Ethical Implications of Pain Management in a Nursing Home: a discussion

2000 ◽  
Vol 7 (5) ◽  
pp. 392-398 ◽  
Author(s):  
Tom J Hicks
Keyword(s):  
Patient Outcome ◽  
Nursing Home ◽  
Pain Management ◽  
Knowledge Base ◽  
Elderly People ◽  
Current Knowledge ◽  
Action Plan ◽  
Nursing Home Residents ◽  
Ethical Implications ◽  
Current Knowledge Base

Pain is the most frequently communicated complaint among elderly people. Discussion of the ethics of pain management in nursing home residents has not appeared in the literature. The purpose of this article is to present an ethically-based pain management action plan for elderly nursing home residents. Nurses empowered with the latest information and cognizant and comfortable with their own views about pain are likely to effectuate a positive patient outcome. Further research will add to the current knowledge base while laying the groundwork for new interventions.

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

Pain Management in Nursing Home Residents: Results from the Incur Study

2020 ◽  
Author(s):  
V. Nunziata ◽  
Marco Proietti ◽  
E. Saporiti ◽  
L. Calcaterra ◽  
Y. Rolland ◽  
...  
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Residents

scholarly journals Development of a Brief Survey to Measure Nursing Home Residents' Perceptions of Pain Management

2008 ◽  
Vol 36 (6) ◽  
pp. 572-583 ◽  
Author(s):  
Joan M. Teno ◽  
David Dosa ◽  
Therese Rochon ◽  
Virginia Casey ◽  
Vincent Mor
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Residents

scholarly journals Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 885-885
Author(s):  
Cassandra Dictus ◽  
Youngmin Cho ◽  
Tamara Baker ◽  
Anna Beeber
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Homes ◽  
Racial Disparities ◽  
Racial Differences ◽  
Racial Bias ◽  
Nursing Home Residents ◽  
Ethnic Disparities ◽  
Nursing Home Care

Abstract Within nursing homes, residents commonly experience pain that unfortunately goes underrecognized and undertreated, having a dramatic negative impact on residents' quality of life. Nursing homes are becoming more racially and ethnically diverse, and there is concerning evidence documenting disparities in the quality of nursing home care. In other healthcare settings, people of diverse race groups often receive less optimal pain management, but the evidence regarding racial disparities has not been synthesized for nursing homes. Thus, the purpose of this review was to investigate what is known about racial disparities related to pain management (e.g. assessment, treatment, preferences) in US nursing homes. We completed a scoping literature review using PRISMA-ScR guidelines and searching PubMed, CINHAL, and Scopus for peer-reviewed, empirical studies. Most studies were older large retrospective cohort studies of administrative data documenting that White residents were more likely than residents of diverse race groups to have pain documented and treated. Only a few studies looked at possible reasons to explain the disparities; differences were not found to be related to nursing staff racial bias nor differences in pain-related diagnoses. However, there was evidence of racial differences in resident behavior and attitudes related to pain management. None of the studies examined systemic factors related to differences among nursing homes, which has been implicated in studies looking at other outcomes including COVID-19. More research is needed which examines the causal mechanisms behind the documented racial disparities in pain management so that gaps in care can be reduced.

Gastrointestinal Motility Online Educational Endeavor

2010 ◽  
pp. 163-182
Author(s):  
Shiu-chung Au ◽  
Amar Gupta
Keyword(s):  
Knowledge Base ◽  
Gastrointestinal Motility ◽  
Medical Information ◽  
Current Knowledge ◽  
Heterogeneous Data ◽  
High Quality ◽  
Online Journal ◽  
Related Information ◽  
Scholarly Publications ◽  
Current Knowledge Base

Medical information has been traditionally maintained in books, journals, and specialty periodicals. Now, a growing number of people, including patients and caregivers, turn to a variety of sources on the Internet, most of which are run by commercial entities, to retrieve healthcare-related information. The next area of growth will be sites that focus on specific fields of medicine, featuring high quality data culled from scholarly publications, operated by eminent domain specialists. One such site is being developed for the field of Gastrointestinal Motility; it further augments the innovations of existing healthcare information sites with the intention of serving the diverse needs of lay people, medical students, and experts in the field. The site, called Gastrointestinal Motility Online, leverages the strengths of online textbooks, which have a high degree of organization, in conjunction with the strengths of online journal collections, which are more comprehensive and focused, to produce a knowledge base that can be easily updated, but still provides authoritative and high quality information to users. In addition to implementing existing Web technologies such as Wiki- and Amazon-style commenting options, Gastrointestinal Motility Online uses automatic methods to assemble information from various heterogeneous data sources to create a coherent, cogent, and current knowledge base serving a diverse base of users.

