists because of clinical uncertainty about accuracy. The objective of this study was to develop an integrated prognostic model of 6-mo survival for patients who receive ...
Differentiating suicide from life-ending acts and end-of-life decisions: a model based on chronic kidney disease and dialysis. All Scholarly Works (2009)
BACKGROUND: Technological advances continue to yield life-prolonging treatments that complicate the occurrence of death. Until recently, refusal to submit to recommended care was considered suicide. OBJECTIVE: Physicians must now decide how to respond to requests ...