scholarly journals Responding to Varying Levels of Certainty about Pain in People with Dementia after Initial Pain Assessment

2019 ◽  
Vol 9 (2) ◽  
pp. 271-280
Author(s):  
Mohammad Rababa ◽  
Mohammed Aldalaykeh
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Patient Outcomes ◽  
Pain Assessment ◽  
Nursing Home Residents ◽  
Related Factors ◽  
Convenience Sample ◽  
Correlational Design ◽  
People With Dementia ◽  
The Relationship

Introduction: Pain is still inadequately treated in people with dementia (PWD) due to the complexity of assessing it. Pain assessment in PWD is still challenging because of patient-related or nurse-related factors. The patient-related factors have been studied extensively. However, the nurse-related factors, e.g., nurses’ certainty regarding suspected pain in PWD, have been given little attention by researchers. Purpose: This study aims to investigate how the degree of nurses’ certainty is compromised after pain assessment and how this affects levels of pain and agitation in PWD. Method: A descriptive, correlational design was used, and a convenience sample of 104 nursing home residents with dementia were recruited. Results: This study found that nurses’ certainty after the pain assessment mediates the relationship between the type of pain assessment and patient outcomes when the nurses had a high initial certainty. When nurses had a low initial certainty, their certainty after the assessment and the type of assessment predicted the levels of pain and agitation in PWD. Conclusion: Understanding how nurses’ certainty can be compromising after pain assessment and how this relates to pain management in PWD is crucial.

Nurses’ certainty and pain outcomes of nursing home residents with dementia: the mediating effect of pain assessment

2019 ◽  
Vol 9 (6) ◽  
pp. 559-567
Author(s):  
Mohammad Rababa ◽  
Sami Al-Rawashdeh
Keyword(s):  
Nursing Home ◽  
Patient Outcomes ◽  
Pain Assessment ◽  
Nursing Home Residents ◽  
Mediating Effect ◽  
Self Report ◽  
Convenience Sample ◽  
Correlational Design ◽  
Pain Outcomes ◽  
Severity Of Dementia

Aim: This study aims to examine the associations of pain assessment scope, nurses’ certainty, patient outcomes, and cognitive and verbal characteristics of nursing home (NH) residents. Methods: This study used a descriptive correlational design and a convenience sample of 78 NH residents with dementia. Results: There are significant associations between the severity of dementia and the ability to self report symptoms in NH residents and nurses’ certainty of pain. Also, pain assessment scope does not mediate the relationship between nurses’ certainty and patient outcomes. Conclusion: Pain assessment in NH residents with dementia is very challenging for nurses due to multiple complex factors. Improved understanding of pain assessment in those residents and how it relates to certainty of pain and patient outcomes are crucial.

scholarly journals Adherence of Pain Assessment to the German National Standard for Pain Management in 12 Nursing Homes

2014 ◽  
Vol 19 (3) ◽  
pp. 133-140 ◽  
Author(s):  
Jürgen Osterbrink ◽  
Zsuzsa Bauer ◽  
Barbara Mitterlehner ◽  
Irmela Gnass ◽  
Patrick Kutschar
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Pain Management ◽  
Nursing Homes ◽  
Pain Assessment ◽  
Survey Methodology ◽  
Nursing Home Residents ◽  
Assessment Tools ◽  
National Standard ◽  
Severe Cognitive Impairment

BACKGROUND: Pain is very common among nursing home residents. The assessment of pain is a prerequisite for effective multiprofessional pain management. Within the framework of the German health services research project, ‘Action Alliance Pain-Free City Muenster’, the authors investigated pain assessment adherence according to the German national Expert Standard for Pain Management in Nursing, which is a general standard applicable to all chronic/acute pain-affected persons and highly recommended for practice.OBJECTIVES: To evaluate the state of pain assessment and to identify need for improvement in 12 nursing homes in a German city.METHODS: In the present study, the authors used an ex-post-facto design (survey methodology). Available written policies for routine pain assessment in residents ≥65 years of age were reviewed and a standardized online survey completed by 151 of 349 nurses in 12 nursing home facilities was conducted between September 2010 and April 2011.RESULTS: Most of the included nursing homes provided written policies for pain assessment, and the majority of nurses reported that they assess and regularly reassess pain. However, observational tools for residents with severe cognitive impairment and written reassessment schedules were lacking in many facilities or were inconsistent.CONCLUSIONS: Essentially, pain assessment appeared to be feasible in the majority of the German nursing homes studied. However, the absence or inconsistency of reassessment schedules indicate that pain management guidelines should include a detailed and explicit reassessment schedule for the heterogenic needs of nursing home residents. For residents with severe cognitive impairment, assessment tools are needed that are simple to use and clearly indicate the presence or absence of pain.

