Research Topics
| Kathleen A PuntilloSummaryAffiliation: University of California Country: USA Publications
Research Grants
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Detail Information
Publications
Acute musculoskeletal pain in the emergency department: a review of the literature and implications for the advanced practice nurseRoxanne Garbez
Department of Physiological Nursing, University of California, San Francisco, San Francisco, California 94143 0610, USA
AACN Clin Issues 16:310-9. 2005..Promising areas for future research include targeting mechanisms of pain with specific medications, identifying vulnerable populations at risk for inadequate pain management, and universal use of a standardized pain rating scale...- A pilot study on coexisting symptoms in intensive care patientsDenise T Li
Department of Physiological Nursing, University of California San Francisco, San Francisco, CA 94118, USA
Appl Nurs Res 19:216-9. 2006..Further research is needed to evaluate and validate the relationships among these symptoms and their impact on the health outcomes of ICU patients... - Challenge of assessing symptoms in seriously ill intensive care unit patients: can proxy reporters help?Kathleen A Puntillo
Department of Physiological Nursing, University of California, San Francisco, CA, USA
Crit Care Med 40:2760-7. 2012..e., the magnitude of a symptom sensation) and distress (i.e., the degree of emotionality that a symptom engenders) of symptoms among patients and proxy reporters... 
Symptoms experienced by intensive care unit patients at high risk of dyingKathleen A Puntillo
University of California, San Francisco, CA, USA
Crit Care Med 38:2155-60. 2010..To provide a focused, detailed assessment of the symptom experiences of intensive care unit patients at high risk of dying and to evaluate the relationship between delirium and patients' symptom reports...
Evaluation of pain in ICU patientsKathleen Puntillo
Critical Care Trauma Program, Department of Physiological Nursing, 2 Koret Way, University of California San Francisco, CA 94143 0610, USA
Chest 135:1069-74. 2009..Meticulous attention to the evaluation of a critically ill patient's pain provides the basis for selection of pain interventions and the subsequent assessment of the intervention's effectiveness...- Accuracy of emergency nurses in assessment of patients' painKathleen Puntillo
Department of Physiological Nursing, University of California, San Francisco, CA 94143 0610, USA
Pain Manag Nurs 4:171-5. 2003..Minimizing patient-nurse discrepancies in pain intensity ratings through careful evaluations and acceptance of the patient's self report of pain are important first steps in improving pain management in the Emergency Department... - Critical care nurses provide their perspectives of patients' symptoms in intensive care unitsKathleen A Puntillo
University of California San Francisco, Department of Physiological Nursing, San Francisco, California CA 94143 0610, USA
Heart Lung 37:466-75. 2008..Patients in intensive care units (ICUs) can be adversely affected by distressing symptoms. When critically ill patients are unable to self-report symptoms, ICU nurses become proxy reporters... - Symptom experiences of family members of intensive care unit patients at high risk for dyingJennifer L McAdam
Nursing Department, Dominican University of California, San Rafael, CA, USA
Crit Care Med 38:1078-85. 2010..To describe the symptom experiences of family members of patients at high risk for dying in the intensive care unit and to assess risk factors associated with higher symptom burden... - Burn injury pain: the continuing challengeGretchen J Summer
Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, California 94143, USA
J Pain 8:533-48. 2007..It provides insights and suggestions for future research directions to address this significant clinical problem... - Pain related to tracheal suctioning in awake acutely and critically ill adults: a descriptive studyCarmen Mabel Arroyo-Novoa
School of Nursing, University of California San Francisco, San Francisco, CA 94143, USA
Intensive Crit Care Nurs 24:20-7. 2008..Individualized pain management must be performed by healthcare providers in order to respond to patients' needs as they undergo painful procedures such as tracheal suctioning... - Acute wound pain: gaining a better understandingCarmen Mabel Arroyo-Novoa
University of California, San Francisco, CA, USA
Adv Skin Wound Care 22:373-80; quiz 381-2. 2009..Describe the causes of acute wound pain. 2. Discuss research findings related to the physiology of wound pain. 3. Identify current concepts in the management of acute wound pain... - The epidemiology of pain during the last 2 years of lifeAlexander K Smith
University of California, San Francisco, Veterans Affairs Medical Center, 94121, USA
