Heather L. Carlisle

Interests

Teaching

Palliative care, end-of-life care, gerontology, acute and sub-acute care, pathophysiology, doctor of nursing practice curriculum

Research

Clinical scholarship in palliative care, end-of life care, opioid safety, difficult conversations, nurse practitioner education. More info here: https://www.craft.do/s/8LP8lQdmIgtA3p

Courses

Scholarly Contributions

Chapters

• Carlisle, H. L. (2018). Palliative Care. In Wagner, K. D., Hardin-Pearce, M. G., Brenner, Z. R., & Krenzer, M. High-acuity Nursing. 7th edition(pp 3-45). Upper Saddle River, New Jersey: Pearson.

Journals/Publications

• Jungquist, C., Quinlan-Colwell, A., Vallerand, A., Carlisle, H. L., Dempsey, S., Dunwoody, D., Cooney, M., & Palomano, R. (2020). American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions. Pain Management Nursing, 21(1), 7-25. doi:https://doi.org/10.1016/j.pmn.2019.06.007
  More info

  AbstractObjectivesThis report presents up-to-date evidence and expert consensus-based revisions to the ASPMN 2011 guidelines that inform interprofessional clinical decision-making for hospitalized adults receiving opioid analgesics.DesignSystematic review of the literature.MethodsA 14-member expert panel was charged with reviewing and grading the strength of scientific evidence published in peer reviewed journals and revising the ASPMN 2011 existing guidelines. Panel members formulated recommendations based on the strength of evidence and reached consensus through discussion, reappraisal of evidence, and voting by majority when necessary. The American Society of Anesthesiologists evidence categories for grading and classifying the strength of the evidence were used. Recommendations were subjected to a critical review by ASPMN members as well as external reviews.ResultsThe 2011 guidelines were found to still be relevant to clinical practice, but new evidence substantiated refinement and more specific recommendations for electronic monitoring. The revised guidelines present risk factors divided into three categories: patient-specific, treatment-related, and environment of care. Specific recommendations for the use of electronic monitoring are delineated.ConclusionsAll hospitalized patients that are administered opioids for acute pain are at risk of opioid induced advancing sedation and respiratory depression, but some patients are at high risk and require extra vigilance to prevent adverse events. All patients must be assessed for level of risk. Adaptations to the plan of care and monitoring strategies should be driven by iterative re-assessments according to level of risk.Nursing Practice ImplicationsOpioid medications continue to be a major component in the management of acute pain. Clinicians have the primary responsibility for safe and effective pain management. Evidence based monitoring strategies can improve patient safety with opioids.
• Carlisle, H. (2015). Promoting the Use of Capnography in Acute Care Settings: An Evidence-Based Practice Project. Journal of PeriAnesthesia Nursing, 30(3), 201-208. doi:http://dx.doi.org/10.1016/j.jopan.2015.01.012
• Carlisle, H. L. (2014). The case for capnography in patients receiving opioids: learn why capnography is essential for detecting respiratory depression.. American Nurse Today, 9(9), 22-27.

Presentations

• Lacasse, C. L., Perez, L. J., Shea, K. D., Bilbo, L. L., Phillips, L. R., Martin Plank, L. M., Carlisle, H. L., & Donovan, S. A. (2023, April).

  Supporting Healthy Aging in Diverse Populations: A Specialty BSN Education Program

  Cheryl Lacasse, Linda Perez, Kim Shea, Mary O'Connell, Laurel Bilbo, Linda Phillips, Lori Martin Plank, Heather Carlisle, Stephanie Donovan, April 20, 2023

