Dr Josephine Clayton

Faculty: Medicine

Qualifications: MBBS (Hons) PhD FRACP FAChPM

Positions:

Senior Member of CeMPED

Senior Lecturer, Faculty of Medicine

Cancer Institute NSW Clinical Research Fellow

Palliative Care Specialist Physician and Head of Department of Palliative Care,

Royal North Shore Hospital

Contact information

Centre for Medical Psychology & Evidence-based Decision-making

Blackburn Building D06

University of Sydney NSW 2006

Phone: + 61 2 9036 5375

Fax: + 61 2 9036 5420

Email: jclayton@med.usyd.edu.au

Hours: Full-time (50% clinical, 50% research)

Background:

I am Senior Lecturer and Cancer Institute NSW Clinical Research Fellow in the

Faculty of Medicine, University of Sydney. I am also a Staff Specialist in Palliative

Medicine and Head of Department of Palliative Care at Royal North Shore

Hospital. I spend 50% of my time in clinical palliative medicine practice and 50%

in research. I have worked in collaboration with CeMPED (previously MPRU) since

2000, including completion of a PhD entitled "Enhancing Doctor Patient

Communication in Palliative Medicine".

Currently I am undertaking further research, funded by the NMHRC and the

Cancer Institute NSW, on issues relating to discussion of prognosis and end-of-life

issues with palliative care patients and their families. I am passionate about

research that may enhance the palliative care of patients and their families facing

an advanced progressive life limiting illness.

Research Interests:

Communication regarding prognosis and end-of-life issues

Enhancing psychological care of patients and families facing a life limiting illness,

including bereavement support for families

Enhancing systematic issues to optimise care for patients in their final weeks to

months of life

Physical symptom management

Publications:

2007

Clayton, J., Hancock, K., Parker, S., Butow, P., Walder, S., Carrick, S., Currow,

D., Ghersi, D., Glare, P., Hagerty, R., Olver, I., Tattersall, M. Sustaining hope

when communicating with terminally ill patients and their families: a systematic

review. Psycho-oncology. 2007; 0:1-19.

Hancock, K., Clayton, J., Parker, S., Wal der, S., Butow, P., Carrick, S., Currow,

D., Ghersi, D., Glare, P., Hagerty, R., Tattersall, M. Truth-telling in discussing

prognosis in advanced life-limiting illnesses: a systematic review. Palliative

medicine. 2007; 21:507-517.

Hancock, K., Clayton, J., Parker, S., Walder, S., Butow, P., Carrick, S., Currow,

D., Ghersi, D., Glare, P., Hagerty, R., Tattersall, M. Discrepant Perceptions About

End-of-Life Communication: A Systematic Review. Journal of pain and symptom

management. 2007; 34:190-200.

Parker, S., Clayton, J., Hancock, K., Walder, S., Butow, P., Carrick, S., Currow,

D., Ghersi, D., Glare, P., Hagerty, R., Tattersall, M. A Systematic Review of

Prognostic/End-of-Life Communication with Adults in the Advanced Stages of a

Life-Limiting Illness: Patient/Caregiver Preferences for the Content, Style, and

Timing of Information. Journal of pain and symptom management. 2007; 34:81-

93.

Clayton, J., Hancock, K., Butow, P., Tattersall, M., Currow, D. Clinical practice

guidelines for communicating prognosis and end-of-life issues with adults in the

advanced stages of a life-limiting illness, and their caregivers. The Medical journal

of Australia. 2007; 186:S77-S108.

Clayton, J., Butow, P., Tattersall, M., Devine, R., Simpson, J., Aggarwal, G.,

Clark, K., Currow, D., Elliott, L., Lacey, J., Lee, P., Noel, M. Randomized

controlled trial of a prompt list to help advanced cancer patients and their

caregivers to ask questions about prognosis and end-of-life care. Journal of

clinical oncology : official journal of the American Society of Clinical Oncology.

2007; 25:715-723.

2006

Clayton, J., Tattersall, M. Communication in palliative care. In: Textbook of

Palliative Medicine. London: Hodder Arnold 2006. p. 1011-1018.

2005

Clayton, J., Butow, P., Arnold, R., Tattersall, M. Discussing life expectancy with

terminally ill cancer patients and their carers: a qualitative study. Supportive care

in cancer : official journal of the Multinational Association of Supportive Care in

Cancer. 2005; 13:733-42.

Clayton, J., Butow, P., Arnold, R., Tattersall, M. Discussing end-of-life issues with

terminally ill cancer patients and their carers: a qualitative study. Supportive care

in cancer : official journal of the Multinational Association of Supportive Care in

Cancer. 2005; 13:589-99.

Clayton, J., Butow, P., Tattersall, M. When and how to initiate discussion about

prognosis and end-of-life issues with terminally ill patients. Journal of pain and

symptom management. 2005; 30:132-44.

Clayton, J., Butow, P., Arnold, R., Tattersall, M. Fostering coping and nurturing

hope when discussing the future with terminally ill cancer patients and their

caregivers. Cancer. 2005; 103:1965-75.

Clayton, J., Butow, P., Tattersall, M. The needs of terminally ill cancer patients

versus those of caregivers for information regarding prognosis and end-of-life

issues. Cancer. 2005; 103:1957-64.

2003

Clayton, J., Fardell, B., Hutton-Potts, J., Webb, D., Chye, R. Parenteral antibiotics

in a palliative care unit: prospective analysis of current practice. Palliative

Medicine. 2003; 17:44-48.

Clayton, J., Butow, P., Tattersall, M., Chye, R., Noel, M., Davis, J., Glare, P.

Asking questions can help: development and preliminary evaluation of a question

prompt list for palliative care patients. British Journal Of Cancer. 2003; 89:2069-

2077.

2002

Tattersall, M., Butow, P., Clayton, J. Insights from cancer patient communication

research. Hematology-Oncology Clinics Of North America. 2002; 16:731-743.