Keela A Herr

Summary

Affiliation: University of Iowa
Country: USA

Publications

  1. pmc The effect of a translating research into practice (TRIP)--cancer intervention on cancer pain management in older adults in hospice
    Keela Herr
    University of Iowa, College of Nursing, Iowa City, IA 52242, USA
    Pain Med 13:1004-17. 2012
  2. pmc Assessing and treating pain in hospices: current state of evidence-based practices
    Keela Herr
    College of Nursing, University of Iowa, Iowa City, Iowa 52242, USA
    J Pain Symptom Manage 39:803-19. 2010
  3. ncbi request reprint Tools for assessment of pain in nonverbal older adults with dementia: a state-of-the-science review
    Keela Herr
    Adult and Gerontological Nursing, College of Nursing, The University of Iowa, 52242, USA
    J Pain Symptom Manage 31:170-92. 2006
  4. ncbi request reprint Pain assessment in the nonverbal patient: position statement with clinical practice recommendations
    Keela Herr
    Adult and Gerontological Nursing, The University of Iowa College of Nursing, Iowa City, IA 52242, USA
    Pain Manag Nurs 7:44-52. 2006
  5. doi request reprint Pain assessment strategies in older patients
    Keela Herr
    College of Nursing, John A Hartford Foundation Center for Geriatric Nursing Excellence, University of Iowa, Iowa City, Iowa 52242, USA
    J Pain 12:S3-S13. 2011
  6. pmc Evaluation of the Iowa pain thermometer and other selected pain intensity scales in younger and older adult cohorts using controlled clinical pain: a preliminary study
    Keela Herr
    College of Nursing, The University of Iowa, Iowa City, Iowa 52242, USA
    Pain Med 8:585-600. 2007
  7. doi request reprint Pain in the older adult: an imperative across all health care settings
    Keela Herr
    John A Hartford Foundation Center for Geriatric Nursing Excellence, College of Nursing, University of Iowa, Iowa City, Iowa 52242, USA
    Pain Manag Nurs 11:S1-10. 2010
  8. doi request reprint Acute pain assessment and pharmacological management practices for the older adult with a hip fracture: review of ED trends
    Keela Herr
    College of Nursing, The University of Iowa, Iowa City, IA 52242, USA
    J Emerg Nurs 35:312-20. 2009
  9. doi request reprint Use of pain-behavioral assessment tools in the nursing home: expert consensus recommendations for practice
    Keela Herr
    The University of Iowa College of Nursing, Iowa City, Iowa, USA
    J Gerontol Nurs 36:18-29; quiz 30-1. 2010
  10. ncbi request reprint Neuropathic pain: a guide to comprehensive assessment
    Keela Herr
    Adult and Gerontological Nursing Area, College of Nursing, University of Iowa, Iowa City, IA 52242, USA
    Pain Manag Nurs 5:9-18. 2004

