Disturbances in body-perception, sleep and elevated kinesiophobia were found in pregnancy-related lumbopelvic pain subjects with moderate disability, factors previously linked to persistent low back pain. The cross-sectional nature of this study does not allow for identification of directional pathways between factors. The results support the consideration of these factors in the assessment and management of pregnancy-related lumbopelvic pain.

61 Background: To determine differences in palliative care (PC) needs in newly diagnosed cancer patients from an inner-city academic facility compared to a suburban, community facility. Also, to identify ways to improve PC for cancer patients in these locations. Methods: 270 subjects with cancer were prospectively identified, 85 from an inner city academic facility (Site A), and 185 from a suburban community facility in the same metropolitan area. (Site B) All patients received treatment from board-certified oncologists. Master’s level Social Workers asked all subjects to complete a standardized, validated questionnaire to determine their palliative care needs prior to treatment. Completed questionnaires were collected and data was depersonalized and analyzed by the authors. Statistical differences were assessed using standard methods. Results: Site A patients were younger (56.3 vs 61.5years) less likely to be caucasian (35/85, 41.2% vs 114/185, 61.6%) and less likely to have private insurance (28/85, 32.9% vs 187/185, 47%). Site B patients were more likely to express a fear of pain, (112/185, 60.5% vs 28/85,32.9%) dying, (112/185, 60.5% vs 18/85, 21.2%) being alone, (112/185(60.5% vs 15/85, 17.7%) or nausea (117/185, 63.2% vs 10/85, 11.8%). Site A patients were more likely to express fear of not having transportation, (35/85, 41.2% vs 42/185, 22.1%) inability to pay for prescriptions, (28/85, 32.9% vs 40/185, 21.6%) or child care (13/85, 15.3% vs 9/185, 4.9%). All differences were significant at a p < 0.05. Conclusions: There are major differences in the PC needs of patients presenting to an inner-city academic vs suburban community facility. To be most effective, PC programs must be tailored to the community. Interventions proposed for the suburban community facility include early access to: 1) grief counseling, 2) support groups, 3) Nurse-Navigators. Interventions proposed for the inner city academic facility include early access to: 1) Medication cost assistance programs (local philanthropies, facility-based pharmacy discounts) 2) travel services (cab vouchers, coordination with public transportation schedules) 3) on-site child care facilities.

This chapter focuses on how the life and work of anthropologist, physician, and global health equity activist Paul Farmer provides a model for theologically-informed moral agency that transgresses the roles established by current hierarchies of being, knowledge, and power in order to relieve suffering without reproducing the iniquitous circulation of power and resources. Latin American liberation theology’s “preferential option for the poor” is Farmer’s primary moral lens. The chapter examines how Farmer lives out this commitment in his work as a health care provider alongside communities around the world fighting to survive in the face of grievously iniquitous social and economic conditions; and also as a university professor at one of the world’s wealthiest and most elite institutions of higher education. The analysis engages womanist ethicist Marcia Riggs’ conception of a mediating ethic to characterize Farmer’s moral praxis: it is a move toward justice that generates momentum in the face of a complex moral dilemma. The chapter contends that Farmer’s moral praxis contributes to the field of theological ethics by critically engaging the fraught intersection of positionality and agency, and by framing moral responses to the extremely challenging current social, economic, and political conditions in Haiti, where Farmer’s work began in the 1980s.