Salimah H. Meghani

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PURPOSE The purpose of this analysis is to trace the evolution of the concept of palliative in the United States, explicate its meanings, and draw comparisons with other related concepts such as hospice care and terminal care. METHODS Rodgers' evolutionary method was used as an organizing framework for the concept analysis. Data were collected from a(More)
OBJECTIVE To systematically review how comorbidities are employed in the empirical literature for adults coping with multiple chronic conditions during common episodes of acute illness that resulted in transition across health care setting. METHODS Evolutionary concept analysis inductively identifies current consensus regarding the usage of a concept and(More)
BACKGROUND Pain is strongly associated with significant personal and societal costs. A crucial element of any initiative on pain must focus on eliminating pain care disparities that are pervasive throughout the United States health care settings. OBJECTIVES This report focuses on macro-level factors related to pain care disparities in the United States(More)
BACKGROUND As breast cancer patients increasingly use complementary and alternative medicine (CAM), clinical trials are needed to guide appropriate clinical use. We sought to identify socio-demographic, clinical and psychological factors related to willingness to participate (WTP) and to determine barriers to participation in an acupuncture clinical trial(More)
OBJECTIVES To investigate differences in reported pain and pain treatment utilization (use of over-the-counter and prescription pain medications, seeing a pain specialist, and use of complementary and alternative medicine) among minorities and nonminorities in the general population. DESIGN Secondary analysis of a national probability survey conducted by(More)
BACKGROUND Spiritual practices are one way that individuals cope with cancer pain. PURPOSE Describe and contrast expressions and values about the use of spirituality for pain in African American (AA) and White (WH) oncology patients. METHODS Six groups (3 AA; 3 WH; n=42; mean age 58) were conducted. Focus group and qualitative methodology with a(More)
BACKGROUND Half of heart failure patients will die within five years of diagnosis, making them an ideal population for hospice to reach. Yet hospice originated in oncology, and problems have been noted with the enrollment of heart failure patients. Whether caregiver satisfaction, a key quality measure in hospice, differs between heart failure and cancer(More)
OBJECTIVE To understand if patient-provider race-concordance is associated with improved health outcomes for minorities. DESIGN A comprehensive review of published research literature (1980-2008) using MEDLINE, HealthSTAR, and CINAHL databases were conducted. Studies were included if they had at least one research question examining the effect of(More)
BACKGROUND The recent Institute of Medicine Report assessing the state of pain care in the United States acknowledged the lack of consistent data to describe the nature and magnitude of unrelieved pain and identify subpopulations with disproportionate burdens. OBJECTIVES We synthesized 20 years of cumulative evidence on racial/ethnic disparities in(More)
Over the past decade, there has been a surge of literature related to disparities in pain treatment between minority and non-minority patients. Conspicuously lacking from this body of literature is an effort to investigate the patient-level factors that might account for undertreatment of pain among minorities. The present qualitative descriptive study was(More)