Research Grants

Collaborators

Detail Information

Publications30

  1. pmc The effect of a translating research into practice (TRIP)--cancer intervention on cancer pain management in older adults in hospice
    Keela Herr
    University of Iowa, College of Nursing, Iowa City, IA 52242, USA
    Pain Med 13:1004-17. 2012
    ..One of the priorities of hospice is to provide a pain-free death, and while outcomes are better in hospice, patients still die with poorly controlled pain...
  2. pmc Assessing and treating pain in hospices: current state of evidence-based practices
    Keela Herr
    College of Nursing, University of Iowa, Iowa City, Iowa 52242, USA
    J Pain Symptom Manage 39:803-19. 2010
    ..Data suggest that cancer pain is not being documented as consistently assessed, reassessed, or treated in a manner consistent with current EBP recommendations for older adults with cancer in community-based hospices...
  3. ncbi request reprint Tools for assessment of pain in nonverbal older adults with dementia: a state-of-the-science review
    Keela Herr
    Adult and Gerontological Nursing, College of Nursing, The University of Iowa, 52242, USA
    J Pain Symptom Manage 31:170-92. 2006
    ..Currently, there is no standardized tool based on nonverbal behavioral pain indicators in English that may be recommended for broad adoption in clinical practice...
  4. ncbi request reprint Pain assessment in the nonverbal patient: position statement with clinical practice recommendations
    Keela Herr
    Adult and Gerontological Nursing, The University of Iowa College of Nursing, Iowa City, IA 52242, USA
    Pain Manag Nurs 7:44-52. 2006
    ..The article presents the position statement and clinical practice recommendations for pain assessment in the nonverbal patient developed by an appointed Task Force and approved by the ASPMN Board of Directors...
  5. doi request reprint Pain assessment strategies in older patients
    Keela Herr
    College of Nursing, John A Hartford Foundation Center for Geriatric Nursing Excellence, University of Iowa, Iowa City, Iowa 52242, USA
    J Pain 12:S3-S13. 2011
    ..Direct observation can then be used to identify behaviors suggestive of pain, and the patient's response to an analgesic trial can be observed. A pain behavior tool can also provide useful information suggesting the presence of pain...
  6. pmc Evaluation of the Iowa pain thermometer and other selected pain intensity scales in younger and older adult cohorts using controlled clinical pain: a preliminary study
    Keela Herr
    College of Nursing, The University of Iowa, Iowa City, Iowa 52242, USA
    Pain Med 8:585-600. 2007
    ..To evaluate the sensitivity and utility of the Iowa Pain Thermometer (IPT) and other selected pain intensity scales in younger and older adults using a controlled clinical pain condition...
  7. doi request reprint Pain in the older adult: an imperative across all health care settings
    Keela Herr
    John A Hartford Foundation Center for Geriatric Nursing Excellence, College of Nursing, University of Iowa, Iowa City, Iowa 52242, USA
    Pain Manag Nurs 11:S1-10. 2010
    ..The goal of this paper was to provide current evidence-based strategies and tools for pain assessment in older adults, including those with cognitive impairment...
  8. doi request reprint Acute pain assessment and pharmacological management practices for the older adult with a hip fracture: review of ED trends
    Keela Herr
    College of Nursing, The University of Iowa, Iowa City, IA 52242, USA
    J Emerg Nurs 35:312-20. 2009
    ..Data were available from that collected for a large-scale study testing a Translating Research into Practice intervention to promote use of evidence-based practices for acute pain management in older adults...
  9. doi request reprint Use of pain-behavioral assessment tools in the nursing home: expert consensus recommendations for practice
    Keela Herr
    The University of Iowa College of Nursing, Iowa City, Iowa, USA
    J Gerontol Nurs 36:18-29; quiz 30-1. 2010
    ..Such recommendations for selection of best-available pain assessment tools are a cornerstone for clinicians in regard to managing pain of nursing home residents who, due to dementia, are unable to self-report pain...
  10. ncbi request reprint Neuropathic pain: a guide to comprehensive assessment
    Keela Herr
    Adult and Gerontological Nursing Area, College of Nursing, University of Iowa, Iowa City, IA 52242, USA
    Pain Manag Nurs 5:9-18. 2004
    ..With improved skills in patient assessment and through enhanced communication with patients, nurses can make an important contribution to treatment outcomes in patients with neuropathic pain...
  11. ncbi request reprint Evidence-based assessment of acute pain in older adults: current nursing practices and perceived barriers
    Keela Herr
    University of Iowa College of Nursing, Iowa City 52242, USA
    Clin J Pain 20:331-40. 2004
    ....
  12. ncbi request reprint Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults
    Keela A Herr
    College of Nursing, University of Iowa, Iowa City, IA 52242, USA
    Clin J Pain 20:207-19. 2004
    ....
  13. doi request reprint Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations
    Keela Herr
    John A Hartford Center of Geriatric Nursing Excellence, University of Iowa College of Nursing, Iowa City, Iowa 52242, USA
    Pain Manag Nurs 12:230-50. 2011
    ..Because of continued advances and new developments in strategies and tools for assessing pain in these populations, clinicians are encouraged to stay current through regular review of new research and practice recommendations...
  14. ncbi request reprint Assessing and managing acute pain in older adults: a research base to guide practice
    Gail Ardery
    University of Iowa College of Nursing, Iowa City, IA, USA
    Medsurg Nurs 12:7-18; quiz 19. 2003
    ..Key areas highlighted are pain assessment and monitoring, patient education, pharmacologic management, and nonpharmacologic management...
  15. ncbi request reprint Challenges of Web-based education in educating nurses about evidence-based acute pain management practices for older adults
    Mary Belding Schmitt
