Caring for Cognitively Impaired Nursing Home Residents with Pain

2004 ◽  
Vol 8 (2) ◽  
pp. 33-41
Author(s):  
Amy L. Kenefick
Keyword(s):  
Nursing Home ◽  
Functional Status ◽  
Nursing Staff ◽  
Nursing Home Residents ◽  
Ethnographic Study ◽  
Cognitively Impaired ◽  
Geriatric Nursing ◽  
Job Expectations ◽  
Behavioral Cues ◽  
The Individual

In this ethnographic study, nurses clearly described their beliefs, values, and experiences related to assessing pain in nursing home residents. These were affected by (a) the nurse’s perception of the role, (b) the resident’s ability to verbalize his or her pain, and (c) the nurse’s skill in identifying behavioral cues including nonverbal pain communications such as agitation or change in functional status. Knowledge of the individual resident was crucial; knowledge of the field of geriatric nursing was also important. Characteristics of the setting including formal and informal job expectations and the use of temporary nursing staff influenced practice.

scholarly journals Nursing Staff Knowledge and Beliefs about Pain in Elderly Nursing Home Residents with Dementia

2007 ◽  
Vol 12 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Sandra MG Zwakhalen ◽  
Jan PH Hamers ◽  
Rieneke HA Peijnenburg ◽  
Martijn PF Berger
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Educational Level ◽  
Work Experience ◽  
Pain Treatment ◽  
Nursing Home Residents ◽  
Knowledge And Beliefs ◽  
Pain Prevalence ◽  
Knowledge Deficits

BACKGROUND: Aging is known to be associated with a high prevalence (up to 80%) of persistent pain among residents of nursing homes. However, even with high pain prevalence rates, nursing home residents are at risk for undertreatment. Knowledge deficits and beliefs among nurses influence staff behaviour in pain assessment and management.OBJECTIVES: To develop a psychometrically sound questionnaire and to gather information about knowledge and beliefs of nursing staff regarding various aspects of pain in elderly patients with dementia. In addition, the differences among several categories of nurses (based on educational level and work experience) with respect to beliefs about pain were investigated.METHODS: Participants were 123 staff members of psychogeriatric wards in two nursing homes in the Netherlands (mean of 11.4 years of experience). Their results were compared with those of two groups of nurses, one consisting of 25 registered nurse PhD students in nursing science and the other consisting of 20 trainee pain nurse specialists.RESULTS: The main findings indicate that nursing home staff respondents showed knowledge deficits about several aspects of pain, even though they were satisfied about the way pain was assessed and treated at their wards. Specific knowledge deficits were found regarding pain treatment and medication in elderly nursing home residents. Staff educational level seemed to influence their beliefs and knowledge about pain in elderly nursing home patients.

scholarly journals Functional Status After Colon Cancer Surgery in Elderly Nursing Home Residents

2012 ◽  
Vol 60 (5) ◽  
pp. 967-973 ◽  
Author(s):  
Emily Finlayson ◽  
Shoujun Zhao ◽  
W. John Boscardin ◽  
Brant E. Fries ◽  
C. Seth Landefeld ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Nursing Home ◽  
Functional Status ◽  
Nursing Home Residents ◽  
Cancer Surgery ◽  
Colon Cancer Surgery ◽  
Surgery In Elderly

Caregiversʼ Perception of Aggressive Behavior in Cognitively Impaired Nursing Home Residents

1990 ◽  
Vol 22 (3) ◽  
pp. 169-172 ◽  
Author(s):  
Cornelia Beck ◽  
Beverly Baldwin ◽  
Tommie Modlin ◽  
Sandy Lewis
Keyword(s):  
Nursing Home ◽  
Aggressive Behavior ◽  
Nursing Home Residents ◽  
Cognitively Impaired

Strategies for conducting dental examinations among cognitively impaired nursing home residents

1996 ◽  
Vol 16 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
William F. Bird ◽  
Maryann Redford ◽  
Ellen S. Schell ◽  
Sheri H. Einhorn
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Cognitively Impaired

scholarly journals Paramedics’ Perspectives on the Hospital Transfers of Nursing Home Residents—A Qualitative Focus Group Study

2020 ◽  
Vol 17 (11) ◽  
pp. 3778
Author(s):  
Alexandra Pulst ◽  
Alexander Maximilian Fassmer ◽  
Falk Hoffmann ◽  
Guido Schmiemann
Keyword(s):  
Nursing Home ◽  
Nursing Staff ◽  
Hospital Admissions ◽  
Urinary Catheter ◽  
Nursing Home Residents ◽  
Point Of View ◽  
Focus Group Study ◽  
Professional Groups ◽  
Catheter Complications ◽  
Ed Visits

Emergency department (ED) visits and hospital admissions are common among nursing home residents (NHRs). Little is known about the perspectives of emergency medical services (EMS) which are responsible for hospital transports. The aim of this study was to explore paramedics’ experiences with transfers from nursing homes (NHs) and their ideas for possible interventions that can reduce transfers. We conducted three focus groups following a semi-structured question guide. The data were analyzed by content analysis using the software MAXQDA. In total, 18 paramedics (mean age: 33 years, male n = 14) participated in the study. Paramedics are faced with complex issues when transporting NHRs to hospital. They mainly reported on structural reasons (e.g., understaffing or lacking availability of physicians), which led to the initiation of an emergency call. Handovers were perceived as poorly organized because required transfer information (e.g., medication lists, advance directives (ADs)) were incomplete or nursing staff was insufficiently prepared. Hospital transfers were considered as (potentially) avoidable in case of urinary catheter complications, exsiccosis/infections and falls. Legal uncertainties among all involved professional groups (nurses, physicians, dispatchers, and paramedics) seemed to be a relevant trigger for hospital transfers. In paramedics’ point of view, emergency standards in NHs, trainings for nursing staff, the improvement of working conditions and legal conditions can reduce potentially avoidable hospital transfers from NHs.

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