Research Topics
| Linda GanziniSummaryCountry: USA Publications
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Publications
Delirium and decisional incapacity in veterans with schizophrenia and medical illnessLinda Ganzini
Mental Health Division, Portland VAMC, P O Box 1034, Portland, OR 97207, USA
Gen Hosp Psychiatry 34:506-9. 2012..The objective was to examine the characteristics of Veterans with schizophrenia admitted for nonpsychiatric hospitalizations...- Medical student views on interactions with pharmaceutical representativesLinda Ganzini
Portland Health and Science University, Portland, OR, USA
Acad Psychiatry 36:183-7. 2012..The Dean convened a workgroup to examine the issue, and faculty, residents, and medical students were surveyed on their views and interactions. Authors present here the responses from medical students... - Mental health outcomes of family members of Oregonians who request physician aid in dyingLinda Ganzini
Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Research Service R and D 66, Portland Veterans Affairs Medical Center, Portland, Oregon 97239, USA
J Pain Symptom Manage 38:807-15. 2009..In summary, pursuit of aid in dying does not have negative effects on surviving family members and may be associated with greater preparation and acceptance of death... - End-of-life care for veterans with schizophrenia and cancerLinda Ganzini
Mental Health Division, Portland Veterans Affairs Medical Center VAMC, R and D 66, Portland, OR 97207, USA
Psychiatr Serv 61:725-8. 2010..This study compared the quality of end-of-life care between veterans with and without schizophrenia who died of cancer in the northwestern United States... 
Prevalence of depression and anxiety in patients requesting physicians' aid in dying: cross sectional surveyLinda Ganzini
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Portland Veterans Affairs Medical Center, PO Box 1034, Portland, OR 97239, USA
BMJ 337:a1682. 2008..To determine the prevalence of depression and anxiety in terminally ill patients pursuing aid in dying from physicians...- Why Oregon patients request assisted death: family members' viewsLinda Ganzini
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Health Services Research and Development, Research Service R and D 66, Portland VAMC, Portland, OR 97239, USA
J Gen Intern Med 23:154-7. 2008..Physician assisted death (PAD) was legalized through Oregon's Death with Dignity Act in 1994 and enacted in 1997... 
Oregon hospice nurses and social workers' assessment of physician progress in palliative care over the past 5 yearsElizabeth R Goy
Department of Veterans Affairs, Portland, Oregon 97239, USA
Palliat Support Care 1:215-9. 2003..The 1997 enactment of the Oregon Death with Dignity Act intensified interest in improving physician education and skills in caring for patients at the end of life...- Nurses' experiences with hospice patients who refuse food and fluids to hasten deathLinda Ganzini
Department of Veterans Affairs, Oregon Health and Science University, Portland, Oreg, USA
N Engl J Med 349:359-65. 2003..Voluntary refusal of food and fluids has been proposed as an alternative to physician-assisted suicide for terminally ill patients who wish to hasten death. There are few reports of patients who have made this choice... - Voluntary refusal of food and fluids: attitudes of Oregon hospice nurses and social workersTheresa A Harvath
School of Nursing, Oregon Health and Science University, 3455 SW US Veterans Road, SN 5N, Portland, OR 97239 2941, USA
Int J Palliat Nurs 10:236-41; discussion 242-3. 2004..These results may have important clinical implications for nurses and social workers involved in end-of-life care who encounter patients who wish to hasten their deaths... - Oregon physicians' responses to requests for assisted suicide: a qualitative studySteven K Dobscha
Department of Veterans Affairs, Portland, Oregon 97207, USA
J Palliat Med 7:451-61. 2004..Physicians rarely sought support from colleagues; instead, they tended to discuss emotional aspects of their experiences with their spouses... - Appreciation of research information in patients with bipolar disorderSahana Misra
Portland Veterans Affairs Medical Center, Portland, OR, USA
Bipolar Disord 10:635-46. 2008..We compared the abilities of euthymic and manic bipolar patients to appreciate and make voluntary decisions regarding research participation... - Prevalence and natural history of neuropsychiatric syndromes in veteran hospice patientsElizabeth R Goy
Mental Health Division and Health Services Research and Development Program, Portland Veterans Affairs Medical Center, Portland, Oregon 97207, USA
J Pain Symptom Manage 41:394-401. 2011..Prospective studies are needed to adequately describe the overall impact of neuropsychiatric syndromes on the course of hospice enrollment in outpatient settings... - Parkinson disease at the end of life: caregiver perspectivesElizabeth R Goy
