An Exploration of Pain Documentation for People Living with Dementia in Aged Care Services

Andrews, Sharon; Dipnall, Joanna F.; Tichawangana, Rumbidzai; Hayes, Kathryn J; Fitzgerald, Anneke; Siddall, Philip J.; Poulos, Christopher J.; Cunningham, Colm

doi:10.1016/j.pmn.2019.01.004

Cited by 9 publications

(22 citation statements)

References 33 publications

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“…According to study results, the nurses of the AGU assessed the baseline pain of 88% of patients when they were admitted to the unit and reassessed a median of 1.9 times per day during their hospital stay, with a greater frequency during the late shift. These results contrast with those obtained by Andrews et al., ( 2019 ), which revealed that nurses asked about pain in only 2% of patients with dementia in a nursing home. Perhaps this is due to the differences between care organization in acute setting and nursing homes (e.g.…”

Section: Discussioncontrasting

confidence: 98%

Section: Discussioncontrasting

confidence: 77%

“…However, there are few studies focussed on nursing records about pain and pain management, and most of these deal with oncological pain (Song et al, 2015) or postsurgical pain (Erden et al, 2017;Heikkilä et al, 2016). A recent study reviewed records related to episodes of pain of nursing home residents with dementia in Australia (Andrews et al, 2019), but as far as we know, no study This study is part of a broader mixed-methods study that aims to improve nursing practice in the pain management of patients with dementia treated in an AGU. This article presents the preintervention phase results.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…However, there are few studies focussed on nursing records about pain and pain management, and most of these deal with oncological pain (Song et al., 2015 ) or postsurgical pain (Erden et al., 2017 ; Heikkilä et al., 2016 ). A recent study reviewed records related to episodes of pain of nursing home residents with dementia in Australia (Andrews et al., 2019 ), but as far as we know, no study has focussed on records related to older patients’ pain treated in an Acute Geriatrics Unit (AGU) from the perspective of pain as the fifth vital sign. Reviewing nursing records related to pain management enables us to view objectively what interventions nurses carried out, with what frequency and in connection to what other activities.…”

Section: Introductionmentioning

confidence: 99%

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Pain management nursing practice assessment in older adults with dementia

et al. 2021

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Pain and dementia are two health problems linked to ageing and two of the main causes of the reduction in quality of life in older people. Pain in older people tends to be chronic and mainly osteoarticular, although of mixed origin (Sirsch et al., 2015). The prevalence of chronic pain in older people in Spain is estimated at 25%-76% in people living in the community and as high as 83%-93% in people living in nursing homes (Sáez-López et al., 2015), due in part to the difficulty of evaluating and treating pain in the older population. This prevalence is similar to that of older

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Section: Discussioncontrasting

confidence: 98%

Section: Discussioncontrasting

confidence: 77%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pain management nursing practice assessment in older adults with dementia

et al. 2021

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“…Eleven studies with a quantitative [ 61 – 71 ] and twenty-six studies with a qualitative [ 72 – 97 ] research paradigm were included. However, there was a wide range of research methods and data collection approaches used, ranging from action research approaches, to interviews, to ethnographic accounts, questionnaires, and extensive chart reviews and audits.…”

Section: Resultsmentioning

confidence: 99%

Are nurse`s needs assessment methods robust enough to recognise palliative care needs in people with dementia? A scoping review

et al. 2022

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Background People with dementia are most at risk of experiencing serious health related suffering, if they do not have a palliative care approach introduced early enough in the illness. It can be challenging for nurses to assess experienced needs of people, who are thought no longer able to self-report such as people with dementia. Assessment help to understand the care the patient and their family need promptly. It is unknown how nurses recognise holistic palliative care needs in people with dementia during routine care. Methods Scoping review where EMBASE, MEDLINE, CINAHL, PsycInfo databases, and references were searched with an advanced search strategy, which was built on three concepts (nurses, dementia, and nursing assessment) using corresponding Medical Subject Headings. Data were charted in a piloted extraction form, based on the assessment domains within the nursing process followed by summarise and synthesise results narratively. Results 37 out of 2,028 qualitative and quantitative articles published between 2000 and 2021, and relating to 2600 + nurses, were identified. Pain was sole focus of assessment in 29 articles, leaving 8 articles to describe assessment of additional needs (e.g., discomfort). Nurses working in a nursing home assess pain and other needs by observing the persons with dementia behaviour during routine care. Nurses in the acute care setting are more likely to assess symptoms with standard assessment tools at admission and evaluate symptoms by observational methods. Across settings, about one third of pain assessments are supported by person-centred pain assessment tools. Assessments were mostly triggered when the person with dementia vocalised discomfort or a change in usual behaviour was observed. Nurses rely on family members and colleagues to gain more information about needs experienced by people with dementia. Conclusion There is a scarcity of evidence about techniques and methods used by nurses to assess needs other than pain experienced by people with dementia. A holistic, person-centred screening tool to aid real-time observations at the bedside and used in conversations with health care professionals and families/friends, may improve need recognition other than pain, to ensure holistic needs could then be addressed timely to improve care in people with dementia.

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