Research Topics
| Joseph W ShegaSummaryAffiliation: University of Chicago Country: USA Publications
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Detail Information
Publications
Palliative Excellence in Alzheimer Care Efforts (PEACE): a program descriptionJoseph W Shega
University of Chicago, Section of Geriatrics, School of Medicine, Chicago, Illinois 60637, USA
J Palliat Med 6:315-20. 2003..Families voiced similar high marks regarding quality of care. This program demonstrates an innovative model of providing quality palliative care for dementia patients and their caregivers...
Factors associated with self- and caregiver report of pain among community-dwelling persons with dementiaJoseph W Shega
The University of Chicago, Department of Medicine, Section of Geriatrics, Chicago, Illinois 60637, USA
J Palliat Med 8:567-75. 2005..Little existing research examines factors associated with patient self-report of pain and caregiver report of patient pain among community-dwelling persons with dementia...
The association between noncancer pain, cognitive impairment, and functional disability: an analysis of the Canadian study of health and agingJoseph W Shega
Section of Geriatrics and Palliative Medicine MC 6098, Department of Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA
J Gerontol A Biol Sci Med Sci 65:880-6. 2010..Noncancer pain and cognitive impairment affect many older adults and each is associated with functional disability, but their combined impact has yet to be rigorously studied...
Barriers to limiting the practice of feeding tube placement in advanced dementiaJoseph W Shega
Department of Medicine, Section of Geriatrics, The University of Chicago, Chicago, Illinois 60637, USA
J Palliat Med 6:885-93. 2003..However, patients with advanced dementia are still referred for PEG tubes. This study attempts to understand more about physician decisions to recommend PEG tube placement in patients with advanced dementia...
Management of noncancer pain in community-dwelling persons with dementiaJoseph W Shega
Division of Hematology and Oncology, Department of Medicine, Northwestern University, Chicago, Illinois 60611, USA
J Am Geriatr Soc 54:1892-7. 2006..To explore the pharmacological treatment of noncancer pain in persons with dementia and identify predictors associated with insufficient analgesia...
The multidimensional experience of noncancer pain: does cognitive status matter?Joseph W Shega
University of Chicago, Section of Geriatrics and Palliative Medicine, Chicago, IL 60637, USA
Pain Med 11:1680-7. 2010..Determine if the multidimensional pain-related experience differs between cognitively intact and impaired older adults...
Persistent pain and frailty: a case for homeostenosisJoseph W Shega
Section of Geriatrics and Palliative Medicine MC 6098, 5841 S Maryland Ave, Chicago, IL 60637, USA
J Am Geriatr Soc 60:113-7. 2012..To compare the association between self-reported moderate to severe pain and frailty...
Pain in community-dwelling persons with dementia: frequency, intensity, and congruence between patient and caregiver reportJoseph W Shega
Section of Geriatrics, Department of Medicine, The University of Chicago, Chicago, Illinois 60637, USA
J Pain Symptom Manage 28:585-92. 2004..938 (0.93-0.99) as the patient becomes more agitated. These findings suggest that community-dwelling persons with dementia report less pain than those in the nursing home and caregivers do a fair job of predicting patient pain...
The relationship of pain and cognitive impairment with social vulnerability--an analysis of the Canadian Study of Health and AgingJoseph W Shega
Sections of Geriatrics and Palliative Medicine Hematology Oncology Department of Health Studies and Sociology, University of Chicago, Chicago, IL, USA
Pain Med 13:190-7. 2012..The objective of this study was to delineate the relationship between noncancer pain and cognitive impairment with social vulnerability...
Integrating palliative medicine into the care of persons with advanced dementia: identifying appropriate medication useHolly M Holmes
Department of Medicine, Section of Geriatrics, University of Chicago, Chicago, Illinois 77030, USA
J Am Geriatr Soc 56:1306-11. 2008....
