Kathryn Paez

American Institutes for Research, Health Care Research and Evaluation, Managing Researcher

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Kathy. Paez, PhD, MBA, RN, is a managing researcher at the American Institute for Research. Her career spans the fields of quality improvement and research with over 30 years’ experience leading projects requiring extensive knowledge of health care delivery from the front lines to payment. As a quality improvement leader, Dr. Paez led the development, implementation, and evaluation of primary care-based, best practice programs to improve disease prevention and chronic disease care in health care delivery systems and communities. Her technical work includes design and evaluation of innovative process improvement programs intended to address health policy issues and development of patient centered measures.

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Meghann Ormond

Wageningen University

Eric S . Kim (UBC)

University of British Columbia

Stephen Perle

University of Bridgeport

David Seamon

Kansas State University

Andrew Grandinetti

University of Hawaii at Manoa

Abdullah Dagci

Karamanoglu Mehmetbey University

Samuel LÉZÉ

École Normale Supérieure de Lyon

Eszter Banffy

Hungarian Academy of Sciences

Michael Paasche-Orlow

Boston University

Alberto N Ramos Jr

Universidade Federal do Ceará

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Papers by Kathryn Paez

Patient Acceptance of Nurse Practitioners and Physician Assistants in Rheumatology Care

Arthritis Care & Research

Intensive Approaches to Prenatal Care May Reduce Risk of Gestational Diabetes

Journal of Women's Health

Promoting Excellence in Symptom Management Case Series

Journal of Hospice & Palliative Nursing

The oral route is compromised for nearly all patients at the end of life (EOL). This article revi... more The oral route is compromised for nearly all patients at the end of life (EOL). This article reviews the benefits and burdens of the usual alternative routes of medication delivery when the oral route fails and presents a case study on the use of a new innovation for the rectal delivery of medication to control EOL symptoms. A 62-year-old male hospice patient with end-stage metastatic prostate cancer presented with severe symptoms (Face, Legs, Activity, Cry and Consolability scale score, 9/10) that were uncontrollable with medications given via oral or sublingual routes. The patient goals were to remain at home with optimal symptom management. Rapid relief of symptoms was accomplished by the administration of medications already present in the home delivered with a new rectal catheter that provides discreet access for ongoing medication administration. Significant relief was noted within 20 minutes of dosing. The patient died peacefully 18 hours later, meeting his EOL goals, and the family was empowered to provide effective care for the patient at home. The family found the intervention easy to use. This case demonstrates how this new innovation can be used to ensure rapid symptom management and decreased burden of care by facilitating immediate and easy use of medications already present in the home.

Kathryn Paez

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