Christopher Kerr

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BACKGROUND Delirium is one of the most distressing and difficult to manage problems in advanced illness. Family caregivers have a unique view of the progression of delirium. OBJECTIVE This study examined precursors to delirium from the perspective of family caregivers. DESIGN This study utilized a two-stage concept mapping design that began with(More)
CONTEXT Fatigue is highly prevalent in populations with advanced illness and is often associated with depressed mood. The role of psychostimulant therapy in the treatment of these conditions remains ill defined. OBJECTIVES To evaluate the response of fatigue and depression in patients with advanced illness to titrated doses of methylphenidate (MP) as(More)
this positive feedback. Broad assessment of the coupling between soil moisture and evapotranspiration, and evapotranspiration and precipitation, has been limited by a lack of large-scale observations. Quantification of the influence of evapotranspiration on precipitation remains particularly uncertain. Here, we develop and apply physically based, objective(More)
CONTEXT Outpatient programs have been traditionally offered in the U.S. under programs such as the Medicare Hospice Benefit. Recommendations now emphasize a blended model in which palliative care is offered concurrently with curative approaches at the onset of serious or life-limiting disease. The efficacy of nonhospice outpatient palliative care programs(More)
BACKGROUND In the United States, 5% of the population is responsible for nearly half of all health care expenditures, with a large concentration of spending driven by individuals with expensive chronic conditions in their last year of life. Outpatient palliative care under the Medicare Hospice Benefit excludes a large proportion of the chronically ill and(More)
End-of-life dreams and visions (ELDVs) are well documented throughout history and across cultures with impact on the dying person and their loved ones having profound meaning. Published studies on ELDVs are primarily based on surveys or interviews with clinicians or families of dead persons. This study uniquely examined patient dreams and visions from their(More)
BACKGROUND End-of-life dreams and visions (ELDVs) have been well documented throughout history and across cultures. The impact of pre-death experiences on dying individuals and their loved ones can be profoundly meaningful. OBJECTIVE Our aim was to quantify the frequency of dreams/visions experienced by patients nearing the end of life, examine the(More)
A new methodology for assessing the impact of surface heat fluxes on precipitation is applied to data from the North American Regional Reanalysis (NARR) and to output from the Geophysical Fluid Dynamics Labo-ratory's Atmospheric Model 2.1 (AM2.1). The method assesses the sensitivity of afternoon convective rainfall frequency and intensity to the(More)
Many recently bereaved persons experience vivid and deeply meaningful dreams featuring the presence of the deceased that may reflect and impact the process of mourning. The present study surveyed 278 bereaved persons regarding their own perspective of the relationship between dreams and the mourning process. Fifty eight percent of respondents reported(More)