The Role of the CNA Pain Assessment Tool (CPAT) in the Pain Management of Nursing Home Residents with Dementia

2012 ◽  
Vol 33 (6) ◽  
pp. 430-438 ◽  
Author(s):  
Frank A. Cervo ◽  
Patricia Bruckenthal ◽  
Suzanne Fields ◽  
Lory E. Bright-Long ◽  
John J. Chen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Pain Assessment ◽  
Assessment Tool ◽  
Nursing Home Residents

The use of analgesics and associated factors among nursing home residents

2022 ◽  
Author(s):  
Mohammad Rababa ◽  
Audai A Hayajneh ◽  
Sami Al-Rawashdeh ◽  
Nahedh Alawneh
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Evidence Based ◽  
Convenience Sample ◽  
Correlational Design ◽  
Study Results ◽  
Anticholinergic Burden ◽  
Analgesic Use

Aim: This study examined the use of analgesics and associated factors among nursing home residents (NHRs). Materials & methods: A descriptive correlational design and a convenience sample of 209 NHRs receiving analgesics was used in this study. Results: Higher use of analgesics was noted among NHRs without cognitive impairment (p < 0.001), those with higher anticholinergic burden scores (p = 0.002) and those with a higher average number of oral pills taken daily (p = 0.045). Conclusion: These findings contribute to a better understanding of the prevalence and associated factors of analgesic use, which will inform the development and application of evidence-based pain practice and guidelines in nursing homes in Jordan and beyond.

Impact of Revisions to the F-Tag 309 Surveyors’ Interpretive Guidelines on Pain Management among Nursing Home Residents

Drugs & Aging ◽  
2012 ◽  
Vol 29 (5) ◽  
pp. 385-393 ◽  
Author(s):  
Kate L. Lapane ◽  
Brian J. Quilliam ◽  
Wing Chow ◽  
Myoung S. Kim
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Residents

Disruptive Vocalization and Depression in Older Nursing Home Residents

2000 ◽  
Vol 12 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Michael Dwyer ◽  
Gerard J. A. Byrne
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Mini Mental State Examination ◽  
Mmse Score ◽  
Nursing Home Residents ◽  
Confounding Variables ◽  
The Relationship ◽  
State Examination ◽  
Age And Sex

Screaming and other types of disruptive vocalization are commonly observed among nursing home residents. Depressive symptoms are also frequently seen in this group, although the relationship between disruptive vocalization and depressive symptoms is unclear. Accordingly, we sought to examine this relationship in older nursing home residents. We undertook a controlled comparison of 41 vocally disruptive nursing home residents and 43 non-vocally-disruptive nursing home residents. All participants were selected to have Mini-Mental State Examination (MMSE) scores of at least 10. Participants had a mean age of 81.0 years (range 63-97 years) and had a mean MMSE score of 17.8 (range 10-29). Nurse ratings of disruptive vocalization according to a semioperationalized definition were validated against the noisy behavior subscale of the Cohen-Mansfield Agitation Inventory. Subjects were independently rated for depressive symptoms by a psychiatrist using the Dementia Mood Assessment Scale, the Cornell Scale for Depression in Dementia, and the Depressive Signs Scale. Vocally disruptive nursing home residents scored significantly higher than controls on each of these three depresion-in-dementia scales. These differences remained significant when the effects of possible confounding variables of cognitive impairment, age, and sex were removed. We conclude that depressive symptoms are associated with disruptive vocalization and may have an etiological role in the generation of disruptive vocalization behaviors in elderly nursing home residents.

A survey of pain assessment and management practices among critical care nurses

1994 ◽  
Vol 3 (2) ◽  
pp. 123-128 ◽  
Author(s):  
MC Gujol
Keyword(s):  
Critical Care ◽  
Pain Assessment ◽  
Management Practices ◽  
Critical Care Nurses ◽  
Opioid Use ◽  
Convenience Sample ◽  
Policy Makers ◽  
Survey Results ◽  
Medication Decisions ◽  
The Relationship

BACKGROUND: Postoperative pain is one of the major obstacles in the prevention of complications during patient recovery. Pain and its management have gained great interest among researchers, clinicians and policy-makers. PURPOSES: To explore the relationship between two variables in pain assessment (length of time after surgery and ventilator status) and medication decisions made by critical care nurses, and to identify nurses' concerns about opioid use. METHODS: A convenience sample of 71 critical care nurses participated in the survey. RESULTS: Certain patient conditions such as length of time after surgery and ventilator status affected nurses' assessment and management of pain. Nurses' knowledge about pain assessment and management may affect patient care and outcomes.

scholarly journals The relationship of nursing home price and quality of life

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sarah Raes ◽  
Sophie Vandepitte ◽  
Delphine De Smedt ◽  
Herlinde Wynendaele ◽  
Yannai DeJonghe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Research Question ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Ownership Type ◽  
Cross Sectional ◽  
The Relationship

Abstract Background Knowledge about the relationship between the residents’ Quality of Life (QOL) and the nursing home price is currently lacking. Therefore, this study investigates the relationship between 11 dimensions of QOL and nursing homes price in Flemish nursing homes. Methods The data used in this cross-sectional study were collected by the Flemish government from years 2014 to 2017 and originates from 659 Flemish nursing homes. From 2014 to 2016, data on the QOL of 21,756 residents was assessed with the InterRAI instrument. This instrument contains 11 QOL dimensions. Multiple linear regression analyses were conducted to examine the research question. Results The multiple linear regressions indicated that a 10 euro increase in the daily nursing home price is associated with a significant decrease (P <  0.001) of 0.1 in 5 dimensions of QOL (access to services, comfort and environment, food and meals, respect, and safety and security). Hence, our results indicate that the association between price and QOL is very small. When conducting a subgroup analysis based on ownership type, the earlier found results remained only statistically significant for private nursing homes. Conclusion Our findings show that nursing home price is of limited importance with respect to resident QOL. Contrary to popular belief, our study demonstrates a limited negative effect of price on QOL. Further research that includes other indicators of QOL is needed to allow policymakers and nursing home managers to improve nursing home residents’ QOL.

Sign in / Sign up

Export Citation Format

Share Document