- Pain Management and Opioid Use
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Musculoskeletal pain and rehabilitation
- Cardiac, Anesthesia and Surgical Outcomes
- Opioid Use Disorder Treatment
- Nausea and vomiting management
- Pain Mechanisms and Treatments
- Pain Management and Placebo Effect
- Pharmaceutical Practices and Patient Outcomes
- Interprofessional Education and Collaboration
- Spine and Intervertebral Disc Pathology
- Hernia repair and management
- Palliative Care and End-of-Life Issues
- Enhanced Recovery After Surgery
- Burn Injury Management and Outcomes
- Acupuncture Treatment Research Studies
- Empathy and Medical Education
- Family and Patient Care in Intensive Care Units
- Telemedicine and Telehealth Implementation
- Nursing Diagnosis and Documentation
- Clinical practice guidelines implementation
- Patient-Provider Communication in Healthcare
- Health Sciences Research and Education
- Intensive Care Unit Cognitive Disorders
University of Washington
2014-2023
Association of Black Cardiologists
2023
Harborview Medical Center
2014-2021
Gettysburg College
2021
Scripps College
2020
Neurobehavioral Systems
2013-2020
Pain and Rehabilitation Medicine
2017-2019
Seattle Children's Hospital
2019
Seattle University
2014-2019
University of Colorado Hospital
2017
Patient ratings of satisfaction with their postoperative pain treatment tend to be high even in those substantial pain. Determinants are poorly understood and have not previously been studied large-scale, international datasets. PAIN OUT, a European Union-funded acute registry research project, collects patient-reported outcome data on day 1 using the self-reported International Pain Outcome Questionnaire (IPO), patient, clinical, characteristics. We investigated correlates consistency...
Collaborative on Countering the US Opioid Epidemic [8] has been focusing comprehensive and collaborative efforts to fundamentally address opioid epidemic crisis.All of these major initiatives emphasize pain education as a key component in fight against dual crises chronic epidemic.I am honored represent AAPM HHS Pain Management Task Force NAM Action contribute important our nation your behalf.The emphasizes strategic priority its mission.In coming years, we will focus defining competencies...
Abstract Background About 240 million patients undergo surgery every year, worldwide. Roughly 50% of these report clinically significant pain. Numerous barriers impede provision adequate management. Lack evidence about appropriateness and effectiveness interventions is one. A registry can provide such information, eventually facilitating better This paper reports the development feasibility PAIN OUT , first international acute pain registry, established with funds from E uropean C ommission,...
Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and goal deliver "optimal analgesia," which we define in this paper as a technique that optimizes patient comfort facilitates functional with fewest medication side effects.With input from multi-disciplinary, international group of clinicians, through structured review literature use modified Delphi method, achieved consensus surrounding topic optimal analgesia perioperative period for colorectal...
Among the knowledge required by healthcare professionals to manage pain is an understanding of differences between opioid agents and formulations. As list new formulations continues grow, it increasingly important that clinicians understand basic pharmacology these analgesics how calculate equianalgesic doses. Administering dose increases likelihood transition another or route will be tolerated without loss control excessive side effects. Although calculation doses requires relatively simple...
Key Points A competent, collaborative, interprofessional team centered on the patient is necessary for quality pain care; however, collaborative practice not yet an integral part of all health professions education programs. Interprofessional involves 2 or more learning "with, from, and about" to enable effective improve outcomes. Core competencies curricular resources are available can be adapted use at levels education. 1. Introduction Pain a complex experience that impacts health,...
•Significant numbers of patients still suffer from significant acute pain, despite the advent modern multimodal analgesic strategies.•Mismanaged pain has a broad societal impact, as may progress to chronic pain.•An taxonomy provides much needed standardization clinical diagnostic criteria which benefits care, research, education, and public policy.•For purposes present taxonomy, is considered last up 7 days with prolongation 30 being common.•Current understanding mechanisms poorly...
PURPOSE The purpose of this study was to compare pain and anxiety in orthopaedic patients scheduled for elective total hip or knee arthroplasty who have received a kit nonpharmacologic strategies addition their regularly prescribed analgesics those receive the usual pharmacologic management alone. DESIGN Descriptive comparative correlational design using surveys chart audits. SAMPLE Sixty-five randomized care plus strategies. FINDINGS Patients used measures more often than did not kit. group...
A preintervention and postintervention design was used to examine a total of 200 patients.After successful implementation at our institution perioperative oral multimodal analgesia protocol in major joint arthroplasty, modified regimen provided patients undergoing spine procedures.A proactive, approach is currently recommended for the management acute postoperative pain. Inadequate can negatively influence surgical outcome duration rehabilitation. Routine use intravenous patient controlled...
With the increasing societal awareness of prevalence and impact acute pain, there is a need to develop an pain classification system that both reflects contemporary mechanistic insights helps guide future research treatment. Existing classifications conditions are limiting, with predominant focus on sensory experience (e.g., intensity) pharmacologic consumption. Consequently, more broadly characterize classify multidimensional pain.Consensus report following expert panel involving Analgesic,...
Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and goal deliver "optimal analgesia", which we define in this paper as a technique that optimizes patient comfort facilitates functional with fewest medication side effects.
Abstract The delivery of high‐quality pain management in the perioperative environment can be challenging and difficult to quantify. Commonly used tools delivering care, such as intensity ratings, individual experience reporting, assessments patients’ expectations, patient satisfaction scores, have limitations are not always useful when addressing quality improvement measures. Despite clinical advances management, patients continue inadequate control inconsistent practices. In this article,...
Ineffective assessment and management of pain is a significant problem. A gap in prelicensure health science program content has been identified for the improvement care United States.