The symptom experience of community-dwelling persons with dementia: self and caregiver report and comparison with standardized symptom assessment measuresTeresa M Murray
Pritzker School of Medicine TMM, The University of Chicago, Chicago, IL 60637, USA
Am J Geriatr Psychiatry 20:298-305. 2012....
Is the presence of mild to moderate cognitive impairment associated with self-report of non-cancer pain? A cross-sectional analysis of a large population-based studyJoseph W Shega
Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, Illinois, USA
J Pain Symptom Manage 39:734-42. 2010..However, this presupposition is derived from research with important limitations, namely, inadequate power and lack of multivariate adjustment...
Hospice providers' key approaches to support informal caregivers in managing medications for patients in private residencesDenys T Lau
Department of Pharmacy Administration, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois 60612, USA
J Pain Symptom Manage 43:1060-71. 2012..However, little is known about how hospice providers prepare and support caregivers with medication-related tasks...
Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementiaDenys T Lau
Department of Pharmacy Administration, University of Illinois at Chicago, College of Pharmacy, 60612, USA
Am J Alzheimers Dis Other Demen 26:606-15. 2011..More research is needed to understand which classes of medications have the most deleterious effect on this population...
Validity of pain behaviors in persons with mild to moderate cognitive impairmentJoseph W Shega
Department of Medicine, Division of Hematology and Oncology, Northwestern University, Chicago, Illinois 60611, USA
J Am Geriatr Soc 56:1631-7. 2008..To evaluate the validity of traditional pain behaviors (guarding, bracing, rubbing, grimacing, and sighing) in persons with and without cognitive impairment and chronic low back pain (CLBP)...
Barriers to excellent end-of-life care for patients with dementiaGreg A Sachs
Department of Medicine, Section of Geriatrics, The University of Chicago, Chicago, IL, USA
J Gen Intern Med 19:1057-63. 2004..There are great opportunities to improve end-of-life care for this vulnerable and underserved population...
Psychotropic medication burden and factors associated with antipsychotic use: an analysis of a population-based sample of community-dwelling older persons with dementiaYongjoo Rhee
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA
J Am Geriatr Soc 59:2100-7. 2011..To estimate the proportion of community-dwelling older adults with dementia being prescribed a psychotropic and to identify patient and caregiver factors associated with antipsychotic use...
Nurses' attitudes and experiences surrounding palliative sedation: components for developing policy for nursing professionalsBansari Patel
Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, IL 60637, USA
J Palliat Med 15:432-7. 2012..A paucity of research on nurses' attitudes, knowledge, and experience with PS exists, despite nurses being instrumental in evaluating its appropriateness and carrying out the care plan...
Cholinesterase inhibitor and N-methyl-D-aspartic acid receptor antagonist use in older adults with end-stage dementia: a survey of hospice medical directorsJoseph W Shega
Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, Illinois 60637, USA
J Palliat Med 12:779-83. 2009....
Management of intractable nausea and vomiting in patients at the end of life: "I was feeling nauseous all of the time . . . nothing was working"Gordon J Wood
Department of Medicine, Division of Hematology Oncology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
JAMA 298:1196-207. 2007..Using this step-wise approach, nausea and vomiting can be successfully managed in most patients at the end of life...
Advanced dementia and feeding tubes: do physician factors contribute to state variation?Joseph W Shega
J Am Geriatr Soc 52:1217-8. 2004
Rivastigmine for dementia associated with Parkinson's diseaseCaroline N Harada
N Engl J Med 352:1387; author reply 1387. 2005
Patients dying with dementia: experience at the end of life and impact of hospice careJoseph W Shega
Division of Hematology and Oncology, Northwestern University, Chicago 60611, USA
J Pain Symptom Manage 35:499-507. 2008..No effect on pain or other symptoms could be demonstrated in this analysis...
Acetylcholinesterase inhibitor and N-methyl-D-aspartic acid receptor antagonist use among hospice enrollees with a primary diagnosis of dementiaDouglas J Weschules
GlaxoSmithKline, Philadelphia, Pennsylvania 19101, USA
J Palliat Med 11:738-45. 2008....