    University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
    J Contin Educ Nurs 35:121-7. 2004
    ..The authors' experiences provide knowledge to assist other healthcare professionals on the use of a web-based course to educate staff nurses...
  16. pmc An examination of adherence to pain medication plans in older cancer patients in hospice care
    Sara Sanders
    School of Social Work, University of Iowa, Iowa City, Iowa, USA
    J Pain Symptom Manage 45:43-55. 2013
    ..Timely and appropriate management of pain is essential to promote comfort at the end of life...
  17. pmc Effect of evidence-based acute pain management practices on inpatient costs
    John M Brooks
    Program in Pharmaceutical Socioeconomics, College of Pharmacy, University of Iowa, S 515 PB, 115 S Grand Avenue, Iowa City, IA 52242, USA
    Health Serv Res 44:245-63. 2009
    ....
  18. ncbi request reprint Acute pain treatment for older adults hospitalized with hip fracture: current nursing practices and perceived barriers
    Marita G Titler
    Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 1009, USA
    Appl Nurs Res 16:211-27. 2003
    ..Findings from this multi-site study show that active and focused "translation" interventions are needed to promote adoption of evidence-based acute pain management practices by health care providers...
  19. ncbi request reprint Lack of opioid administration in older hip fracture patients (CE)
    Gail Ardery
    University of Iowa, Iowa City, Iowa, USA
    Geriatr Nurs 24:353-60. 2003
    ....
  20. doi request reprint Summative index: Acute pain management in older adults
    Marita G Titler
    Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 1009, USA
    Appl Nurs Res 22:264-73. 2009
    ..Techniques used included factor analysis, discriminate validity, and split-half reliability. The resulting SI is composed of 18 indicators each scored as 0 (not present) or 1 (present), with a total SI score of 0 to 18...
  21. pmc Increasing nursing faculty research: the Iowa gerontological nursing research and regional research consortium strategies
    Meridean L Maas
    The University of Iowa College of Nursing, Iowa City, IA 52242, USA
    J Nurs Scholarsh 41:411-9. 2009
    ..The strategies, collaboration and mentoring experiences, and outcomes are also shared to illustrate a highly successful approach in increasing faculty programs of nursing research in a focused area of inquiry...
  22. pmc Research participation by older adults at end of life: barriers and solutions
    Melissa Lehan Mackin
    John A Hartford Center of Geriatric Nursing Excellence, The University of Iowa College of Nursing, Iowa City, IA 52242, USA
    Res Gerontol Nurs 2:162-71. 2009
    ..We conclude that, along with the responsibility to expand the research base addressing the needs of dying individuals, there is also a need to understand the challenges of implementing research projects with older adults at end of life...
  23. ncbi request reprint Assessment and treatment of postoperative pain in older adults
    Barbara Rakel
    University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
    J Perianesth Nurs 19:194-208. 2004
    ..Attention is given to the challenges associated with mental and physical impairments experienced by elders and a review of assessment and pharmacologic and nonpharmacologic strategies are included...
  24. doi request reprint Implementing evidence-based practices: considerations for the hospice setting
    Sara Sanders
    University of Iowa, School of Social Work, Iowa City, IA 52242, USA
    Am J Hosp Palliat Care 27:369-76. 2010
    ..Three areas for evaluation prior to implementing an EBP initiative in hospices were identified: community, agency, and staff cultures. Recommendations for implementation of EBPs in hospices are provided...
  25. pmc Translating research into practice intervention improves management of acute pain in older hip fracture patients
    Marita G Titler
    Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Room C529 GH, Iowa City, IA 52242, USA
    Health Serv Res 44:264-87. 2009
    ....
  26. ncbi request reprint Chronic pain: challenges and assessment strategies
    Keela Herr
    University of Iowa College of Nursing, Iowa City 52242, USA
    J Gerontol Nurs 28:20-7; quiz 54-5. 2002
    ..This is the first of a two-part series highlighting issues and strategies related to pain assessment in older adults...
  27. ncbi request reprint Chronic pain in the older patient: management strategies. 2
    Keela Herr
    University of Iowa College of Nursing, Iowa City 52242, USA
    J Gerontol Nurs 28:28-34; quiz 54-5. 2002
    ..28, No. 1). This article addresses issues and strategies related to management of pain, particularly analgesic use, in this challenging population...
  28. ncbi request reprint Pain assessment in cognitively impaired older adults
    Keela Herr
    Adult and Gerontological Nursing, University of Iowa College of Nursing, Iowa City, IA, USA
    Am J Nurs 102:65-7. 2002
  29. doi request reprint Assessment of pain in the nonverbal or cognitively impaired older adult
    Karen Bjoro
    College of Nursing, The University of Iowa, 101 Nursing Building, Iowa City, IA 52242, USA
    Clin Geriatr Med 24:237-62, vi. 2008
    ..Although there are tools with promise, there is currently no standardized behavioral tool that may be recommended for broad adoption in clinical practice and continued concerted effort to this end is needed...
  30. ncbi request reprint Prediction of pain outcomes in Korean older adults: use of a structural equation model
    Hae Kyung Chang
    Department of Nursing, University of HanSeo, Seoul, South Korea
    Pain Med 8:75-83. 2007
    ..To construct a structural equation model of pain adjustment outcomes (e.g., depression and fatigue) in Korean older adults based on the cognitive-behavioral model of chronic pain...

Research Grants7

  1. Cancer Pain in Elders: Promoting EBPs in Hospices
    Keela Herr; Fiscal Year: 2009
    ..abstract_text> ..
  2. Pain and Associated Symptoms: Nurse Research Training
    Keela A Herr; Fiscal Year: 2010
    ....
  3. Cancer Pain in Elders: Promoting EBPs in Hospices
    Keela A Herr; Fiscal Year: 2010
    ..abstract_text> ..