Publications by authors named "Madison Pavao"
Article Synopsis
- The study aimed to explore how different quality of life (QoL) aspects impact the level of aggressive medical care received by advanced cancer patients in their final month.
- It involved a cohort of 59 patients and utilized the McGill Quality of Life Questionnaire to assess various QoL domains, revealing that higher interpersonal support was linked to significantly less aggressive end-of-life care.
- The findings suggest that fostering caring relationships might help reduce the intensity of medical interventions for dying patients, highlighting the importance of interpersonal support in enhancing the overall end-of-life experience.
Context: Efforts to reduce the psychological distress of surrogate decision-makers of critically ill patients have had limited success, and some have even exacerbated distress.
Objectives: The aim of this study was to determine the feasibility, acceptability, and preliminary efficacy of EMPOWER (Enhancing and Mobilizing the POtential for Wellness and Resilience), an ultra-brief (∼2-hour), 6-module manualized psychological intervention for surrogates.
Methods: Surrogates who reported significant anxiety and/or an emotionally close relationship with the patient (n=60) were randomized to receive EMPOWER or enhanced usual care (EUC) at one of three metropolitan hospitals.