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Full NameDr Geraldine Foley

Trinity College Dublin

Webpage:people.tcd.ie

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Profile Photo
Research Fields
  • cancer/oncology
  • Other
Other Research Fields:

Palliative Medicine, Palliative and Supportive Care, Rehabilitation, Neurogenerative Disease

Postgrad Clinical Specialties
  • Medicine
  • General Practice
  • Public Health
  • Rehabilitation Medicine
  • Nursing
  • Occupational Therapy
  • Physiotherapy
Other Clinical Specialties:

Palliative rehabilitation, neuropalliative care

My Work

My research is in the field of life-limiting illness focused on stakeholder need, care preferences, and decision-making in palliative care, including but not limited to neuro-palliative care, palliative care in cancer, rehabilitative palliative care, specialist palliative care, and end-of-life care. I also have a keen interest in neurorehabilitation and in health service delivery for people with acquired neurological or neurodegenerative disease.

My research programme focuses on decision-making processes in life-limiting illness. A key component of my research centres on relational decision-making between patients, caregivers, and healthcare professionals in palliative care. My research investigates key factors that underpin and explain care preferences and decision-making in healthcare for people with life-limiting illness and palliative care needs. My research leads by building new frameworks for decision-making in palliative and supportive care which can be used by healthcare professionals, patients, and caregivers in palliative care.

To date, I have secured just under 2.2 million euros of research funding (approximately €920,000 as primary/lead investigator and the remainder as co-investigator) to support my research. I am a research leader in my field, nationally and internationally, and a leading member of a global network of researchers in palliative care.

Potential Projects

1) This project is designed to produce a framework for the provision of rehabilitative palliative care in Ireland. The project involves a mixed-methods approach with interconnected work packages - (i) a mixed-methods systematic review of rehabilitative palliative care interventions and/or services, their components, delivery, and key stakeholder experiences of these interventions and/or services, (ii) a qualitative study of patients’, caregivers’ and healthcare professionals’ expectations of rehabilitative palliative care services, (iii) a co-design workshop (comprising PPI and clinical and policy experts) pertaining to quality, continuity, and responsiveness of rehabilitative palliative care services, and (iv) a modified e-Delphi study (i.e. consensus) of optimal rehabilitative palliative care with experts in palliative care.

2) This project is designed to develop an end-of-life communication tool for healthcare professionals (HCPs) in palliative care. The project involves a mixed-methods approach with interconnected work packages - (i) a systematic review of EOL communication tools specifically for HCPs in palliative care, (ii) a qualitatively generated framework of key components of an EOL communication tool for HCPs, from the perspective of HCPs, patients, and caregivers, (iii) a consensus study (e-Delphi) on components of the EOL communication tool with experts in palliative care.

3) This project is designed to answer why patients with advanced cancer and their caregivers accept, delay, or decline patient end-of-life (EOL) care interventions. The project involves the following interconnected work packages – (i) a systematic review of similarities and differences between patients with advanced cancer and caregivers for patient EOL care interventions, (ii) a qualitative study of patient-caregiver dyads in advanced cancer to explain why they accept, delay, or decline EOL care interventions, and (iii) a focus group study with HCPs in specialist palliative care to decipher how they facilitate EOL decision-making when patients with advanced cancer and caregivers differ in their preferences for patient EOL care.

Emerging Supervisor

N/A. I am an established primary investigator.

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