Subduing the killer - sepsis; through simulation

2018 ◽  
Vol 24 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Jonathan B T Herron ◽  
Andrew Harbit ◽  
James A T Dunbar
Keyword(s):  
Knowledge Base ◽  
Teaching Methods ◽  
Simulation Training ◽  
Current Knowledge ◽  
Morbidity And Mortality ◽  
Constructivist Teaching ◽  
Effective Strategies ◽  
Poor Outcomes ◽  
Current Knowledge Base ◽  
Level Of Experience

Few pathophysiological processes have a higher morbidity and mortality than sepsis. Implementing effective strategies to improve these poor outcomes remains a challenge. Previous work has shown improvements using single and multifaceted approaches, many with inclusion of sepsis training for doctors and nurses. However, previous work has not necessarily trained all those involved in the recognition and treatment of sepsis. After sepsis simulation training using cognitive-constructivist teaching methods, reaudit demonstrated highly significant improvement in ‘sepsis-six’ delivery. This study found inclusion of healthcare assistants in sepsis training is of great importance. This training should be tailored to personnel’s current knowledge base and level of experience.

scholarly journals Pain and pharmacologic pain management in long-stay nursing home residents

Pain ◽  
2017 ◽  
Vol 158 (6) ◽  
pp. 1091-1099 ◽  
Author(s):  
Jacob N. Hunnicutt ◽  
Christine M. Ulbricht ◽  
Jennifer Tjia ◽  
Kate L. Lapane
Keyword(s):  
Nursing Home ◽  
Pain Management ◽  
Nursing Home Residents ◽  
Pharmacologic Pain Management

scholarly journals Lesson Learned from Peer Volunteers in a Peer-Led Pain Management Program among Nursing Home Residents

2019 ◽  
Vol 16 (17) ◽  
pp. 3097 ◽  
Author(s):  
Mimi Tse ◽  
Shamay Ng ◽  
Xue Bai ◽  
Paul Lee ◽  
Raymond Lo ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Nursing Home ◽  
Pain Management ◽  
Qualitative Data ◽  
Elderly Care ◽  
Nursing Home Residents ◽  
Management Program ◽  
Pain Management Program ◽  
Peer Volunteers ◽  
Pain Knowledge

Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the burden of pain and limited healthcare resources, devising innovative and cost-effective ways of managing chronic pain is of high priority. The aim of this paper is to explore the experiences and perceptions of peer volunteers (PVs) in a peer-led pain management program among nursing home residents in Hong Kong. Methods: Forty-six PVs were recruited and trained to lead a pain management program (PAP). The PAP consisted of one 1 hour session per week for 12 weeks. It included 20 min of physical exercises performed under the supervision of PVs, followed by 30 min of pain management education, including information on pain situations, the impacts of pain, the use of drugs and non-drug strategies for pain management, demonstrations, and return demonstrations of various non-drug pain management techniques. Quantitative data were collected from questionnaires (demographics, pain situation, and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, barriers encountered, and recommendations for improving the PAP) were collected at week 12 (upon completion of the PAP). Data were analyzed using the Statistical Package for Social Sciences and content analysis for qualitative data. Results: A total of 46 PVs were recruited (34 females, 74%), with a mean ± SD age of 61.0 ± 5.1 years. Thirty-one of them reported having chronic pain. Before the training, their self-rated pain knowledge was 40.0 ± 20.5 (maximum 100 points) while their actual pain knowledge score was 86.1 ± 10.6 (maximum 100 points). The PVs reported an improvement in their knowledge and skills after leading PAPs. No PVs reported having received any negative comments about their role in leading the PAP but mentioned that they had received feedback on how to improve the program. Conclusions: This study provides further evidence that peer-led pain management programs are feasible and can lead to positive experiences for the PVs. Peer support models are coming into wide use because they show promise in helping patients to manage chronic conditions. Peer volunteers will become important resources in elderly care. The barriers that were identified may lead to improvements in the design and planning of future PAPs.

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