A5020023320- Pain Management and Opioid Use
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
- Pediatric Pain Management Techniques
- Social and Demographic Issues in Germany
- Musculoskeletal pain and rehabilitation
- Anesthesia and Pain Management
- Health and Medical Studies
- Geriatric Care and Nursing Homes
- Pharmaceutical Practices and Patient Outcomes
- Sociology and Education Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Dementia and Cognitive Impairment Research
- Biomedical and Chemical Research
- Clinical practice guidelines implementation
- Nutrition and Health in Aging
- Anesthesia and Sedative Agents
- Physical Activity and Health
- Medical Practices and Rehabilitation
- Diabetic Foot Ulcer Assessment and Management
- Social Policies and Healthcare Reform
- COVID-19 Clinical Research Studies
- Diet and metabolism studies
- Pain Management and Placebo Effect
Paracelsus Medical University
2016-2025
Paracelsus Medizinische Privatuniversität
2012-2024
University of North Florida
2005-2023
Christian Doppler Klinik
2016
Praxis
2013
University of Salzburg
2010
Nuremberg Hospital
2002-2008
Witten/Herdecke University
2000-2005
Florida International University
2004
Background: The Pain-Free Hospital Project was initiated in 2003 with the aim of improving pain management throughout Germany.We assessed current state German hospitals.Methods: From 2004 to 2006, data were obtained anonymously from 2252 patients who had undergone surgery, and 999 been treated non-surgically, a total 25 hospitals.They interviewed about intensity they experienced effectiveness its treatment.Results: No at all reported by 12.4% surgery 16.7% nonsurgically patients.Moderate...
Despite the introduction of evidence-based recommendations for postoperative pain management (POPM), consensus is that control remains suboptimal. Barriers to achieving patient-satisfactory analgesia include deficient knowledge regarding POPM among staff, lack instructions, insufficient assessments and sub-optimal treatment. Effective monitoring essential enable policy makers healthcare providers improve quality care. Quality indicators (QIs) are quantitative measures clinical practice can...
Abstract Background Persons with dementia (PwD) need support to remain in their own homes as long possible. Family caregivers, homecare nurses and general practitioners (GPs) play an important role providing this support, particularly rural settings. Assessing caregiver burden is prevent adverse health effects among population. This study analysed perceived needs of family caregivers PwD areas from the perspectives healthcare professionals caregivers. Methods was a sequential explanatory...
Communication skills are known to decrease with advancing cognitive impairment. Analgesic treatment in long-term care may be deficient due the residents' impaired ability communicate their pain and needs. Undertreated frequently leads rising BPSD residents impairment, resulting a antipsychotics. Aim of this study was analysis differences assessment pharmacological nursing home relative state articulate pain.Data stems from baseline non-experimental pre-post-study 12 Austrian homes....
Post-stroke delirium (POD) in patients on stroke units (SU) is associated with an increased risk for complications and poorer clinical outcome. The objective was to reduce the severity of POD by implementing interprofessional delirium-management.Multicentric quality-improvement project five SU a delirium-management pre/post-comparison. Primary outcome POD, assessed Nursing Delirium Screening Scale (Nu-DESC). Secondary parameters were incidence, duration, modified Rankin (mRS), length stay...
Data quality is of special concern when it comes to survey research in nursing homes. Very little known about specifics cognitively impaired elderly responding questions. This study examines effects cognitive impairment, age, gender, and interview duration on the data a sample 659 home residents (NHR). Within cross-sectional design, methodology was used evaluate pain situation 13 Residents were stratified into NHR with no/mild (Mini-Mental State Examination MMSE: 18–30) moderate (MMSE:...
Abstract Background Uncoordinated interprofessional communication in nursing homes increases the risk of polypharmacy and inappropriate medication use. This may lead to augmented frequency adverse drug events, hospitalizations mortality. The aims this study were (1) improve safety using a combined intervention thus, (2) appropriateness health-related outcomes included residents. Methods single-arm interventional (2014–2017) was conducted Muenster, Germany involved healthcare professionals...
Abstract Purpose Post-COVID-19-Syndrome (PCS) frequently occurs after an infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, the understanding of causative mechanisms is still limited. Aim this study was to determine PCS rate among SARS-CoV-2 seropositive blood donors as representatives supposedly healthy adults, who had experienced asymptomatic or mild COVID-19 disease course, and examine whether Epstein-Barr virus (EBV) reactivated in individuals reporting...
Many studies still indicate insufficient pain management after surgery, e.g., in patients small- or medium-size operations. Yet it is uncertain if postoperative based on patient-related outcomes can be improved by implementing guideline-related programmes a multicentre approach. Adult six hospitals one German city were included this prospective study. Data collection took place twice each hospital, once before and implementation of concepts in-house training. Pain pain-related aspects...
Abstract Background Total knee replacement (TKR) or total hip (THR) are common and effective procedures in patients with osteoarthritis (OA) to restore physical function reduce joint related pain. Patient education plays an important role the treatment process aiming develop necessary self-management skills facilitate recovery ensure long-term success. We have developed a mobile app (RECOVER-E) for iOS Android smartphones which provides information on preoperative phase, surgery recovery....
Dementia is a progressive disease that puts substantial strain on caregivers. Many persons with dementia (PwDs) receive care from relative. Since male and female caregivers experience different issues related to stress, it important meet their needs prevent the early nursing home placement of PwDs. This study investigated multifactorial aspects caregiver burden explored gender differences in rural setting. was cross sectional administered anonymous questionnaires family Caregiver assessed...
Background Understanding the dynamics of SARS-CoV-2 reinfections is crucial for public health policy, vaccine development, and long-term disease management. However, data on in general population remains scarce.
Abstract Objectives In 2018, a study was conducted in the Eastern and South-eastern Europe Central Asia. National leaders of palliative care were asked to describe developments postgraduate education their region. They whether introduction European curriculum would be useful country. The aim explore structures at country level order define barriers opportunities. Methods This is an ethnographic based on semi-structured field interviews. A thematic analysis chosen for data extraction...
Despite many positive developments, postoperative pain and its treatment is still not always given the necessary attention. Severe after surgical procedures affects a significant proportion of patients. This very fact only detrimental to immediate recovery process, but can also form basis for development chronic conditions.An adequate effective management perioperative requires appropriate organizational structures. multidisciplinary paper which was initiated by Austrian Society...
Pain management in nursing homes is challenging and pain prevalence remains high. The objective of this study was to improve the situation home residents following a nursing-related educational intervention within cluster-randomized controlled trial (2016-2018).Clusters were from one operator Bavaria, Germany. Nursing who permanently registered facilities, at least 60 years age, themselves or their legal guardians provided informed consent included.In addition implementation nurses care...