Home healthcare teams’ assessments of pain in care recipients living with dementia: a Swedish exploratory study

Karlsson, Christina; Bravell, Marie Ernsth; Ek, Kristina; Bergh, Ingrid

doi:10.1111/opn.12072

Cited by 11 publications

(41 citation statements)

References 46 publications

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“…Nurses may even consciously develop the NPR as a strategy to encourage patients to participate in self‐care (Bindels et al., ; Tyrrell et al., ; Van Hecke et al., ; Wilkes et al., ). Even patients suffering from severe cognitive impairments may be actively involved in their own care (Karlsson et al., ).…”

Section: The Studymentioning

confidence: 99%

“…Nurses perceive the in‐depth knowledge and understanding of the patient's physical, cognitive and psychosocial condition as aids in choosing the right approach and tailoring nursing care (Karlsson et al., ; Luker et al., ; Paavilainen & Åstedt‐Kurki, ). By understanding the desires and choices of their patients, nurses are able to assume a strong advocacy role for patients.…”

Section: The Studymentioning

confidence: 99%

“…Nurses perceive the in-depth knowledge and understanding of the patient's physical, cognitive and psychosocial condition as aids in choosing the right approach and tailoring nursing care (Karlsson et al, 2014;Luker et al, 2000;Paavilainen & Astedt-Kurki, 1997).…”

Section: Going the Distancementioning

confidence: 99%

See 2 more Smart Citations

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

Strandås

Bondas

2017

Journal of Advanced Nursing

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Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

See 1 more Smart Citation

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

Strandås

Bondas

2017

Journal of Advanced Nursing

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“…Familiarity with patients and experience in caring for them were reported to be of significant value in identification of pain or distress . Family members were able to contribute to the process of pain identification through potentially different experiences and knowledge compared with those used to inform assessment by professional carers . The use of pain scales, such as “PAIN‐DEM”, or PAINAD was described, and was a focus of certain studies .…”

Section: Resultsmentioning

confidence: 99%

“…The use of pain scales, such as “PAIN‐DEM”, or PAINAD was described, and was a focus of certain studies . These tools, however, were generally seen as challenging to use for patients with dementia and confusing to use in the absence of verbal communication . It was regularly acknowledged that pain is underreported …”

Section: Resultsmentioning

confidence: 99%

Orofacial pain assessment and management for patients with dementia: A meta‐ethnography

Geddis-Regan

Stewart²,

Wassall

2018

J of Oral Rehabilitation

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Delivering dental treatment for patients with dementia can be challenging, and the complexity of treatment provision can increase as dementia progresses. Treatment at the later stages of dementia can be associated with ethical challenges and procedural risk meaning that a comprehensive patient assessment is crucial; the presence of orofacial pain is a key indication for active intervention from dental teams. To explore the process of oro-facial pain assessment and management, a comprehensive review of qualitative literature was undertaken by searching six electronic databases. No literature specific to orofacial pain assessment was identified. The inclusion criteria were widened to explore assessment and management of pain in general for patients with dementia. Meta-ethnography with reciprocal translation was used to identify key concepts and themes and synthesise information applicable to the dental setting. Three major themes arose as follows: challenges with pain assessment, challenges with pain management and logistics and education. Healthcare teams struggle with pain identification in patients with dementia though many signs were identified which may suggest a patient is experiencing pain. The long-term knowledge of individual patients held by family members and care teams can allow identification of deviation from patients' normal states; this knowledge can assist healthcare professionals in determining whether to provide specific treatments or interventions. Pain assessment tools were found to be problematic and are unlikely to be a practical solution to use for complex patients in dental settings. Education for dental and wider care teams on orofacial pain would be highly valuable; yet, this needs to be based on suitable evidence. K E Y W O R D S dementia, facial pain, older adults, pain, pain management, pain measurement, qualitative research 17. exp Pain/ 18. pain.mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 19. (mouth adj3 pain$).mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 20. Toothache/ 21. Facial Pain/ 22. (dent$ adj3 pain$).mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 23. 18 or 19 or 20 or 21 or 22 24. Qualitative Research/ 25. qualitative.mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementary concept word, rare disease supplementary concept word, unique identifier, synonyms] 26. ethnograph$.mp. [mp=title, abstract, original title, name of substance word, subject heading word, keyword heading word, protocol supplementa...

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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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Home healthcare teams’ assessments of pain in care recipients living with dementia: a Swedish exploratory study

Abstract: Home healthcare teams' assessments of pain in care recipients living with dementia: a Swedish exploratory study. International Journal of Older People

Cited by 11 publications

References 46 publications

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

Orofacial pain assessment and management for patients with dementia: A meta‐ethnography

Pain management nursing practice assessment in older adults with dementia

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