Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home: Development of a Hybrid Model

Chang, Sung Ok; Oh, Younjae; Park, Eun Young; Kim, Geun Myun; Kil, Suk Yong

doi:10.1016/j.pmn.2010.05.007

Cited by 23 publications

(31 citation statements)

References 33 publications

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“…This method is considered suitable for exploring the meaning of a concept that has been applied in clinical practice without an explicit definition [25, 26]. For example, withdrawal and pain in elderly patients are somewhat elusive concepts that have been used without universal definitions and explicit measurements [26, 27]. An absence of valid definitions hinders healthcare professionals’ understanding of patients’ conditions.…”

Section: Methodsmentioning

confidence: 99%

A hybrid concept analysis of children of concern: Japanese healthcare professionals’ views of children at a high risk of developmental disability

Ide-Okochi

Tadaka

2016

BMC Pediatr

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BackgroundThe new Diagnostic and Statistical Manual of Mental Disorders (fifth edition, DSM-5) redefined the boundaries of autism as a spectrum. It has been reported that the number of schoolchildren with undiagnosed developmental disorders (DDs) has risen in Japan. Such children referred to as kininaru-kodomo (KK, “children of concern”) by healthcare professionals fall into a gray area. Therefore, KK are often overlooked at infant medical checkups. This leaves KK without necessary medical care and special needs education. It is urgent to explore the KK concept to enable professionals to properly assess and provide for the healthcare needs of these children at a high risk of DD, ideally with early intervention.MethodsA hybrid model of concept analysis was conducted. Working definitions were obtained from a systematic literature review in the theoretical phase. Subsequent in-depth personal interviews initiated in the fieldwork phase corroborated and refined the concept. These qualitative data were integrated in the final analytical phase to yield the practice-based real definition of KK in clinical settings.ResultsThree themes emerged regarding KK children: children who require special care, children whose special healthcare needs are owing to both individual and environmental factors, and children waiting for the development of a new support system for them or their parents.ConclusionsThis study implies that KK are children who require special support because of individual and environmental factors. The concept of KK is considered useful for keeping children with undiagnosed DDs and/or other healthcare needs connected with support networks. It is strongly recommended that a screening tool be developed that reflects the concept of children at a high risk of DD so that children in this gray area may receive necessary support even before diagnosis.

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Section: Methodsmentioning

confidence: 99%

A hybrid concept analysis of children of concern: Japanese healthcare professionals’ views of children at a high risk of developmental disability

Ide-Okochi

Tadaka

2016

BMC Pediatr

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“…1 In the United States (US), chronic pain is considered a “problem of epidemic proportions,” 2 affecting around 100 million adults. 3 Thus, occurrence of pain and dementia will both increase with age, 4–6 presenting challenges for pain assessment in both long-term care and adult critical care. Cognitively impaired individuals report pain less frequently and receive minimal 7 to no pain medication, 8 even when there is a known condition that causes pain, such as cancer.…”

Section: Introductionmentioning

confidence: 99%

“…7 Pain at rest in the intensive care unit (ICU) is common in adult patients and contributes to complications. 9 Although multiple tools exist to help assess pain in dementia, 6,10,11 pain remains under assessed and inadequately treated. 8,12,13 …”

Section: Introductionmentioning

confidence: 99%

Using Complementary and Alternative Medicine to Treat Pain and Agitation in Dementia

Anderson

Deng

Anthony

et al. 2017

Critical Care Nursing Clinics of North America

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SYNOPSIS The risk of pain in adults with dementia worsens with advancing age. Painful comorbidities may be under-assessed and inadequately treated in adults with dementia. Receiving treatment in critical care settings may indicate greater occurrences of pain, and an increased prevalence of complications. Pain may also exacerbate behavioral and psychological symptoms of dementia (BPSD), such as agitation and stress. Complementary and alternative medicine (CAM) therapies may alleviate pain and incidences of BPSD. Contiguity of therapy may bolster the therapeutic effect of CAM therapies; as such, critical care personnel should obtain a history of CAM therapy use from patients. Although this review did not reveal an apparent benefit of aromatherapy use in patients with dementia, improvements in BPSD have been shown in past studies. Of note is that massage and human interaction demonstrated efficacy in reducing BPSD and pain in individuals with dementia.

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“…This patient-centered nursing approach may enhance patient comfort and reduce the likelihood of aggressive behavioral symptoms. Thus, nurses, who are uniquely situated on the front line of patient care, can play a vital role in the prevention, assessment, and management of pain in NH residents, especially those with dementia who cannot articulate their pain (Chang, Oh, Park, Kim, & Kil, 2011;Hadjistavropoulos et al, 2011;Wall & White, 2012).…”

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confidence: 99%

Pain and Aggression in Nursing Home Residents With Dementia

2015

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Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home: Development of a Hybrid Model

Cited by 23 publications

References 33 publications

A hybrid concept analysis of children of concern: Japanese healthcare professionals’ views of children at a high risk of developmental disability

A hybrid concept analysis of children of concern: Japanese healthcare professionals’ views of children at a high risk of developmental disability

Using Complementary and Alternative Medicine to Treat Pain and Agitation in Dementia

Pain and Aggression in Nursing Home Residents With Dementia

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