Researcher

Miss Ebony Lewis

Biography

Ebony Lewis has come from a background of Emergency nursing with a passion for improving the end-of-life experience for older people with advanced chronic illness. She has extensive experience in geriatrics assessment and gerontology research. 
Ebony has been working at UNSW since 2015. She is currently working in research and teaching in the School of Public Health and Community Medicine at UNSW.  Ebony was previously working at the South...view more
Ebony Lewis has come from a background of Emergency nursing with a passion for improving the end-of-life experience for older people with advanced chronic illness. She has extensive experience in geriatrics assessment and gerontology research. 
Ebony has been working at UNSW since 2015. She is currently working in research and teaching in the School of Public Health and Community Medicine at UNSW.  Ebony was previously working at the South Western Sydney Clinical School, UNSW as a Research Nurse under the supervision of Associate Professor Magnolia Cardona on the CriSTAL Project. See CriSTAL project page at https://research.unsw.edu.au/projects/validation-cristal-criteria-screening-and-triaging-appropriate-alternative-care .
Ebony's research initiatives include:  the retrospective validation of clinical records from a major teaching hospital in Sydney post Medical Emergency Team (MET) calls; the conduct of the prospective validation of the CriSTAL checklist in Emergency Departments;  Leading a systematic review on effectiveness of Advance Care Directives on end-of-life communications;  a population survey of end-of-life care preferences by the elderly; and recently completed a large multi-centre cohort study of elderly patients in Australia using four frailty scales to predict outcomes at hospital discharge and at 3-months. Ebony is currently contributing to projects on prognostic preferences in hospitals, identification of elders at risk in in residential aged care, and optimising Advance Care Planning in general practice. 
 

 


My Awards

1. Winner, Paper of the Year Award 2016
https://eapcnet.wordpress.com/2017/08/23/palliative-medicine-paper-of-the-year-award-helping-clinicians-engage-in-end-of-life-discussions-with-older-dying-patients/ 

2. Finalist, NSW Health Statewide Awards for Innovation in Research
CriSTAL clinical prediction tool to encourage advance care planning. New South Wales Health Ministry (October 2017)

3. Winner. Quality Award for Patient Safety, September 2017
South Western Sydney Local Health District for program of work on Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL)

 


My Research Supervision


Supervision keywords


Areas of supervision

ILP, Masters

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Contact

ebony.lewis@unsw.edu.au

Research Activities

This online survey of nurses and doctors dealing with elderley people approaching the end of their lives has the following objectives:
•  To assess the level of exposure to and confidence in initiating end-of-life conversations
• To identify barriers for initiating the sensitive end-of-life conversation
• To identify factors influencing the level of confidence in facing end-of-life discussions
• To propose strategies for addressing these barriers in line with the training needs and wants of the target group

The survey  is  a unique opportunity…

Diagnosing dying is relatively straightforward when symptoms are evident within the last few days or hours of death. Diagnosing the dying several months or weeks before the final event is more complex and doctors generally feel uncertain about prognosis.  Failure to recognise chronically ill elderly  patients  who are naturally and normally dying delays appropriate decision-making on limitations of treatment,  and the planning of comfort care. This leads to intensive treatments to prolong life and even to resuscitation attempts, which can cause more harm than good.…

SURVEY OF OLDER PEOPLE ON END-OF-LIFE PERCEPTIONS AND PREFERENCES

The Public consultation with older consumers commenced in 2015 with a survey of members of the public aged 60 years and over, to understand their perceptions of end-of-life, care preferences, preferred place of death and attitides towards doctors predicting risk of death.

The goal was to identify current perceptions and potential points for interventions.

Objectives

a)      To characterise public perception of…