Columbia Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland Veterans Affairs Medical Center, Department of Psychiatry, Portland, OR 97207, USA
Neurology 69:611-2. 2007 - Psychiatric resident and faculty views on and interactions with the pharmaceutical industrySahana Misra
Oregon Health and Science University, Psychiatry, Portland, OR 97239, USA
Acad Psychiatry 34:102-8. 2010..The authors surveyed psychiatric residents and faculty members on their views and interactions with representatives of the pharmaceutical industry... - Oregonians' reasons for requesting physician aid in dyingLinda Ganzini
Research Service, Portland Veterans Affairs Medical Center, PO Box 1034, Portland, OR 97239, USA
Arch Intern Med 169:489-92. 2009..Oregon is the only US jurisdiction with a legal process, the Oregon Death with Dignity Act, that allows terminally ill patients to obtain physician aid in dying (PAD)... - Sleep quality and its association with delirium among veterans enrolled in hospiceChristopher G Slatore
Health Services Research and Development, Portland VA Medical Center, Portland, OR 97239, USA
Am J Geriatr Psychiatry 20:317-26. 2012..The objectives of this study were to describe sleep quality and evaluate the association of sleep quality with delirium onset among patients enrolled in hospice... - Needs and experiences of caregivers for family members dying with Parkinson diseaseElizabeth R Goy
Health Services Research and Development HSR and D Research Career Development Award Program, Portland Veterans Affairs Medical Center, Oregon, USA
J Palliat Care 24:69-75. 2008..These data suggest that increasing education and assistance with physical tasks may address unmet needs of PD caregivers... - Neurologic disease at the end of life: caregiver descriptions of Parkinson disease and amyotrophic lateral sclerosisElizabeth Ruth Goy
Department of Research Mental Health, Portland VA Medical Center, Portland, Oregon 97207, USA
J Palliat Med 11:548-54. 2008..To highlight the palliative care needs and experiences of patients with Parkinson's disease and related disorders (PDRD), we compared them to patients with ALS... - Predictors and correlates of interest in assisted suicide in the final month of life among ALS patients in Oregon and WashingtonLinda Ganzini
Mental Health Division, Oregon Health and Science University, Portland, USA
J Pain Symptom Manage 24:312-7. 2002..ALS patients who were interested in assisted suicide, compared to those who were not, had greater distress at being a burden to others and more insomnia, pain, and discomfort other than pain... - Oregon hospice chaplains' experiences with patients requesting physician-assisted suicideBryant Carlson
Portland Veterans Affairs Medical Center, Portland, Oregon 97239, USA
J Palliat Med 8:1160-6. 2005..CONCLUSION: Oregon hospice chaplains are divided in their views on legalized PAS, but primarily see their role to deliver support to patients no matter what the patient's final decision regarding PAS... - Experiences of Oregon nurses and social workers with hospice patients who requested assistance with suicideLinda Ganzini
Mental Health Division, Portland Veterans Affairs Medical Center, Portland, OR 97207, USA
N Engl J Med 347:582-8. 2002..Although 78 percent of the 91 Oregonians who have died by assisted suicide were enrolled in hospice programs, there is little information about the experiences of hospice practitioners with these patients... - Quality of dying in the ICU: ratings by family membersRichard A Mularski
Oregon Health and Science University and Portland Veterans Affairs Medical Center, Portland, OR, USA
Chest 128:280-7. 2005..To explore the quality of the dying experience and associations to higher quality ratings for people who died in an ICU... - Ten myths about decision-making capacityLinda Ganzini
Department of Psychiatry, Oregon Health and Science University and Portland Veterans Affairs Medical Center, Portland, OR, USA
J Am Med Dir Assoc 6:S100-4. 2005.... - End-of-life care in geriatric psychiatryElizabeth Goy
Portland Veterans Affairs Medical Center, Mental Health, P3MHDC, P O Box 1034, Portland, OR 97207, USA
Clin Geriatr Med 19:841-56, vii-viii. 2003..Finally, caregivers of dying patients are vulnerable to stress, depression, grief, and complicated bereavement. Interventions for caregivers who are debilitated by these states are briefly summarized... - Influence of mood state on capacity to consent to research in patients with bipolar disorderSahana Misra
Portland Veterans Affairs Medical Center, OR 97239, USA
Bipolar Disord 10:303-9. 2008..We compared 25 euthymic bipolar and 26 manic bipolar patients in their understanding of three hypothetical studies of varying complexity... - Oregon physicians' perceptions of patients who request assisted suicide and their familiesLinda Ganzini
Department of Veterans Affairs, Oregon Health and Science University, Portland, Oregon 97239, USA
J Palliat Med 6:381-90. 2003..Many family members were reluctant to support these requests until they recognized the strength of the preference... - Clarifying distinctions between contemplating and completing physician-assisted suicideLinda Ganzini
