Maryjo Prince-Paul

Learn More
A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17-18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the(More)
PURPOSE/OBJECTIVES To advance understanding of the social well-being domain, a dimension of quality of life, from the perspective of dying individuals. RESEARCH APPROACH Qualitative, hermeneutic, and phenomenologic. SETTING Private residences in a community setting. PARTICIPANTS 8 terminally ill adult patients with cancer, aged 35-75, enrolled in(More)
IMPORTANCE For patients with limited prognosis, some medication risks may outweigh the benefits, particularly when benefits take years to accrue; statins are one example. Data are lacking regarding the risks and benefits of discontinuing statin therapy for patients with limited life expectancy. OBJECTIVE To evaluate the safety, clinical, and cost impact(More)
PURPOSE/OBJECTIVES To explore the use of virtual reality as a distraction intervention to relieve symptom distress in women receiving chemotherapy for breast cancer. DESIGN Crossover study. SETTING The outpatient clinic of a midwestern comprehensive cancer center. SAMPLE 20 women 18-55 years of age. METHODS Using a crossover design, 20 subjects(More)
Despite the widespread recognition of the need for new models of care to better serve patients with advanced cancer, little evidence exists to document the effectiveness of these models. The purpose of this pilot study was to investigate the integration of an on-site palliative care (PC) advanced practice nurse (APRN) in the community oncology setting and(More)
BACKGROUND The importance of communication in close, personal relationships has been well-documented. At the end of life, communication, social relationships, and spirituality seem to have greater importance. Some studies suggest that the quality of life at the end of life (QOLEOL) involves these components. OBJECTIVE The primary aim of this study was to(More)
INTRODUCTION Forgiveness has begun to receive empirical attention in end-of-life contexts, but primarily among patients. This study examined forgiveness issues and communication priorities among family members of hospice patients. METHODS Surveys were distributed to family members of home-care patients in a large not-for-profit hospice in the Great Lakes(More)
The diagnosis of advanced illness often brings with it an element of limited time. Being diagnosed with a life-limiting illness and facing death can evoke many painful emotions including anxiety, sadness, and uncertainty. However, it can also create the potential for profound growth and transformation. The end of life is a time-intensive crucible in which(More)
INTRODUCTION Anger toward God is a common form of spiritual struggle, one that people often experience when they see God as responsible for severe harm or suffering. The aim of this study was to assess the prevalence, correlates, and preferred coping strategies associated with anger toward God among family members of hospice patients. METHODS Teams from a(More)
PURPOSE OF REVIEW There is very little high-quality evidence to guide clinical practice in hospice care. In the areas of medical therapy, patient-centered and family-centered outcomes, and patient safety, there are numerous high-impact questions for which answers are needed. Although randomized controlled trials are the gold standard for research, such(More)