Pain Assessment Strategies in Home Care and Nursing Homes in Mid-Norway: A Cross-sectional Survey

Torvik, Karin; Nordtug, Bente; Brenne, Inger Karin Reknes; Rognstad, May Karin

doi:10.1016/j.pmn.2015.01.001

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…None of the students on this team expressed knowledge of communication with a person with dementia, despite that dementia is included in both nursing and physical therapy curricula. Torvik et al (2015) concluded that the use of pain assessment tools in Norwegian nursing homes appears to be deficient, which the present study also supports. Students on Team I had no knowledge of assessment tools for persons with dementia.…”

Section: Discussionsupporting

confidence: 80%

“…Thus, pain knowledge may be inconsistent among Norwegian health care students, and pain management in Norwegian nursing homes may be inadequate. Furthermore, health care professionals in Norwegian nursing homes typically lack knowledge regarding pain assessment in the elderly and people with dementia (Torvik, Nordtug, Brenne, & Rognstad, 2015), which emphasizes the need to focus on pain education.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study

Damsgård

Solgård

Johannessen

et al. 2018

Pain Management Nursing

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study

Damsgård

Solgård

Johannessen

et al. 2018

Pain Management Nursing

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show abstract

“…Checklists aim to standardize a process and thus to improve patient outcomes 22. Checklists for preventing risk of falls,23 pressure ulcers,24 pain assessment,25 and surgical safety are well known and widely used in nursing. It is important though to understand that checklists are reminders of what to do.…”

Section: Discussionmentioning

confidence: 99%

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Næss¹,

Wyller²,

Kirkevold³

2019

JMDH

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AimTo identify experiences and opinions about the need for a structured follow-up and to identify potential benefits and barriers to the use of a checklist (Sub Acute Functional decline in the Older people [SAFE]) when caring for frail home-dwelling older people.BackgroundThe complexity of older peoples’ health situation requires more coordinated health care across health care levels and a better structured follow-up than is currently being offered, especially in the transitional phase between hospital discharge and primary care, but also in more stable phases at home.DesignThis was a qualitative study using focus group interviews.MethodsData were collected during six focus group interviews in three districts in a municipality. Nineteen registered nurses (RNs) and seventeen leaders responsible for the follow-up of frail home-dwelling older people participated. Participants were representatives of the RNs in homecare and their leaders.ResultsOur results highlight that although most RNs and their leaders saw a number of significant benefits to conducting a structured assessment and follow-up of frail older people home care recipients, a number of barriers made this difficult to realize on a daily basis.ConclusionThere is no common perception that a structured follow-up of frail home-dwelling older people in primary health care is an important and contributing factor to better quality of health care. Despite this, most RNs and leaders found that the use of a structured checklist such as SAFE was a benefit to achieving a structured follow-up of the frail older people. We identified several factors of importance to whether a structured follow-up with a checklist is conducted in home care.

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“…Over half of the pain intervention studies (n = 13) were related to non-pharmaceutical treatments, and Pain training interventions were examined in 21 papers, and were generally shown to be effective in improving pain management and treatment use/appropriateness ( IncS 19,32,33,39,40,43,63,79,84,87,97). As well as improved pain management, resident quality of care and quality of life also had the potential to be enhanced (IncS 11), which could impact on their longer term wellbeing…”

Section: Interventionsmentioning

confidence: 99%

Pain Assessment and Management in Care Homes: Understanding the Internal and External Context Through a Scoping Review

Pringle

Hockley

Alvarado

et al. 2020

Preprint

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Background: Internationally, 2-5% of people live in residential or nursing homes, many with multi-morbidities, including severe cognitive impairment. Pain is frequently considered an expected part of old age and morbidity, and may often be either under-reported by care home residents, or go unrecognized by care staff. We conducted a systematic scoping review to explore the complexity of pain recognition, assessment and treatment for residents living in care homes, and to understand the internal and external contexts that might influence its management.Methods: We conducted a scoping review using the methodological framework of Levac and colleagues. Articles were included if they examined pain assessment or management for care or nursing home residents. We searched Medline, CINAHL, ASSIA, PsycINFO, EMBASE, Cochrane Library, and Google Scholar; reference lists were screened, and website searches carried out of key organisations, to ensure relevant evidence was retrieved, including grey literature. As per the methodolocal framework, stakeholder evidence from 16 local care home managers was also accessed, to undertand their current perspectives.Results: Inclusion criteria were met by 109 studies. Three overarching themes were identified: staff variables and beliefs, pain assessment, and interventions. Evidence from the review indicated a lack of training and staff confidence in relation to pain assessment and management in care homes. This was particularly the case for residents with dementia, who cannot always verbalize their pain, and may resort to behavioral manifestations to try and communicate their distress.Conclusions: This review has highlighted that training and detailed guidelines for the appropriate assessment and treatment of pain are required by care home staff. Professionals external to the care home environment need to be aware of the issues facing care homes staff and residents in order to target their input in the most appropriate way. Internal and external contexts need further examination in order to integrate recognition and assessment of pain, and its management, to the benefit of residents.

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Pain Assessment Strategies in Home Care and Nursing Homes in Mid-Norway: A Cross-sectional Survey

Cited by 16 publications

References 23 publications

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study

<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Pain Assessment and Management in Care Homes: Understanding the Internal and External Context Through a Scoping Review

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