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Gerontology Quality of Life Changes in the Elderly Expert Witness

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Gerontology Quality of Life Changes in the Elderly Expert Witness

Provides Opinion & Testimony In:

Quality of Life changes in the ederly, Gerontology Certified Hospice Palliatrive Care Nurse, Master of Science in Gerontology, Certificate in Applied Geriatric Mental Health, Gerontology Certified Grief Recovery Counselor, Gerontologist, Aging, Age Related Issues, Quality of Life Changes of the Elderly, Pain Management, Functional Assessment, Grief Care Management, End Life Issues, Hospice, Adult Hospice Patients, Functional Integrity, Psychosocial Functioning, Gerontological Competence, Risk of Institutionalization, Human Dollar Costs, Registered Nurse,

Expert Witness No.308



Master of Science in Gerontology, University in California
Bachelor of Science in Biology, University in California
Certificate in Applied Geriatric Mental Health, County Dept. of Mental Health, California
Certified Grief Recovery Counselor
Registered Nurse


2011  Nominee,  Pierre Salmon Award of Excellence  –  CA Hospice/Palliative Care Assoc. - Sacramento, CA
2008 and 2003  Special Recognition Award - American Society on Aging - presented at Annual Conference
2007  Top Finalist - NOMA Excellence in MultiCultural Aging Award  –  AARP & American Society on Aging
2006  Healthcare and Aging Program of the Year  –  Pfizer Medical Humanities Initiative
2006  Salute to Leaders in Aging – Service to Seniors Program Award  –  National Committee to Preserve SS & Medicare
2005  Visiting Faculty Scholar - Harvard Medical School – Palliative Care Department
2005  Excellence in Cancer Pain Management - Southern California Cancer Pain Initiative
2005  First Runner-Up - Best Nurse Leader - Advance For Nurses
2004  Nurse of the Year Nursing Excellence Award - NurseWeek  – for Innovation & Creativity in End-of-Life Nursing
2004  Excellence in Service Award - California Board of Registered Nursing


6/98 - present Private Company.
Clinical Gerontologist  &  Care Manager
include assessing functional integrity & quality-of-life in older
adults, care management, pain management, palliative care, grief counseling, and consultation with & education of professionals & lay persons.

7/10 - 6/11       
Private Home Hospice
Consulting Clinical Supervisor
In this temporary consulting position, responsibilities included:
Building & training a team of inter-disciplinary professionals to ensure quality of life at life’s end.
Assessing & improving quality of life of dying patients and providing grief counseling to their families.

1/02 - 6/08
Private Hospital  –  Palliative Care & Bereavement Service
Clinical Director and Senior Grief Counselor
included full clinical oversight & practice of pain management,
palliative care & grief counseling with hospitalized
patients to maximize comfort & quality-of-life.  Also involved
following these patients upon discharge, and continuing to
assess & maximize quality-of-life, comfort, and safe &
independent living skills. Education of hospital staff, community
providers, patients and families.

9/95 - 1/02       
Coordinated, Staff Builders, Roze Room, St. Ann & TLC Home Hospices
Clinical Hospice Nurse  &  Education Director
included case mngt., pain mngt., symptom control, and emotional &
spiritual support of terminally ill older adult hospice  patients;
assessing changes in and maximizing quality-of-life & functional
integrity; grief counseling, and educating patients, families, & clinicians about quality-of-life, pain mngt., palliative care & hospice.

2/95 - 10/95       
Private Medical Center  –  Pain Management & Palliative Care Service
Clinical Register Nurse  &  Member, Skin Care Task Force
included assessment & management of chronic pain in adult
patients;  assessment of changes in quality-of-life & functional integrity;
and educating patients, families, and staff & students about pain
management, quality-of-life, and functional integrity.

1/94 - 2/95       
Private Medical Center  –  Adult Oncology Unit
Clinical Register Nurse  &  Member, Skin Care & Wound Mngt. Committee
included full assessment, care, and teaching of multicultural older
adult oncology patients, assessing functional integrity & quality-of-life, as well as grief counseling patients and their families.

7/93 - 1/94       
Private Hospital of Modesto  –  Adult Orthopedic/Neurological Unit
Clinical Registered Nurse  &  Member, Pain Management Committee
included full assessment, care and teaching of older adult trauma,
stroke, & orthopedic patients, assessment of functional integrity, grief counseling patients & families, and pain management consultation.

3/91 - 1/92       
Private Convalescent Hospital
Administrator & Respite Coordinator
included preparing facility for & serving as Administrator through
time of federal survey, creation of respite program, and assessing & improving functional integrity and quality of life of elderly patients.

2/90 - 3/91       
The Resource Center  (a division of Health Care Delivery Services)
Director  &  Senior Counselor
included administrative oversight, training counselors, and fielding
all cases involving potential suicide, grief resolution, or gerontology/geriatrics and caregiving.  Also served as liaison to government funders.

5/87 - 12/89       
Private Hospital  (Orthopedics & Post-Burn Reconstruction)
Associate Research Director  &  Director, Information Services
included design & administration of clinical protocols, patient
assessment, evaluation of functional integrity and quality of life, and creation of integrated medical/allied health/psychosocial information services.

6/86 - 5/87       
ARA Living Centers, Inc.
Clinical Gerontologist  &  Administrator-in-Training
included serving as acting administrator, program development, patient
assessment, evaluation of functional integrity &quality of life,
quality assurance, and grief counseling for residents and their

3/85 - 6/86       
ElderMed  (a division of HealthWest)
Clinical Gerontologist
included design & implementation of programs assessing physical
health, functional integrity, quality of life, & psychosocial functioning of well elderly persons living independently in the community.

6/84 - 1/85       
Private Home Health Care, Inc.
Consulting Clinical Gerontologist
this time-limited consulting position, responsibilities included field
training staff in the skills of assessing functional integrity, environmental safety & support, quality of life, & psychosocial functioning.


American Academy Hospice/Palliative Medicine
American Public Health Association
American Society of Pain Management Nurses
American Society on Aging  (Chair, End-of-Life Issues Committee)
Association for Death Education & Counseling
California Hospice Foundation
Gerontological Nursing Association
Hospice & Palliative Care Nurses Association
Miracle Kids - Professional Advisory Board
Society of Certified Senior Advisors
Southern California Cancer Pain Initiative
TLC Home Hospice - Professional Advisory Board
UCLA Extension, Dept. of the Sciences & Dept. of Humanities (Coordinator & Instructor)

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