Kathleen Puntillo, RN, PhD, FAAN



Honors and Awards

Fellow, Academy of Critical Care Medicine, 2012
Marguerite Rodgers Kinney Award for Distinguished Career , American Association of Critical Care Nursing, 2012
Distinguished Nursing Research Award, Hospice and Palliative Nurses Association, 2012
Jane Norbeck Distinguished Alumni Award , UCSF Nursing Alumni Association, 2009
Excellence in Teaching Award , School of Nursing, University of California, San, 2006
Distinguished Research Lectureship , American Association of Critical Care Nursing, 2003
Fellow , American Academy of Nursing, 1999
1994 Distinguished Alumni Award , Sonoma State University, 1994
Distinguished Dissertation Award , School of Nursing, University of California, San Francisco, 1991


Integrating Palliative Care Into the Care of Neurocritically Ill Patients: A Report From the Improving Palliative Care in the ICU Project Advisory Board and the Center to Advance Palliative Care. Crit Care Med. 2015 Sep; 43(9):1964-77.
Research Participation for Bereaved Family Members: Experience and Insights From a Qualitative Study. Crit Care Med. 2015 Sep; 43(9):1839-45.
Communicating with Patients' Families and Physicians About Prognosis and Goals of Care. Am J Crit Care. 2015 Jul; 24(4):e56-64.
Five patient symptoms that you should evaluate every day. Intensive Care Med. 2015 Jul; 41(7):1347-50.
Integration of palliative care in the context of rapid response: a report from the improving palliative care in the ICU advisory board. Chest. 2015 Feb 1; 147(2):560-9.
Body temperature and mortality in patients with acute respiratory distress syndrome. Am J Crit Care. 2015 Jan; 24(1):15-23.
Detecting pain in traumatic brain-injured patients with different levels of consciousness during common procedures in the ICU: typical or atypical behaviors? Clin J Pain. 2014 Nov; 30(11):960-9.
Predictors of initial levels and trajectories of anxiety in women before and for 6 months after breast cancer surgery. Cancer Nurs. 2014 Nov-Dec; 37(6):406-17.
Integrating palliative care into the PICU: a report from the Improving Palliative Care in the ICU Advisory Board. Pediatr Crit Care Med. 2014 Oct; 15(8):762-7.
Predictors of thirst in intensive care unit patients. J Pain Symptom Manage. 2015 Mar; 49(3):530-8.
A randomized clinical trial of an intervention to relieve thirst and dry mouth in intensive care unit patients. Intensive Care Med. 2014 Sep; 40(9):1295-302.
In pursuit of pain: recent advances and future directions in pain assessment in the ICU. Intensive Care Med. 2014 Jul; 40(7):1009-14.
Delivering interprofessional care in intensive care: a scoping review of ethnographic studies. Am J Crit Care. 2014 May; 23(3):230-8.
Determinants of procedural pain intensity in the intensive care unit. The Europain® study. Am J Respir Crit Care Med. 2014 Jan 1; 189(1):39-47.
Palliative care in the ICU: relief of pain, dyspnea, and thirst--a report from the IPAL-ICU Advisory Board. Intensive Care Med. 2014 Feb; 40(2):235-48.
Regret. Intensive Care Med. 2014 Mar; 40(3):436-7.
Quench the thirst: lessons from clinical thirst trials. Biol Res Nurs. 2014 Oct; 16(4):456-66.
Choosing and using screening criteria for palliative care consultation in the ICU: a report from the Improving Palliative Care in the ICU (IPAL-ICU) Advisory Board. Crit Care Med. 2013 Oct; 41(10):2318-27.
Open visitation policies and practices in US ICUs: can we ever get there? Crit Care. 2013; 17(4):171.
Thirst in critically ill patients: from physiology to sensation. Am J Crit Care. 2013 Jul; 22(4):328-35.
A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med. 2013 Apr; 34(2):153-68.
Evaluation and treatment of pain in critically ill adults. Semin Respir Crit Care Med. 2013 Apr; 34(2):189-200.
Exploring the nature of interprofessional collaboration and family member involvement in an intensive care context. J Interprof Care. 2014 Jan; 28(1):74-5.
Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the Intensive Care Unit: executive summary. Am J Health Syst Pharm. 2013 Jan 1; 70(1):53-8.
Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013 Jan; 41(1):263-306.
Psychological symptoms of family members of high-risk intensive care unit patients. Am J Crit Care. 2012 Nov; 21(6):386-93; quiz 394.
Challenge of assessing symptoms in seriously ill intensive care unit patients: can proxy reporters help? Crit Care Med. 2012 Oct; 40(10):2760-7.
The transition from acute to chronic pain: might intensive care unit patients be at risk? Ann Intensive Care. 2012; 2(1):36.
Differences in depression, anxiety, and quality of life between women with and without breast pain prior to breast cancer surgery. Eur J Oncol Nurs. 2013 Apr; 17(2):190-5.
Feasibility of a sedation wake-up trial and spontaneous breathing trial in critically ill trauma patients: a secondary analysis. Intensive Crit Care Nurs. 2013 Feb; 29(1):20-7.
Integrating palliative care in the surgical and trauma intensive care unit: a report from the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project Advisory Board and the Center to Advance Palliative Care. Crit Care Med. 2012 Apr; 40(4):1199-206.
Meeting standards of high-quality intensive care unit palliative care: clinical performance and predictors. Crit Care Med. 2012 Apr; 40(4):1105-12.
Physician reimbursement for critical care services integrating palliative care for patients who are critically ill. Chest. 2012 Mar; 141(3):787-92.
Palliative care in the ICU. J Palliat Med. 2012 Feb; 15(2):168-74.
Blunt thoracic injury in older adults: application of Haddon's phase-factor matrix model. J Gerontol Nurs. 2012 Feb; 38(2):14-27; quiz 28-9.
Training nurses for interdisciplinary communication with families in the intensive care unit: an intervention. J Palliat Med. 2011 Dec; 14(12):1325-32.
Efficacy of small doses of ketamine with morphine to decrease procedural pain responses during open wound care. Clin J Pain. 2011 Sep; 27(7):561-6.
The epidemiology of pain during the last 2 years of life. Ann Intern Med. 2010 Nov 2; 153(9):563-9.
Symptoms experienced by intensive care unit patients at high risk of dying. Crit Care Med. 2010 Nov; 38(11):2155-60.
Models for structuring a clinical initiative to enhance palliative care in the intensive care unit: a report from the IPAL-ICU Project (Improving Palliative Care in the ICU). Crit Care Med. 2010 Sep; 38(9):1765-72.
Predictors and use of nonpharmacologic interventions for procedural pain associated with turning among hospitalized adults. Pain Manag Nurs. 2013 Jun; 14(2):85-93.
Studying physician-patient communication in the acute care setting: the hospitalist rapport study. Patient Educ Couns. 2011 Feb; 82(2):275-9.
Symptom experiences of family members of intensive care unit patients at high risk for dying. Crit Care Med. 2010 Apr; 38(4):1078-85.
In their own words: patients and families define high-quality palliative care in the intensive care unit. Crit Care Med. 2010 Mar; 38(3):808-18.
Acute wound pain: gaining a better understanding. Adv Skin Wound Care. 2009 Aug; 22(8):373-80; quiz 381-2.
Structured approaches to pain management in the ICU. Chest. 2009 Jun; 135(6):1665-72.
Symptoms experienced by family members of patients in intensive care units. Am J Crit Care. 2009 May; 18(3):200-9; quiz 210.
Pain management within the palliative and end-of-life care experience in the ICU. Chest. 2009 May; 135(5):1360-9.
Pain management principles in the critically ill. Chest. 2009 Apr; 135(4):1075-86.
Evaluation of pain in ICU patients. Chest. 2009 Apr; 135(4):1069-74.
Sleep and delirium in ICU patients: a review of mechanisms and manifestations. Intensive Care Med. 2009 May; 35(5):781-95.
Evaluations of physiologic reactivity and reflexive behaviors during noxious procedures in sedated critically ill patients. J Crit Care. 2009 Sep; 24(3):472.e9-13.
Item selection and content validity of the Critical-Care Pain Observation Tool for non-verbal adults. J Adv Nurs. 2009 Jan; 65(1):203-16.
Ensuring cross-cultural equivalence in translation of research consents and clinical documents: a systematic process for translating English to Chinese. J Transcult Nurs. 2009 Jan; 20(1):77-82.
Critical care nurses provide their perspectives of patients' symptoms in intensive care units. Heart Lung. 2008 Nov-Dec; 37(6):466-75.