  . Western Institute of Nursing Conference. Tucson, AZ: Western Institute of Nursing.
• Lacasse, C., Perez, L., Shea, K., O'Connell, M., Bilbo, L., Carlisle, H. L., Phillips, L., & Martin-Plank, L. (2023, April). Supporting Healthy Aging Across Diverse Populations - An Educational Immersion Experience.. 56th Annual Nursing Research Conference of the Western Institute of Nursing (WIN), Phoenix, AZ, April 19-22, 2023.. Phoenix: Western Institute of Nursing (WIN).
• Carlisle, H. L. (2021, October). Age-friendly Emergency Departments. Wildcat Interprofessional Gerontology Group Grand Rounds. Virtual: Wildcat Interprofessional Gerontology Group.
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Michaels, C. L., Carlisle, H. L., & Kennedy, A. K. (2016, July). Practice Based Research and Inter-professional Clinical Education Activities to Improve Chronic Pain Management in Primary Care. 43rd Annual Rural Health Conference & 11th Annual Performance Improvement Summit. Flagstaff, Arizona: Arizona Center for Rural Health.
  More info

  Lightening Round Poster Presentation
• Carlisle, H. L. (2015, December). Practical Pain Management. Nursing Grand Rounds. Tucson: Banner University Medical Center.
• Carlisle, H. L. (2013, November). Painless Pain Management for Nurse Practitioners. UA Nursing & Health Associates. Continuing Education Lecture Series. Tucson: UA Nursing & Health Associates.
• Carlisle, H. L. (2013, April). Implementing Best Practices to Reduce Opioid-Induced Respiratory Depression in Med-Surg: RN perceptions of end-tidal carbon dioxide monitoring. DNP Practice Inquiry public defense. Tucson: University of Arizona, College of Nursing.
• Carlisle, H. L. (2013, March). Acute-on-Chronic Pain Management in the Hospital Setting. University of Arizona Medical Center Pain Management Symposium. Tucson: University of Arizona Medical Center.
• Carlisle, H. L. (2013, May). Acute-on-Chronic Pain Management in the Hospital Setting. Tucson Nurses Week Foundation Showcase. Tucson: Tucson Nurses Week Foundation.
• Carlisle, H. L. (2013, November). Implementing Best Practices to Reduce Opioid-Induced Respiratory Depression in Med-Surg: RN perceptions of end-tidal carbon dioxide monitoring. Faculty Candidate Presentation. Tucson: University of Arizona, College of Nursing.
• Carlisle, H. L. (2013, October). Pain Management in the Hospital Setting.. Professional Development Institute, Salem Health System. Salem, OR: Salem Health Hospital.
• Carlisle, H. L. (2012, May). RN-led Initiative to Reduce Opioid-Induced Respiratory Depression. Tucson Nurses Week Foundation Showcase. Tucson: Tucson Nurses Week Foundation.

Poster Presentations

• Carlisle, H. L., Martin-Plank, L., & Perez, L. (2023, April).

  Enhancing Nursing Students’ Perceptions of Working with Older Adults - An Educational Approach Using an Unfolding Case Study.

  . Western Institute of Nursing Annual Conference, Phoenix, Arizona, April 2023.
• Perez, L. J., Carlisle, H. L., & Martin Plank, L. M. (2023, April). Carlisle, H., Martin-Plank, L., & Perez, L. (2023) Enhancing Nursing Students’ Perceptions of Older Adults - an Unfolding Case Study (poster). Western Institute of Nursing, Tucson, AZ . Western Institute of Nursing. Tucson, AZ: Western Institute of Nursing.
• Carlisle, H. L. (2021, October). Nonmedical Use of Prescription Medications Among Older Adults in the United States. National Hartford Center for Gerontological Nursing Excellence Conference. Virtual: National Hartford Center for Gerontological Nursing Excellence.
  More info

