Innovations in End-of-Life Care
an international journal of leaders in end-of-life care
Pamela Parrish, RN, BA, CHPN
Ms. Parrish is a regional clinical educator for Genesis ElderCare. A former hospice nurse with years of clinical experience in providing palliative care, Ms. Parrish serves as an expert consultant to local nursing home staff as they seek to implement the principles of palliative care and to establish palliative care teams at their centers. Ms. Parrish was part of the University of Pennsylvania research staff and filled the key nurse palliative care consultant role at all four intervention sites during the three-year study conducted by the University of Pennsylvania School of Nursing and Genesis ElderCare, featured in this issue.
Ms. Parrish has presented her work at several conferences, most recently in a presentation entitled "Developing a Model of Palliative Care for Nursing Homes" at the Second Joint Clinical Conference & Exposition on Hospice and Palliative Care in Orlando, Florida. Ms. Parrish is working toward earning a Master of Science degree in Management from the University of Maryland.
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Dr. Howard Tuch MD, CMD
Dr. Howard Tuch MD, CMD is the former director of Pain Management and Palliative Care services for Genesis ElderCare, a large geriatric health care company operating more than 300 nursing homes throughout the United States. Dr. Tuch is an internist trained at the University of North Carolina and has completed a fellowship in Geriatric Medicine at the Johns Hopkins School of Medicine. He is a certified medical director in long-term care. He is also certified in hospice and palliative medicine and has worked as a hospice medical director for the last ten years.
Over the past five years, Dr. Tuch has worked to introduce pain management and palliative care programs into community nursing homes. He has served on the National Hospice and Palliative Care Organization's Task Force on Hospice Care in the Nursing Home and on numerous state commissions to improve end-of-life care in Florida. Together with Dr. Neville Strumpf from the University of Pennsylvania School of Nursing he has been supported by a grant from The Robert Wood Johnson Foundation Program "Promoting Excellence in End of Life Care" to implement and evaluate palliative care programs in nursing homes.
Dr. Tuch is currently serving as the medical director of Palliative Care Resources, an independent consulting firm concentrating on clinical and policy concerns in hospice, palliative care, and long-term care settings.
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