Oregon Health and Sciences University, Portland, USA
J Clin Ethics 15:119-22. 2004 - Quality of death and dying in patients who request physician-assisted deathKathryn A Smith
School of Nursing, Oregon Health and Science University, Portland, Oregon, USA
J Palliat Med 14:445-50. 2011..Physician-assisted death (PAD) was legalized in 1997 by Oregon's Death with Dignity Act (ODDA). Through 2009, 460 Oregonians have died by lethal prescription under the ODDA... - Patient-clinician communication: associations with important health outcomes among veterans with COPDChristopher G Slatore
Health Services Research and Development, Portland Veterans Affairs Medical Center, Portland, OR 97239, USA
Chest 138:628-34. 2010..High quality patient-clinician communication is widely advocated, but little is known about which health outcomes are associated with communication for patients with COPD... - Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered careChristopher G Slatore
Section of Pulmonary and Critical Care Medicine, Portland Veterans Affairs Medical Center, Oregon, USA
Am J Crit Care 21:410-8. 2012..High-quality communication is a key determinant and facilitator of patient-centered care. Nurses engage in most of the communication with patients and patients' families in the intensive care unit... - Outcomes of Oregon's law mandating physician reporting of impaired driversKristen M Snyder
Portland VA Medical Center, Portland, OR 97239, USA
J Geriatr Psychiatry Neurol 22:161-5. 2009..Over half were aged 80 years or older, with chronic or progressive cognitive impairments. Further study is needed to determine whether this law reduces crashes and crash-related fatalities... - Clinical outcomes of integrated psychiatric and general medical careKristen Snyder
Department of Veterans Affairs, Veterans Health Administration, Mental Health Division, Acute Psychiatry, Portland, OR, USA
Community Ment Health J 44:147-54. 2008..This study suggests that integrated care can be provided to chronically mentally ill patients in a primary care setting and generate outcomes comparable to those of standard care... - The final month of life in patients with ALSLinda Ganzini
Behavior Health and Clinical Neurosciences Division, Portland VA Medical Center, PO Box 1034, Portland, OR 97207, USA
Neurology 59:428-31. 2002..To study the health care experiences and palliative care needs of patients with ALS in their final month of life... - A psychiatrist in hospiceAlan Morgenstern
Oregon Health and Science University, Portland, Oregon, USA
Palliat Support Care 1:89-92. 2003 - Psychiatry resident graduate comfort with general medical issues: impact of an integrated psychiatry-primary medical care training trackSteven K Dobscha
Portland VA Medical Center, Behavior Health and Clinical Neurosciences Division, Oregon 97207, USA
Acad Psychiatry 29:448-51. 2005..To determine if a psychiatry-primary medical care (PPMC) training track impacts comfort and behaviors related to addressing general medical issues after residency... - Health professionals' views on standards for decision-making capacity regarding refusal of medical treatment in mild Alzheimer's diseaseLadislav Volicer
Geriatric Research, Education Clinical Center, E N Rogers Memorial Hospital, Bedford, Massachusetts 01730, USA
J Am Geriatr Soc 51:1270-4. 2003..The results indicate that physicians do not use uniform standards for assessment of decision-making capacity... - Pitfalls in assessment of decision-making capacityLinda Ganzini
Department of Psychiatry, Oregan Health and Science University, Portland, OR 97207, USA
Psychosomatics 44:237-43. 2003..The results suggest that additional education is needed to improve clinicians' ability to evaluate patients' decision-making capacity... - Delirium, depression, and anxietySahana Misra
Portland VAMC, Mental Health Division (P3MHDC, 3710 SW US Veterans Hospital Road, Portland, OR 97239, USA
Crit Care Clin 19:771-87, viii. 2003.... - Artificial nutrition and hydration at the end of life: ethics and evidenceLinda Ganzini
Department of Psychiatry and Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA
Palliat Support Care 4:135-43. 2006..Although more recent studies suggest a possible palliative role for ANH in ALS and terminal cancer, feeding tubes do not appear to prolong survival or increase comfort in advanced dementia of the Alzheimer's type... - Capacity to consent to research among patients with bipolar disorderSahana Misra
Department of Psychiatry, Oregon Health and Sciences University, Portland, USA
J Affect Disord 80:115-23. 2004..Studies of the effect of mania and depression on consent capacity and voluntarism are needed in order to develop processes that increase safeguards in the informed consent process... - Validation of 2 depression screening tools in dialysis patientsSuzanne Watnick
Department of Medicine, Oregon Health and Science University, Portland, OR 97239, USA