Sensitivity and specificity of the critical-care pain observation tool for the detection of pain in intubated adults after cardiac surgery. J Pain Symptom Manage. 2009 Jan; 37(1):58-67.
Unrecognized contributions of families in the intensive care unit. Intensive Care Med. 2008 Jun; 34(6):1097-101.
A review of objective pain measures for use with critical care adult patients unable to self-report. J Pain. 2008 Jan; 9(1):2-10.
Pain related to tracheal suctioning in awake acutely and critically ill adults: a descriptive study. Intensive Crit Care Nurs. 2008 Feb; 24(1):20-7.
Burn injury pain: the continuing challenge. J Pain. 2007 Jul; 8(7):533-48.
Is there an epidemic of burnout and post-traumatic stress in critical care clinicians? Am J Respir Crit Care Med. 2007 Apr 1; 175(7):634-6.
TrkA and PKC-epsilon in thermal burn-induced mechanical hyperalgesia in the rat. J Pain. 2006 Dec; 7(12):884-91.
Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forward. Crit Care Med. 2006 Nov; 34(11 Suppl):S332-40.
A pilot study on coexisting symptoms in intensive care patients. Appl Nurs Res. 2006 Nov; 19(4):216-9.
End-of-life care for the critically ill: A national intensive care unit survey. Crit Care Med. 2006 Oct; 34(10):2547-53.
What patients with abdominal pain expect about pain relief in the emergency department. J Emerg Nurs. 2006 Aug; 32(4):281-7.
Pain after discharge: A pilot study of factors associated with pain management and functional status. J Emerg Nurs. 2006 Aug; 32(4):288-93.
The influence of chief complaint on opioid use in the emergency department. J Opioid Manag. 2006 Jul-Aug; 2(4):228-35.
Validation of the critical-care pain observation tool in adult patients. Am J Crit Care. 2006 Jul; 15(4):420-7.
Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary team. Crit Care Med. 2006 Jan; 34(1):211-8.
Gender differences in symptom experiences of patients with acute coronary syndromes. J Pain Symptom Manage. 2005 Dec; 30(6):553-62.
Gender differences in symptoms associated with acute myocardial infarction: a review of the research. Heart Lung. 2005 Jul-Aug; 34(4):240-7.
Acute musculoskeletal pain in the emergency department: a review of the literature and implications for the advanced practice nurse. AACN Clin Issues. 2005 Jul-Sep; 16(3):310-9.
Nutritional adequacy in patients receiving mechanical ventilation who are fed enterally. Am J Crit Care. 2005 May; 14(3):222-31.
Attitudes of critically ill Filipino patients and their families toward advance directives. Am J Crit Care. 2005 Jan; 14(1):17-25.
What is the current evidence on pain and sedation assessment in nonresponsive patients in the intensive care unit? Crit Care Nurse. 2004 Oct; 24(5):68, 70, 72-3.
Wound care pain in hospitalized adult patients. Heart Lung. 2004 Sep-Oct; 33(5):321-32.
Appropriately timed analgesics control pain due to chest tube removal. Am J Crit Care. 2004 Jul; 13(4):292-301; discussion 302; quiz 303-4.
Pain assessment and management in critically ill intubated patients: a retrospective study. Am J Crit Care. 2004 Mar; 13(2):126-35.
Pain behaviors observed during six common procedures: results from Thunder Project II. Crit Care Med. 2004 Feb; 32(2):421-7.
Accuracy of emergency nurses in assessment of patients' pain. Pain Manag Nurs. 2003 Dec; 4(4):171-5.
Pain in the older adult in the intensive care unit. Crit Care Clin. 2003 Oct; 19(4):749-70.
Pain assessment and management in the critically ill: wizardry or science? Am J Crit Care. 2003 Jul; 12(4):310-6.
Withdrawal of life support: intensive caring at the end of life. JAMA. 2002 Dec 4; 288(21):2732-40.
Practices and predictors of analgesic interventions for adults undergoing painful procedures. Am J Crit Care. 2002 Sep; 11(5):415-29; quiz 430-1.
Use of a pain assessment and intervention notation (P.A.I.N.) tool in critical care nursing practice: nurses' evaluations. Heart Lung. 2002 Jul-Aug; 31(4):303-14.