  Title: Nonmedical Use of Analgesics Among Older Adults in the US from 2009 to 2019Background and Significance: Early in the 21st century, the number of older adults using drugs for non-medical purposes was projected to increase by 2020 due to the large size of the “baby boomer” generation, the increased longevity of this generation, and the higher prevalence of illicit drug use among them during youth. Such a trend would have implications for gerontology nurses and policymakers.Objective: The objective was to examine trends in non-medical use of prescription pain medications (NMUPM) among adults over the age of 50 by comparing results from the National Survey on Drug Use and Health (NSDUH) from 2009 and 2019 (the most recent year for which data is available).Methods: Data was extracted from the NSDUH. Weighted cross tabulations were calculated for responses to questions about the use of specific pain relievers non-medically, and the timeframe when last used (within the last 30 days, the previous 12 months, and longer than 1 year ago). For the 2019 survey, questions were added about the user’s purpose for taking the medication non- medically.Results: From 2009 to 2019, lifetime NMUPM rates decreased among people aged 50-64, but increased among adults aged ≥65.Discussion and Conclusion: The results indicate that the problem of NPUPM is greater among adults >age 65 than of those aged 50-64 and is increasing. Of people aged ≥50 who endorsed having used pain relievers for a nonmedical purpose, over ten percent had done so within the past 30 days. Although most use them for sleep and relaxation, a significant proportion use them for emotional/pleasure reasons, and 3% consider themselves to be physically dependent. More research will be needed to determine whether NPUPM among adults ≥50 increased during the COVID-19 pandemic.
• Kennedy, A. K., Michaels, C., Carlisle, H. L., Weinstein, J., Hall-Lipsy, E. A., & Pacheco, C. L. (2019, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Annual Interprofessional Rural Health Conference. Tucson: AZ.
• Michaels, C., Carlisle, H. L., Kennedy, A. K., Weinstein, B. M., Hall-Lipsy, E. A., & Pacheco, C. L. (2018, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Annual Interprofessional Rural Health Professions Conference. Tucson, AZ: AHEC.
• Kennedy, A. K., Michaels, C., Carlisle, H. L., Weinstein, J., Hall-Lipsy, E. A., & Pacheco, C. L. (2017, April). Practice-Based Research to Improve Chronic Pain Management in Primary Care. Arizona Annual Interprofessional Rural Health Conference. Flagstaff, AZ: AzAHEC.
• Szalacha, L. A., Carlisle, H. L., Davis, M. P., Prettyman, A., Prettyman, A., Davis, M. P., Carlisle, H. L., Szalacha, L. A., Szalacha, L. A., Szalacha, L. A., Davis, M. P., Davis, M. P., Prettyman, A., Prettyman, A., Carlisle, H. L., & Carlisle, H. L. (2017, April). Evaluation of Nurse Practitioner Student Clinical Skills Using a Synchronous Video System. National Organization for Nurse Practitioner Faculties Conference.
• Tenney, T., Carlisle, H. L., Davis, M. P., Estrada, N. A., Estrada, N. A., Davis, M. P., Tenney, T., & Carlisle, H. L. (2017, April). Quality Assurance in Doctoral Nursing Education. 50th Annual Nursing Research Conference of the Western Institute of Nursing (WIN).
• Carlisle, H. L. (2016, June). Pain Management in Hospitalized Elders with Dementia. American Association of Nurse Practitioners (AANP) Annual Conference.
• Carlisle, H. L., Prettyman, A., Davis, M. P., & Szalacha, L. A. (2016, October). Evaluation of Nurse Practitioner Student Clinical Skills Using a Synchronous Video System. American Nurses Association (ANA) Annual Conference.
• Pacheco, C. L., Hall-Lipsy, E. A., Weinstein, J., Michaels, C. L., Carlisle, H. L., & Kennedy, A. K. (2016, April). Practice Based Research to Improve Chronic Pain Management in Primary Care. 4th Annual Interprofessional Rural Health Professions Conference. Tucson, Arizona: Arizona Area Health Education Centers.

Others

• Rigney, T., Carlisle, H. L., Poedel, R., & McRee, L. (2016, September). Preceptor Toolkit video series. Online video series.. University of Arizona, College of Nursing.
• Carlisle, H. L. (2013, May). Implementing a clinical practice guideline on the use of capnography in monitoring for opioid-induced respiratory depression on medical-surgical units. Proquest Dissertations (DNP Project).
• Carlisle, H. L. (2010, May). Promoting cardiovascular health among newcomers from the former Soviet Union. Proquest Dissertations (Master's Thesis).