Monica E. Lemmon
Duke University
Magnetic resonance imagingPsychologyContent analysisNeurologyIntensive care medicinePediatricsProspective cohort studyPsychological interventionNeonatal intensive care unitNeonatal encephalopathyEpilepsyMEDLINENeonatal seizureHypoxic Ischemic EncephalopathySymptomatic seizuresAnesthesiaMedical educationFamily medicineMedical emergencyMedicine
60Publications
14H-index
451Citations
Publications 65
Newest
Abstract null null Neonates and families face challenges in hypothermic therapy, including trauma to parents, extreme emotions, and unfamiliarity with the medical system. Communication is an essential element to supporting parents while their children are in the NICU, and beyond, building the foundation for the ongoing relationship the family has with the medical system. Significant consideration needs to be given to the critical element of integrating the family into the care of a baby being tr...
1 CitationsSource
#1Sarah Mongiello Bernstein (Duke University)
#2Madison Canfora (Duke University)
Last. Monica E. Lemmon (Duke University)H-Index: 14
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Abstract null null While medical advancements have led to improved survival of extremely premature infants, children remain at risk for brain injury and neurodevelopmental impairment. Brain imaging can offer insight into an infant's acute and long-term outcome; however, counseling parents about the results and implications of brain imaging remains challenging. The purpose of this article is to review the current literature and describe the challenges associated with counseling families of premat...
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#1Erica C. Kaye (St. Jude Children's Research Hospital)H-Index: 13
#2Cameka Woods (St. Jude Children's Research Hospital)H-Index: 1
Last. Jennifer W. Mack (Boston Children's Hospital)H-Index: 38
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Broaching conversations about goals of care can be difficult for clinicians. Presently, the communication strategies used by pediatric oncologists to approach goals of care conversations are not well understood. We recorded disease re-evaluation conversations between pediatric oncologists, patients, and parents, capturing 141 conversations (∼2400 minutes) for 17 patients with advancing illness across the study period. We conducted content analysis to identify strategies for broaching goals-of-ca...
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#1Erica C. Kaye (St. Jude Children's Research Hospital)H-Index: 13
#2Cameka Woods (St. Jude Children's Research Hospital)H-Index: 1
Last. Jennifer W. Mack (Harvard University)H-Index: 38
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Background null In medical oncology, palliative care principles and advance care planning are often discussed later in illness, limiting time for conversations to guide goal-concordant care. In pediatric oncology, the frequency, timing and content of communication about palliative care principles and advance care planning remains understudied. null Methods null We audio-recorded serial disease re-evaluation conversations between oncologists, children with advancing cancer and their families acro...
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#1Erica C. Kaye (St. Jude Children's Research Hospital)H-Index: 13
#2Sarah Rockwell (Emory University)H-Index: 1
Last. Jennifer W. Mack (Boston Children's Hospital)H-Index: 38
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Importance null Therapeutic alliance is a core component of patient- and family-centered care, particularly in the setting of advancing cancer. Communication approaches used by pediatric oncologists to foster therapeutic alliance with children with cancer and their families are not well understood. null Objectives null To identify key oncologist-driven facilitators associated with building and sustaining therapeutic alliance in the setting of advancing pediatric cancer and to develop a framework...
1 CitationsSource
#1Monica E. Lemmon (Duke University)H-Index: 14
#2Hannah C. Glass (UCSF: University of California, San Francisco)H-Index: 37
Last. Taeun Chang (GW: George Washington University)H-Index: 30
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Abstract null null Purpose null Parents of neonates with seizures are at risk of mental health symptoms due to the impact of illness on family life, prognostic uncertainty, and the emotional toll of hospitalization. A family-centered approach is the preferred model to mitigate these challenges. We aimed to identify strategies to promote family-centered care through an analysis of parent-offered advice to clinicians caring for neonates with seizures. null null null Basic procedures null This pros...
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#1Renée A. Shellhaas (UM: University of Michigan)H-Index: 32
#2Courtney J. Wusthoff (Stanford University)H-Index: 28
Last. Cameron Thomas (UC: University of Cincinnati)H-Index: 8
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OBJECTIVE We aimed to evaluate early-life epilepsy incidence, seizure types, severity, risk factors, and treatments among survivors of acute neonatal seizures. METHODS Neonates with acute symptomatic seizures born 7/2015-3/2018 were prospectively enrolled at nine Neonatal Seizure Registry sites. One-hour EEG was recorded at age three months. Post-neonatal epilepsy and functional development (Warner Initial Developmental Evaluation of Adaptive and Functional Skills - WIDEA-FS) were assessed. Cox ...
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#1Hannah C. Glass (UCSF: University of California, San Francisco)H-Index: 37
#2Janet S. Soul (Boston Children's Hospital)H-Index: 37
Last. Renée A. Shellhaas (UM: University of Michigan)H-Index: 32
view all 17 authors...
Importance Antiseizure medication (ASM) treatment duration for acute symptomatic neonatal seizures is variable. A randomized clinical trial of phenobarbital compared with placebo after resolution of acute symptomatic seizures closed early owing to low enrollment. Objective To assess whether ASM discontinuation after resolution of acute symptomatic neonatal seizures and before hospital discharge is associated with functional neurodevelopment or risk of epilepsy at age 24 months. Design, Setting, ...
4 CitationsSource
#1Monica E. Lemmon (Duke University)H-Index: 14
#2Courtney J. Wusthoff (Stanford University)H-Index: 28
Last. Lisa Anne Rasmussen (UVM: University of Vermont)
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Engaging with ethical issues is central to the management of neonatal encephalopathy (NE). As treatment for these neonates evolves, new ethical issues will arise and many existing challenges will remain. We highlight three key ethical issues that arise in the care of neonates with NE treated with therapeutic hypothermia: facilitating shared decision making, understanding futility, and defining the boundaries between standard of care and research. Awareness of these issues will help clinicians co...
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#1Mary C. Barks (Duke University)H-Index: 3
#2Emma A. Schindler (Duke University)H-Index: 1
Last. Monica E. Lemmon (Duke University)H-Index: 14
view all 7 authors...
Abstract null null Objectives null This study aimed to characterize the use and impact of assessments of understanding in parent-clinician communication for critically ill infants. null null null Methods null We enrolled parents and clinicians participating in family conferences for infants with neurologic conditions. Family conferences were audio recorded as they occurred. We used a directed content analysis approach to identify clinician assessments of understanding and parent responses to tho...
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