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Personal History
Dr. Alexander has cared for people with HIV/AIDS since the beginning of the epidemic. She is an internationally recognized expert in the area of Palliative and End-of-Life Care. Board certified and a Fellow of the AAHPM, she has practiced hospice and palliative care since 1986 and is a founding member of the American Academy of Hospice and Palliative Medicine(AAHPM), serving as President in 2000. She has taught elements of Palliative and End-of-Life care related to HIV/AIDS throughout the United States and Caribbean, Canada, Africa, Eastern and Western Europe, Ukraine, South America and Asia.
Dr. Alexander joined the IHV in 1997 as an Assistant Professor of Medicine and Director of Palliative Care. Previously, she was Director of Clinical Affairs for Chase Brexton Health Services, Inc., a community-based facility that provided primary care for persons with HIV/AIDS. She currently serves as the International Medical Director of the National Hospice and Palliative Care Organization and participates in mentoring activities with the African Palliative Care Association (APCA). Her work in that area includes monitoring and evaluation of palliative care services in
Dr. Alexander serves as Senior Technical Advisor in
She has authored or edited many publications including chapters on palliative care in A Guide to the Clinical Care of Women with HIV, A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, A Guide to Primary Care of People with HIV/AIDS 2004 ed,and Clinical Challenges in HIV/AIDS.. She was a Primary Author Co-Chair of the working group for a Promoting Excellence in End-of-Life Care project entitled Integrating Palliative Care into the Continuum of HIV Care: an agenda for change/ Recommendations to the Field. She is the recipient of numerous honors/awards including the Lifesongs (Community Fundraiser for HIV Services) First Humanitarian Award in
Research Interests
Methods for providing support to health professionals in resource-constrained settings Importance of self-care for physicians and other members of interdisciplinary team Care and support needs of persons dually impacted by cancer and HIV.Clinical Speciality
HIV/AIDS Specialist; Hospice and Palliative MedicinePublications
I. Peer-Reviewed Journal ArticlesAlexander CS. Terminal Care: Where Does It Fit In Oncology? Md Med J-1989; 38(3):211.
Ross D, O'Mara A, Pickens N, Keay T, Timmel D, Alexander CS, Hawtin C, O'Brien III W, Schnaper D, Hospice and Palliative Care Education in Medical School: A Module on the Role of the Physician in End-of-Life Care. J Cancer Educ 1997; 12(2):152-156.
Ross D, Keay T, Timmel D, Alexander CS, Dignon C, O'Mara A, O'Brian III W., Required Training in Hospice and Palliative Care at the University of Maryland School of Medicine. J Cancer Educ 1999; 14(3).
Ross D., Alexander CS, Management of Common symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, Cachexia, Nausea and Vomiting. Amer Fam Physician 2001; 64(5): 807-814.
Ross D, Alexander CS, Management of Common Symptoms in Terminally Ill Patients: Part II. Constipation, Delirium, Dyspnea. Amer Fam Physician 2001; 64(6):1019-1026.
Keay T, Alexander CS, McNally K, Crusser E, Eger R, Hawtin C, Lowitt NR, Ross D., Adult Education Program Palliative Care for Nursing Facility Physicians: Design and Pilot Test. J of Pall Med (Winter) 2003; 3(4): 457-463.
Keay T, Alexander CS, McNally K, Crusser E, Eger R, Nursing Home Physician Educational Intervention Improves End-of-Life Outcomes. J Pall Med (Spring) 2003; 6(2): 205-213.
Karus D., Raveis V., Marconi K., Hanna B., Selwyn P., Alexander C., Perrone M., Higginson I., Service Needs of Patients with Advanced HIV Disease: A Comparison of Client and Staff Reports at Three Palliative Care Projects. AIDS Patient Care and STDs 2004; 18 (3): 145-158.
Karus D, Raveis VH, Marconi K, Selwyn P, Alexander C, Hanna B, Higginson I, Mental Health Status of Clients From Three HIV/AIDS Palliative Care Projects. Palliative and Supportive Care; (2004); 2, 125-138.
Ross DD, Shpritz D, Alexander CS, Carter K, et al. Development of Required Postgraduate Palliative Care Training for Internal Medicine Residents and Medical Oncology Fellows. J Cancer Educ 2004; 19:81-87.
Bedor M, Alexander C, Edelman Martin. Management of Common Symptoms of Advanced Lung Cancer. Current Treatment Options in Oncology 2005; 6(1): 61-68.
Emanual L, Alexander CS, Arnold R, Bernstein R, Dar R, Dellasantina R, Dykstra L, and Tulsky J. Integrating Palliative Care into Disease Management Guidelines, Palliative Care Guidelines Group Report. J Pall Med 2004;7(6):774-83.