Am J Kidney Dis 46:919-24. 2005..We sought to validate 2 depression assessment tools, the 21-question Beck Depression Inventory (BDI) and the 9-question Patient Health Questionnaire (PHQ-9), in a dialysis population... - Measuring pain as the 5th vital sign does not improve quality of pain managementRichard A Mularski
Portland Veterans Affairs Medical Center, USA
J Gen Intern Med 21:607-12. 2006..To improve pain management, the Veterans Health Administration launched the "Pain as the 5th Vital Sign" initiative in 1999, requiring a pain intensity rating (0 to 10) at all clinical encounters... - Psychological and psychiatric aspects of palliative care: an annotated bibliographyElizabeth R Goy
Department of Psychiatry, Oregon Health and Science University, Portland, Oregon, USA
Palliat Support Care 1:181-8. 2003..The areas of depression, anxiety, substance abuse, delirium, and grief are represented by seminal articles that define, explore, or thoroughly review these topics... - Brief assessment for suicidal ideation in OEF/OIF veterans with positive depression screensSteven K Dobscha
Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center, Portland, OR, USA Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA Electronic address
Gen Hosp Psychiatry 35:272-8. 2013..We describe processes, rates, and patient and system correlates of brief structured assessments (BSAs) for suicidal ideation among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans with positive depression screens... - Physician-assisted death--a last resort?Linda Ganzini
N Engl J Med 346:1663-5. 2002 - Legal physician-assisted dying in Oregon and the Netherlands: evidence concerning the impact on patients in "vulnerable" groupsMargaret P Battin
Department of Philosophy, Division of Medical Ethics and Humanities, University of Utah, Salt Lake City, UT 84112, USA
J Med Ethics 33:591-7. 2007..To assess this concern, the authors examined data from Oregon and the Netherlands, the two principal jurisdictions in which physician-assisted dying is legal and data have been collected over a substantial period... - Ten myths about decision-making capacityLinda Ganzini
Department of Psychiatry, Oregon Health and Science University and Portland Veterans Affairs Medical Center, USA
J Am Med Dir Assoc 5:263-7. 2004.... - The other side of the slippery slopeLinda Ganzini
Oregon Health and Science University, USA
Hastings Cent Rep 34:3. 2004 - Agreement among family members in their assessment of the Quality of Dying and DeathRichard Mularski
Department of Medicine, VA Greater Los Angeles Healthcare System, The University of California, 90073, USA
J Pain Symptom Manage 28:306-15. 2004.... - Attitudes and experiences of Oregon hospice nurses and social workers regarding assisted suicideLois L Miller
School of Nursing, Oregon Health and Science University, Portland 97239 2941, USA
Palliat Med 18:685-91. 2004..However, 86% of the 171 persons in Oregon who have died by lethal prescription were enrolled in hospice programmes... - Family caregivers making life-sustaining treatment decisions: factors associated with role strain and easeLissi Hansen
Oregon Health and Science University, School of Nursing, Portland 97239, USA
J Gerontol Nurs 31:28-35. 2005..Nurses' knowledge of these factors can help nurses decrease family caregiver strain and increase ease during the family caregiver LST decision-making process... - Why Oregon matters: death, assisted suicide and the principle of double effectSusan Block
Oregon Health Sciences University, USA
Med Ethics 10:4-7. 2003 - Interest in physician-assisted suicide among Oregon cancer patientsLinda Ganzini
Oregon Health and Science University (OHSU, Interprofessional Palliative Care Fellowship at the Portland VA Medical Center in Portland, Oregon, USA
J Clin Ethics 17:27-38. 2006 - Physician-assisted suicideLinda Ganzini
Am J Psychiatry 163:1109-10; author reply 1110. 2006 - Views on physician-assisted suicide among family members of Oregon cancer patientsLinda Ganzini
Department of Psychiatry, Oregon Health and Science University, Portland VA Medical Center, 97207, USA
J Pain Symptom Manage 32:230-6. 2006..Improved knowledge of patient-based barriers to discussing PAS may facilitate interventions for psychosocial distress in cancer patients... - Determinants of Oregon hospice chaplains' views on physician-assisted suicideElizabeth R Goy
Portland Veterans Affairs Medical Center and Department of Psychiatry, Oregon Health and Science University, USA
J Palliat Care 22:83-90. 2006..CONCLUSIONS: Oregon hospice chaplains' diverse views towards PAS are closely related to their views on suicide in general, and their personal and theological beliefs... - Accusations of murder and euthanasia in end-of-life careLewis Cohen
J Palliat Med 8:1096-104. 2005 - The use of drugs to hasten deathLuc Deliens
End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium
Pharmacoepidemiol Drug Saf 13:113-5. 2004 - If it isn't depressionLinda Ganzini
J Palliat Med 6:927-30. 2003