Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Lee, Su Jung; Park, Min Sun; Choi, ﻿Young-Rim; Chang, Sung Ok

doi:10.1111/2047-3095.12277

Cited by 4 publications

(16 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…expression of pain through body language) • Lack of knowledge about the People with dementia influence pain assessment Concept Development of Identification of Discomfort for Nursing Home Patients with Advanced Dementia Lee, S.J. et al, 2020 Korea [ 91 ] To facilitate the assessment of discomfort in People with dementia, living in a nursing home, by nurses and caregivers for concept development purposes For fieldwork: *Nurses: n = 12; *Care helpers: n = 8; Physiotherapist: n = 5; Social workers: n = 5; Occupational therapist: n = 1. *Only data from Nurses and care helpers charted International Journal of Nursing Knowledge.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies stemmed from Europe [ 62 , 66 – 68 , 70 – 73 , 77 , 81 – 86 , 88 – 90 , 92 , 93 , 97 ] and were conducted in nursing homes [ 61 – 63 , 65 , 68 , 71 , 72 , 74 – 78 , 80 – 83 , 85 – 88 , 91 , 93 , 95 , 96 ] (Table 2 ). However, the sample, as illustrated in Table 2 , was diverse in terms of continent and settings in which the studies were conducted.…”

Section: Resultsmentioning

confidence: 99%

“…The sample was less diverse in terms of needs assessed, as pain dominated the sample as the main symptom assessed in 28 studies [ 61 , 62 , 64 – 68 , 71 – 73 , 75 – 77 , 79 – 82 , 84 – 86 , 89 , 90 , 92 – 97 ]. Only discomfort [ 91 ], delirium [ 69 ], and behaviour [ 63 ] other than pain were assessed in addition, in six studies [ 70 , 74 , 78 , 83 , 87 , 88 ].…”

Section: Resultsmentioning

confidence: 99%

“…Only discomfort [ 91 ], delirium [ 69 ], and behaviour [ 63 ] other than pain were assessed in addition, in six studies [ 70 , 74 , 78 , 83 , 87 , 88 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nurses most often used observational assessment to assess predominately pain but occasionally other needs too. Figure 2 shows in how many studies nurses selected observational assessment methods (RNs [ 73 , 74 , 76 – 80 , 85 , 87 – 93 ], followed by HCAs [ 72 , 76 , 78 , 81 , 84 , 87 , 92 ], Nursing aids [ 72 , 77 , 91 ], and Ward managers [ 78 ]). Unqualified nursing staff tend not to ask the person with dementia directly about his / her pain, even if they observe clues of pain during routine care [ 77 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

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

et al. 2022

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Only discomfort [ 91 ], delirium [ 69 ], and behaviour [ 63 ] other than pain were assessed in addition, in six studies [ 70 , 74 , 78 , 83 , 87 , 88 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

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

et al. 2022

View full text Add to dashboard Cite

show abstract

For the interprofessional management of the discomfort of long-term care facility residents with dementia

Choi

Lee

Kim

et al. 2022

Journal of Interprofessional Care

View full text Add to dashboard Cite

Conhecimento científico sobre processo de enfermagem à pessoa idosa que vive com demência e seu cuidador [Scientific knowledge of the nursing process for older adults living with dementia and their caregivers] [Conocimiento científico sobre el proceso de enfermería para las personas mayores que viven con demencia y su cuidador]

Rocha

Albernaz²,

Oliveira³

et al. 2022

Rev. enferm. UERJ

View full text Add to dashboard Cite

Objetivo: mapear o conhecimento científico sobre o processo de enfermagem aplicado à pessoa idosa que vive com demência e seu cuidador. Método: revisão de escopo conforme o Instituto Joanna Briggs desenvolvido em três bases de dados. Resultados: dos 23 estudos incluídos, 11 fundamentaram o processo de enfermagem em bases teóricas, com ênfase na Teoria Geral do Déficit de Autocuidado. Para a coleta de dados, evidenciou-se instrumentos de avaliação de sintomas psicológicos e comportamentais, funcionalidade e avaliação da cognição/indicativos de demência. A maioria não especificou o uso de linguagem padronizada; e quando presente, a taxonomia North American Nursing Diagnosis Association foi a mais utilizada, com predominância de diagnósticos nos domínios percepção/cognição, segurança/proteção e atividade/repouso. Conclusão: os achados subsidiam a prática clínica do enfermeiro baseado em conhecimento científico atualizado e apontam para lacunas do uso de base teóricas e taxonomias para sustentar o processo de enfermagem.ABSTRACTObjective: to map the scientific knowledge of the nursing process applied to older adults living with dementia and their caregivers. Method: this scoping review was conducted in three databases following the Joanna Briggs Institute. Results: of the 23 studies included, 11 grounded the nursing process on theoretical bases, particularly the General Self-Care Deficit Theory. Data collection instruments were found to assess psychological and behavioral symptoms, functionality and cognition/indicators of dementia. Most did not specify use of standardized language; and when they did, the North American Nursing Diagnosis Association taxonomy was the most used, predominantly in the perception/cognition, safety/protection and activity/rest domains. Conclusion: the findings inform the clinical practice of nursing based on current scientific knowledge and point to gaps in the use of theoretical bases and taxonomies to support the nursing process.RESUMENObjetivo: mapear el conocimiento científico sobre el proceso de enfermería aplicado a los ancianos que viven con demencia y a su cuidador. Método: revisión de alcance según el Instituto Joanna Briggs desarrollada en tres bases de datos. Resultados: de los 23 estudios incluidos, 11 fundamentaron el proceso de enfermería en bases teóricas, con énfasis en la Teoría General del Déficit de Autocuidado. Para la recolección de datos, se utilizaron instrumentos de evaluación de síntomas psicológicos y conductuales, funcionalidad y evaluación de la cognición/indicios de demencia. La mayoría no especificó el uso de lenguaje estandarizado; y, cuando presente la taxonomía de la North American Nursing Diagnosis Association ha sido la más utilizada, con predominio de diagnósticos en los dominios de percepción/cognición, seguridad/protección y actividad/repudio. Conclusión: Los hallazgos subsidian la práctica clínica del enfermero con base en el conocimiento científico actualizado y apuntan hacia las lagunas del uso de base teórica y taxonomias para sustentar el proceso de enfermería.

show abstract

Concept Development of Identification of Discomfort for Nursing Home Patients With Advanced Dementia

Cited by 4 publications

References 58 publications

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

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

For the interprofessional management of the discomfort of long-term care facility residents with dementia

Contact Info

Product

Resources

About