Specific Physician Orders Improve Pain Detection and Pain Reports in Nursing Home Residents: Preliminary Data

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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“…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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“…Despite the routine administration of pain assessments in clinical settings, documented pain assessment can be greatly improved in persons with dementia residing in long‐term care with written physician orders. Specifically, nurses are more likely to ask about, and residents are more likely to report, pain following written physician orders to assess pain (Monroe et al., 2015 ). To aid in the assessment of pain in language‐impaired populations, observational tools were developed for the assessment of pain in AD using non‐verbal assessment.…”

Section: Introductionmentioning

confidence: 99%

Treating the most vulnerable: A discursive review of experimental pain in Alzheimer’s disease

et al. 2021

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The purpose of this discursive manuscript is to review three distinct studies that used very similar research methods, allowing the results to be critically compared. Following a series of three fictional vignettes describing various clinical scenarios managing pain, we introduce the reader to the research method of pain psychophysics.Next, we discuss how the three research studies described compliment and contrast one another. The discursive review format offers nurses an overview of a research method seldom used by nursing scientists. Psychophysical experiments allow a unique opportunity to examine the neurobiology and psychology of the pain experience in people with dementia.

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Omissions of Care in Nursing Home Settings: A Narrative Review

Ogletree

Mangrum

Harris

et al. 2020

Journal of the American Medical Directors Association

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Specific Physician Orders Improve Pain Detection and Pain Reports in Nursing Home Residents: Preliminary Data

Abstract: Background-Despite evidence that many pain nursing home residents is poorly managed, reasons for this poor management remain unanswered.

Cited by 6 publications

References 32 publications

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

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

Treating the most vulnerable: A discursive review of experimental pain in Alzheimer’s disease

Omissions of Care in Nursing Home Settings: A Narrative Review

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