Faculty Sketch

Todd Monroe, PhD, RN, FAAN

Assistant Professor of Nursing
Affiliated Faculty Vanderbilt University Institute of Imaging Science
Affiliated Faculty Vanderbilt Psychiatric Neuroimaging Program
Assistant Professor of Nursing and Medicine (Psychiatry)



Current Research Interests

  • Neurobiology of pain in older adults with and without dementia
  • Sex-differences in pain in older adults
  • Assessment of pain in people with dementia
  • Using psychophysical and neurophysiological methods to study pain


Ongoing Research and Grant Support

K23 AG046379-01A1, National Institute on Aging (NIA)
Monroe, Todd (PI)
Brain Activation and Pain Reports in People with Alzheimer’s Disease
Role: PI

R21 AG045735-01A1, National Institute on Aging (NIA)
Monroe, Todd (MPI); Cowan, Ronald (MPI)
Age-Related Differences in Psychophysical and Neurobiological Response to Pain
Role: MPI


L30 AG045540-03, National Institute on Aging (NIA)
Monroe, Todd  (PI)
Pain in People with and without Alzheimer's Disease
Role: PI


R01 NR011042, NIH/NINR & subcontract with Pennsylvania State University
Fick (PI)
Early Nurse Detection of Delirium Superimposed on Dementia
Role: OP


V4007, Vanderbilt Institute for Clinical and Translational Research (VICTR)
Monroe, Todd (PI)
Sex Differences in the Psychophysical and Neurophysiological Response to Experimental Thermal Pain in Healthy Older Adults
Role: PI


V4099, Vanderbilt Institute for Clinical and Translational Research (VICTR)
Monroe, Todd (PI)
Decision Factors Nursing use to Assess Pain in People with Severe Dementia
Role: PI


N/A, American Academy of Nursing/BAGNC – Post Doctoral Fellowship Award
Monroe, Todd (PI)
Psychophysical and Neurophysiological Response to Experimental Pain in Communicative Women with Alzheimer’s Disease
Role: PI

Representative Publications

Primary Research (refereed)  

Norman, A., Monroe, T., Carter, M. (accepted). Potential Inappropriate Treatment of Suspected Urinary Tract Infections Among Nursing Home Residents. Clinical Scholars Review.

Monroe, T., Mirsa, S., Habermann, R., Dietrich, M., Cowan, R., Simmons, S. (accepted). Pain Reports and Pain Medication Treatment in Nursing Home Residents with and without Dementia. Geriatrics and Gerontology International.

Yevchak, A., Fick, D., McDowell, J., Monroe, T., May, K., Grove, L., Kolanowski, A., Waller, J., & Inouye, S. (accepted). Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings. Clinical Nursing Research.

Monroe, T., Carter, M., Feldt, K., Dietrich, M., & Cowan, R. (accepted). Pain and Hospice Care in Nursing Home Residents with Dementia and Terminal Cancer. Geriatrics and Gerontology International.

Monroe, T., Kenaga, H., Carter, M., Dietrich, M., Cowan, R. (2013). The Prevalence of Employed Nurses Identified or Enrolled in Substance Use Monitoring Programs. Nursing Research, 62(1), 10-15.

Monroe, T. Dornan, A., Carter, M., & Cowan, R. (2012). Using Functional Magnetic Resonance Imaging to Describe Pain Pathways in the ‘Oldest Old’: A Case Study of a Healthy 97-year-old Female. The Journal of Pain and Relief, 1(5), 212.

Monroe, T., & Carter, M. (2012). Using the MMSE to explore methodological challenges in cognitive ageing research. European Journal of Ageing, 9(3), 265-274.

Monroe, T., Carter, M., Feldt, K., Tolley, B., Cowan, R., (2012). Assessing advanced cancer pain in people with dementia at the end-of-life. Journal of Advanced Nursing, 68(9), 2070-2078.

Monroe, T., Carter, M., & Parrish, A. (2011). A case study using the beers list criteria to compare prescribing by family practitioners and geriatric specialists in a rural nursing home. Geriatric Nursing. 32(5), 350-56.

Monroe, T, & Carter, M. (2010). A retrospective pilot-study of African-American and Caucasian nursing home residents with dementia who died from cancer. Journal of Pain and Symptom Management, 40(4) e1-e3.

Monroe, T., Pearson, F., & Kenaga, H.  (2009) Treating nurses and student nurses with chemical dependency: Revising policy for the 21st century. International Journal of Mental Health and Addiction, 7(4), 530-540.


Monroe, T. B., Pearson, F., & Kenaga, H. (2008) Procedures for handling cases of substance abuse among nurses: A comparison of disciplinary and alternative programs. Journal of Addictions Nursing, 19(3), 156-161.


Stanton, M., Crow, C., Morrison, R., Skiba, D., Monroe, T., et al., (2005). Web-based graduate education in rural nursing case management. Online Journal of Rural Nursing and Healthcare, 5(2), 53-63.


Reviews (refereed)


Monroe, T., Herr, K., Mion, L, Cowan, R. (in press).  Ethical Considerations in Pain Research in Cognitively Impaired Older Adults. International Journal of Nursing Studies. DOI: 10.1016/j.ijnurstu.2012.11.023

Monroe, T., Chin, L., Gore, J., Mion, L., Cowan, R. (2012). Pain research in people with Alzheimer’s disease: Potential applications for psychophysical and neurophysiological studies. Journal of Geriatric Psychiatry and Neurology, 25, 240-255.

Monroe, T., VanDoren, M., Smith, L., Cole, J., Kenaga, H. (2011). Nurses recovering from substance use disorders while continuing to work: A review of policies and position statements. Journal of Nursing Administration, 41(10), 1-7.

Monroe, T., Hamza, H., Stocks, G., Scimeca, P., Cowan, R. (2011). The misuse and abuse of propofol. Substance Use and Misuse. 46(9), 1199-205.

Hamza, H. & Monroe, T. (2011). Re-entry and recidivism for certified registered Nurse Anesthetists. The Journal of Nursing Regulation, 2(1), 17-22.

Monroe, T. & Kenaga, H. (2011). Don’t ask don’t tell: Substance abuse and addiction among nurses. Journal of Clinical Nursing, 20(3-4), 504-09.

Monroe, T. & Carter, M. (2010). Benefits and barriers to hospice in American nursing homes. European Journal of Palliative Care, 17(3), 145-48.

Monroe, T. (2009). Addressing substance abuse among nursing students: Development of a prototype alternative-to-dismissal policy. Journal of Nursing Education, 45(5), 272-278.



Professional Organizations

  • American Academy of Nursing
  • American Geriatrics Society
  • American Nurses Association
  • Gerontological Society of America
  • International Association for the Study of Pain
  • National Academies of Practice
  • National Organization of Alternative Programs
  • Sigma Theta Tau International
  • Tennessee Nurses Association