Joshua S. Barclay

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To assess the feasibility of collecting patient-reported outcomes data with wireless touch screen tablet computers in the adult oncology palliative care setting. Patients were provided with tablet computers during scheduled clinic visits and answered online queries about their experience over the past week in the health domains of anxiety, depression,(More)
Good communication is a fundamental skill for all palliative care clinicians. Patients present with varied desires, beliefs, and cultural practices, and navigating these issues presents clinicians with unique challenges. This article provides an overview of the evidence for communication strategies in delivering bad news and discussing advance care(More)
BACKGROUND Although inadequate treatment of pain is a problem for hospice patients, increases in the medical use of opioids have been accompanied by increasing levels of abuse and diversion in the community. Balancing pain relief with concerns about abuse and diversion is a difficult issue for hospices. OBJECTIVES The aim of this study was to determine(More)
The use of opioids for management of cancer-related pain has increased significantly and has been associated with a substantial rise in rates of substance abuse and diversion. There is a paucity of data not only on the prevalence of substance abuse in cancer patients, but also for issues of drug use and diversion in family caregivers. This study aimed to(More)
IMPORTANCE Terminally ill patients with lower incomes are less likely to die at home, even with hospice care. OBJECTIVES To examine the relationship between income and transfer from home before death and the interaction between income and level of hospice care as a predictor of transfer from home in patients admitted to routine home hospice care. DESIGN(More)
BACKGROUND Opioids are the mainstay of treatment of cancer pain. With increased use there have been concerns about rising rates of prescription drug abuse and diversion. Although there has been an increase in research and practice guidelines about the scope of the problem for chronic, nonmalignant pain, less information is available about both the frequency(More)
1301 Consensus Statement: Atlantic Coast Contaminants Workshop 2000 Sylvain De Guise,1 Susan D. Shaw,2 John S. Barclay,3 John Brock,4 Abraham Brouwer,5 Eric Dewailly,6 Patricia A. Fair,7 Michel Fournier,8 Philippe Grandjean,9,10 Louis J. Guillette Jr.,11 Mark E. Hahn,12 Corine Koopman-Esseboom,13 Robert J. Letcher,14,* Angela Matz,15 Ross J. Norstrom,16(More)
Arata Abe Lee Akst Jacqueline Allen Edmilton Almeida Sheila Almeida Kenneth Altman Andreas Anagiotos Lica Arakawa-Sugueno Viridiana Arreola Joan C. Arvedson Arash Babaei Hideki Bando Julie Barkmeier-Kraemer Peter Belafsky William Berger Arnaud Bewley Shobna Bhatia Joel Blumin Jonathan Bock Heather Bonilha Matthew Brigger Deanna Britton Martin Brodsky(More)
BACKGROUND Studies suggest that outpatient palliative care can reduce hospitalization and increase hospice utilization for patients with cancer, however there are insufficient resources to provide palliative care to all patients from time of diagnosis. It is also unclear whether inpatient consultation alone provides similar benefits. A better understanding(More)
50 Background: Recent studies suggest that early integration of palliative care services into the care of patients with advanced cancer can improve end of life care. Unfortunately, there are insufficient resources for all advanced cancer to see palliative care from time of diagnosis. This 2012 CMS innovation award is attempting to improve identification of(More)