Karus D, Raveis V, Alexander C, et al. Patient reports of symptoms and their treatment at three palliative care projects servicing individuals with HIV/AIDS. J of Pain &SxMant. 2005:30(5):408-17.
Royak-Schaler R, Gadalla SM, Lemkau, JP, Ross DD, Alexander CS, Scott D. Family Perspectives on Communication With HealthCare Providers During End-of-Life Cancer Care. ONF 2006; 33(4): 753-760.
Harding R, Powell R, Downing J, Connor S, Mwangi-Powell F, Defilippi K, Cameron S, Garanganga E, Kikule E, Alexander C. Generating an African Palliative Care Evidence Base: The Context, Need, Challenges, and Strategies. J Pain and Symptom Management. 2008; 36 (3):304-309.
Alexander CS, Memiah P, Henley YB, Kaiza-Kangalawe A, Shumbusho AJ, Obiefune M, Enejoh V, Stanis-Ezeobi W, Eze Charity, Odion E, Akpenna D, Effiong A, Miriti K, Adudda S, Oko J, Melaku GD, Baribwira C, Umutesi H, Shimabale M, Mugisa E and Amoros A. Palliative care and support for persons with HIV/AIDS in 7 African countries: implementation experience and future priorities. Am J Hospice & Pall Med, in press. (2011)
II. Book Chapters and Reviews
O’Neill J and Alexander CS. Palliative Medicine and HIV/ AIDS, Primary Care Clinics in Office Practice, Sept. 1997;24(3):607-615.
Standards and Accreditation Committee/Medical Guidelines Task Force. Medical Guidelines for Determining Prognosis in Selected Non-Cancer Diagnoses, Second Ed. National Hospice Organization, Washington, DC, 1996 (Sections on Renal and HIV Diseases).
Alexander CS. Pain Management in HIV Disease. (Guest Editor) Academy Update, Vol. 6:1 (Spring), 1996.
Kosko DA, Alexander CS, Benker K., Hughes V. "HIV/AIDS",Primary Care, ed. Singleton JK, et al. Lippincott, Philadelphia, 1999;(41):453-479.
Carducci MA, Blacker SE, Perrone ME, Alexander CS. Update:Palliative Care in Oncology Practice Clinical Oncology, ed. Abeloff, Armitage, Lichter, and Niederhuber. Harcourt Brace & Company, Philadelphia, PA, 1999;2(1):1-12.
Alexander CS, Hoy, AM. "Palliative Care in the Age of HIV/AIDS Recommendations for Action Workgroup 3: Education" J R Soc Med 2001;94:477-478.
Alexander CS, “Palliative and End-of-Life Care” in A Guide to the Clinical Care of Women with HIV, ed. Anderson J. Health Resources and Services Administration, HIV/AIDS Bureau, Rockville, MD, 2000 Preliminary Edition;(XII);2001 Edition(XII).
Alexander CS, Back A, Perrone M. “Medical Care at the End of LIfe“ in A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, O’Neill JR, Selwyn P, Schietinger, eds. HRSA, Rockville, MD. 2003.
Alexander CS, Schietinger, H. “Special Populations” in A Clinical Guide to Supportive and Palliative Care in HIV/AIDS, O’Neill JR, Selwyn P, Schietinger, eds. HRSA, Rockville, MD. 2003.
Reiter G., Alexander, CS, Unipac 7:The Hospice/Palliative Medicine Approach to Caring for Patients with HIV/AIDS, ed. P. Storey P, Knight C., AAHPM, 2003.
Alexander CS, Back A, Anderson J, Breener P, Burack J, Byock I, Curtis JR, Feinberg J, Forstein M, Gibbons P, Hutton N, Kutzen H, Meyers F, Miller G, Perrone M, Powell T, Reiter G, Selwyn P, Sunderland Rev. E, Integrating Palliative Care into the Continuum of HIV Care: An Agenda for Change, Promoting Excellence in End-of-Life Care, a national program of the Robert Wood Johnson Foundation, April 2004.
Alexander, CS and Carter, KR, “Palliative and End-of-Life Care” in A Guide to Primary Care for People with HIV/AIDS, Cheever LW and Schietinger H. eds. HRSA, Rockville, MD. 2004.
Shetty SM, Vanston VJ, Alexander C.,Unipac 7:The Hospice/Palliative Medicine Approach to Caring for Patients with HIV/AIDS, ed. P. Storey P, Knight C., AAHPM, 2007.
Alexander, CS and Henley, YB. Palliative Care in Resource-Poor Settings in Global Management of HIV/AIDS Temesgen, Z. ed. 2009.
Alexander, CS. HIV/AIDS in Palliative Care: Core Skills and Clinical Competencies, 2nd edition. Emanuel LL and Librach SL eds., ElsevierSaunders, St. Louis, 2011, pp372-390.