Ann Intern Med 153:563-9. 2010..The epidemiology of pain during the last years of life has not been well described... - Unrecognized contributions of families in the intensive care unitJennifer L McAdam
Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, CA 94143 0610, USA
Intensive Care Med 34:1097-101. 2008..To describe the contributions to care that family members perform while their loved one is at high risk of dying in the intensive care unit... - Pain in the older adult in the intensive care unitCarla Graf
Department of Nursing, University of California, San Francisco, 505 Parnassus L171, Box 0210, San Francisco, CA 94143, USA
Crit Care Clin 19:749-70. 2003..quot; Only then can we anticipate the impacts of chronic and critical illnesses and realize reliable and superior comfort for the elderly... - Gender differences in symptom experiences of patients with acute coronary syndromesWan Chen
School of Nursing, University of California at San Francisco, San Francisco, California 94143, USA
J Pain Symptom Manage 30:553-62. 2005..Significant gender differences were observed in the reports of several symptoms associated with ACS. This study is the first to identify different pain/discomfort referral patterns between men and women that require further validation... - What patients with abdominal pain expect about pain relief in the emergency departmentAlisa M Yee
Department of Surgery, University of California, San Francisco Medical Center at Mt Zion, San Francisco, CA, USA
J Emerg Nurs 32:281-7. 2006..The purpose of this study was to describe patients' expectations for pain relief and how communication of their pain to nurses and physicians affected their overall pain relief... - Pain after discharge: A pilot study of factors associated with pain management and functional statusRoxanne O Garbez
Department of Physiological Nursing, University of California, San Francisco School of Nursing, San Francisco, CA 94143 0610, USA
J Emerg Nurs 32:288-93. 2006.... - Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forwardKathleen A Puntillo
Department of Physiological Nursing, University of California, San Francisco, California, USA
Crit Care Med 34:S332-40. 2006..When communication is clear and constructive and practice is truly collaborative, the end-of-life care provided to intensive care unit patients and families by satisfied and engaged professionals will improve markedly... - Pain behaviors observed during six common procedures: results from Thunder Project IIKathleen A Puntillo
Critical Care/Trauma Graduate Nursing Program, University of California, San Francisco, CA, USA
Crit Care Med 32:421-7. 2004..CONCLUSIONS: Because of the strong relationship between procedural pain and behavioral responses, clinicians can use behavioral responses of verbal and nonverbal patients to plan for, implement, and evaluate analgesic interventions... - Appropriately timed analgesics control pain due to chest tube removalKathleen Puntillo
School of Nursing, University of California, San Francisco, San Francisco, Calif, USA
Am J Crit Care 13:292-301; discussion 302; quiz 303-4. 2004..Thus, clinicians may choose among several safe and effective analgesic interventions during chest tube removal... - What is the current evidence on pain and sedation assessment in nonresponsive patients in the intensive care unit?Denise Li
Department of Physiological Nursing, University of California, San Francisco, San Francisco, Calif, USA
Crit Care Nurse 24:68, 70, 72-3. 2004.... - A review of objective pain measures for use with critical care adult patients unable to self-reportDenise Li
Department of Physiological Nursing, University of California, San Francisco, California, USA ucsf edu
J Pain 9:2-10. 2008..PERSPECTIVE: This review provides clinicians with a summary of the psychometric properties of 6 objective pain measures and discusses their applicability for use to assess pain in critically ill adult patients unable to self-report... - The influence of chief complaint on opioid use in the emergency departmentKathleen Puntillo
University of California, San Francisco School of Nursing, USA
J Opioid Manag 2:228-35. 2006..Our findings lead us to conclude that clinicians inaccurately infer severity of patient pain. This in turn can influence the prescription of opioids and the patient's decrease in pain... - Practices and predictors of analgesic interventions for adults undergoing painful proceduresKathleen A Puntillo
Department of Physiological Nursing, University of California, San Francisco, USA
Am J Crit Care 11:415-29; quiz 430-1. 2002..When used, analgesic amounts were low, and combination therapy was infrequent. Clinical trials are needed to evaluate optimal pain management for patients undergoing procedures... - Studying physician-patient communication in the acute care setting: the hospitalist rapport studyWendy G Anderson
Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, CA 94143 0903, USA