Translating research into practice. Implications of the Thunder Project II. Crit Care Nurs Clin North Am. 2001 Dec; 13(4):541-6.
Patients' perceptions and responses to procedural pain: results from Thunder Project II. Am J Crit Care. 2001 Jul; 10(4):238-51.
End-of-life issues in intensive care units: a national random survey of nurses' knowledge and beliefs. Am J Crit Care. 2001 Jul; 10(4):216-29.
Predictors of cardiac patients' psychophysiological responses to caregiving. Int J Nurs Pract. 2001 Jun; 7(3):177-87.
Management of surgical and procedural pain in a critical care setting. Crit Care Nurs Clin North Am. 2001 Jun; 13(2):233-42.
Advancing the science of symptom management. J Adv Nurs. 2001 Mar; 33(5):668-76.
Variability of analgesic practices for hospitalized children on different pediatric specialty units. J Pain Symptom Manage. 2000 Jul; 20(1):59-67.
Pain in hospitalized children: pediatric nurses' beliefs and practices. J Pediatr Nurs. 1999 Dec; 14(6):379-91.
A survey of nursing practice in the assessment and management of pain in children. Pediatr Nurs. 1999 May-Jun; 25(3):278-86.
Intramuscular ketorolac vs oral ibuprofen in emergency department patients with acute pain. Acad Emerg Med. 1998 Feb; 5(2):118-22.
Dimensions of pain and analgesic administration associated with coronary artery bypass grafting in an Australian intensive care unit. J Adv Nurs. 1997 Dec; 26(6):1065-72.
Two methods of assessing pain intensity in English-speaking and Spanish-speaking emergency department patients. J Emerg Nurs. 1997 Dec; 23(6):597-601.
Opioid and benzodiazepine tolerance and dependence: application of theory to critical care practice. Heart Lung. 1997 Jul-Aug; 26(4):317-24.
Relationship between behavioral and physiological indicators of pain, critical care patients' self-reports of pain, and opioid administration. Crit Care Med. 1997 Jul; 25(7):1159-66.
Stitch, stitch ... creating an effective pain management program for critically ill patients. Am J Crit Care. 1997 Jul; 6(4):259-60.
Clinical judgment and management of postoperative pain in critical care patients. Am J Crit Care. 1996 Nov; 5(6):433-41.
Effects of interpleural bupivacaine on pleural chest tube removal pain: a randomized controlled trial. Am J Crit Care. 1996 Mar; 5(2):102-8.
Analgesics prescribed and administered to intensive care cardiac surgery patients: does patient age make a difference? Prog Cardiovasc Nurs. 1996; 11(4):17-24.
Pain: assessment, treatment, and the coming thunder. Interview by Michael Villaire. Crit Care Nurse. 1995 Dec; 15(6):74-81.
Chest tube removal practices in critical care units in the United States. Am J Crit Care. 1995 Nov; 4(6):419-24.
Pain, pain relief and accuracy of their recall after cardiac surgery. Prog Cardiovasc Nurs. 1995; 10(3):3-11.
Dimensions of procedural pain and its analgesic management in critically ill surgical patients. Am J Crit Care. 1994 Mar; 3(2):116-22.
Pain: its mediators and associated morbidity in critically ill cardiovascular surgical patients. Nurs Res. 1994 Jan-Feb; 43(1):31-6.
Acute pain management: operative or medical procedures and trauma. Nurs Dyn. 1993 Dec; 2(3):14.
Point: registered nurses should administer and monitor spinal analgesia within the state-defined scope of practice--the California perspective. Nurse Anesth. 1991 Mar; 2(1):6-9; discussion 10-2.
Pain experiences of intensive care unit patients. Heart Lung. 1990 Sep; 19(5 Pt 1):526-33.
The phenomenon of pain and critical care nursing. Heart Lung. 1988 May; 17(3):262-73.
A framework for assessing baccalaureate programs in nursing. Focus Crit Care. 1983 Apr; 10(2):41-4.
The second step. Imprint. 1982 Oct-Nov; 29(4):28.
An alternative learning experience for intensive care unit nurses. J Contin Educ Nurs. 1980 May-Jun; 11(3):44-50.
Kathleen Puntillo
+1 415 476-1844
2 Koret Way, Nursing, Rm 605K
UCSF Box 0610
San Francisco, CA 94143
United States
United States