Sandra E Sanchez-Reilly

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The purpose of this study was to assess the impact of an elective geriatric palliative care course on medical students' attitudes, knowledge, and behaviors regarding communication with terminally ill patients. Surveys were administered at the beginning and end of the elective. Despite a significant increase in knowledge about geriatric and palliative(More)
It is well known that cancer patients experience lack of sleep, which affects their symptoms and decrease their much needed energy, particularly while undergoing treatment. Insomnia, which is defined as a predominant complaint of dissatisfaction with sleep quantity or quality during different phases of the sleep cycle, could easily affect patients' quality(More)
UNLABELLED As palliative care coursework continues to proliferate within US medical education, novel curriculum approaches have included the use of cancer survivors and family caregivers. We included bereaved family caregivers in structured clinical teaching. METHODS First year students were exposed to a lecture about death and dying and then met with a(More)
BACKGROUND Older adults (OA) with advanced cancer (AC) undergoing phase I clinical trials (PICT) have poor prognosis. There are no studies which describe symptoms experienced by OA. METHODS Retrospective chart review of PICT participants >60 years. OA were compared by age (>65 vs 60-65) and by number of symptoms (>3 vs ≤3). RESULTS N = 56. Mean age =(More)
● The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders: where are we going? ● Treating Acute Insomnia: A Randomized Controlled Trial of a " Single-Shot " of Cognitive Behavioral Therapy for Insomnia. ● Geographic variation in male suicide rates in the United States. ● Evidence-based supervision: Tracking outcome(More)
OBJECTIVE This essay identifies elderly cancer patients as a population that experiences cancer-related health disparities at the end-of-life. METHODS While hospice and palliative care (PC) are care options for this population, it is argued that PC prior to hospice will yield numerous benefits for long-term end-of-life care. RESULTS It is theorized that(More)
OBJECTIVE This study explores the ability of a culturally sensitive and case-based education intervention, Caregivers Like Me, to improve knowledge and attitudes regarding end-of-life (EOL) resources among Latino caregivers. METHODS A multicentered, cross-sectional study of Latino communities from different geographical regions and cultural backgrounds.(More)
Major efforts have been pursued to improve palliative care education for physicians at all levels of their training. Such changes include the incorporation of palliative care curriculum and guidelines, an established process for competency-based evaluation and certification, faculty development, innovative educational experiences, the improvement of(More)
It is well known that clinicians experience distress and grief in response to their patients' suffering. Oncologists and palliative care specialists are no exception since they commonly experience patient loss and are often affected by unprocessed grief. These emotions can compromise clinicians' personal well-being, since unexamined emotions may lead to(More)
Dear Editor: One focus of education in palliative care has been advance directives, which is future oriented. Determining goals of care with patients and families is present directed. Discussing goals as early as possible in the course of illness ensures that the patient will receive treatments consistent with his or her goals. Our impression has been that(More)