Patient Educ Couns 82:275-9. 2011..To assess the feasibility of studying physician-patient communication in the acute care setting... - TrkA and PKC-epsilon in thermal burn-induced mechanical hyperalgesia in the ratGretchen J Summer
Department of Physiological Nursing, School of Nursing, University of California, San Francisco, USA
J Pain 7:884-91. 2006..We also perform proof of concept experiments demonstrating that our model provides a method to elucidate the mechanism of this important clinical condition... - Use of a pain assessment and intervention notation (P.A.I.N.) tool in critical care nursing practice: nurses' evaluationsKathleen A Puntillo
Department of Physiological Nursing, University of California, San Francisco, 94143-0610, USA
Heart Lung 31:303-14. 2002..This study identified many advantages of the use of a standardized, systematic approach to pain assessment and treatment by health professionals... - Attitudes of critically ill Filipino patients and their families toward advance directivesJennifer L McAdam
School of Nursing, The University of California-San Francisco, San Francisco, CA, USA
Am J Crit Care 14:17-25. 2005..Such behavior could partly explain the positive attitudes of the Filipino Americans toward advance directives. Further research is warranted to understand how to increase completion rates for advance directives among Filipino Americans... - Gender differences in symptoms associated with acute myocardial infarction: a review of the researchWan Chen
School of Nursing, University of California at San Francisco, Box 0606, San Francisco, CA 94143, USA
Heart Lung 34:240-7. 2005..More studies are needed to confirm gender differences in symptom experiences of AMI... - Pain assessment and management in the critically ill: wizardry or science?Kathleen Puntillo
University of California, San Francisco, USA
Am J Crit Care 12:310-6. 2003..Special emphasis is placed on results from the Thunder Project II, a major multisite investigation of procedural pain... - Evaluations of physiologic reactivity and reflexive behaviors during noxious procedures in sedated critically ill patientsDenise Li
Department of Physiological Nursing, University of California, San Francisco, CA, USA
J Crit Care 24:472.e9-13. 2009..The study aimed to describe cardiovascular and pupil reactivity and behavioral responses between noxious and nonnoxious procedures in sedated ICU patients... - Wound care pain in hospitalized adult patientsNancy A Stotts
University of California San Francisco, School of Nursing, San Francisco, CA 94143, USA
Heart Lung 33:321-32. 2004..CONCLUSION: Patients experience pain and distress with WC. Some behaviors and words consistently describe WC pain. Further work is warranted to refine pain assessment and management in patients undergoing WC procedures... - Ensuring cross-cultural equivalence in translation of research consents and clinical documents: a systematic process for translating English to ChineseCheng Chih Lee
University of California, San Francisco
J Transcult Nurs 20:77-82. 2009..The linguistic discrepancies that arise in the process of ensuring cross-cultural congruency or equivalency between the two languages are presented to promote the development of patient-accessible cross-cultural documents... - Pain assessment and management in critically ill intubated patients: a retrospective studyCeline Gelinas
Faculty of Nursing, University Laval, Quebec City, Quebec
Am J Crit Care 13:126-35. 2004..Little research has been done on pain assessment in critical care, especially in patients who cannot communicate verbally... - Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary teamJ Randall Curtis
University of Washington, Seattle, Washington, USA
Crit Care Med 34:211-8. 2006..Further research is needed to refine the methods and identify the most cost-effective means of improving the quality of health care received by critically ill patients and their families...
Research Grants
- Assessing and Treating Symptoms of Dying ICU PatientsKathleen Puntillo; Fiscal Year: 2006..Results will also contribute empirical data needed to generate and test hypotheses concerning appropriate symptom assessment and management interventions. ..
- Palliation of Thirst in Intensive Care Unit PatientsKathleen Puntillo; Fiscal Year: 2009..The study will also identify the most important factors that make ICU patients thirsty so that future research studies can test how to relieve those factors and/or make interventions for thirst more readily available. ..
- Palliation of Thirst in Intensive Care Unit PatientsKathleen A Puntillo; Fiscal Year: 2010..The study will also identify the most important factors that make ICU patients thirsty so that future research studies can test how to relieve those factors and/or make interventions for thirst more readily available. ..