Pain Screening in the Older Adult With Delirium

Goebel, Joy R.; Ferolito, Michelle; Gorman, Nicholas

doi:10.1016/j.pmn.2019.07.003

Cited by 9 publications

(11 citation statements)

References 46 publications

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“…These facts could explain why nurses adapted the scale to the patient. Goebel et al., ( 2019 ) endorse the use of the PAINAD scale in patients with delirium.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, progress has been made in managing pain for patients with dementia. Numerous studies have evaluated PAINAD scale in different care settings (Fry et al, 2017;Goebel et al, 2019), reviewed pharmacological and non-pharmacological treatments for pain (Schuler, 2019), and updated protocols and guidelines for pain management in older people with dementia (Herr et al, 2019;Schofield, 2018;Whitlock et al, 2017). However, there are few studies focussed on nursing records about pain and pain management, and most of these deal with oncological pain (Song et al, 2015) or postsurgical pain (Erden et al, 2017;Heikkilä et al, 2016).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…In recent years, progress has been made in managing pain for patients with dementia. Numerous studies have evaluated PAINAD scale in different care settings (Fry et al., 2017 ; Goebel et al., 2019 ), reviewed pharmacological and non‐pharmacological treatments for pain (Schuler, 2019 ), and updated protocols and guidelines for pain management in older people with dementia (Herr et al., 2019 ; Schofield, 2018 ; Whitlock et al., 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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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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“…These facts could explain why nurses adapted the scale to the patient. Goebel et al., ( 2019 ) endorse the use of the PAINAD scale in patients with delirium.…”

Section: Discussionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pain management nursing practice assessment in older adults with dementia

et al. 2021

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“…Individual domain items were scored from 0 (no pain) to 2 (highest score for pain); total scores range from 0 to 8. A score ≧2 indicates pain [ 8 – 10 ].…”

Section: Methodsmentioning

confidence: 99%

Effect of remifentanil-based fast-track anesthesia on postoperative analgesia and sedation in adult patients undergoing transthoracic device closure of ventricular septal defect

Huang

Kim

et al. 2020

J Cardiothorac Surg

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Objective To investigate the effect of remifentanil-based fast-track anesthesia on analgesia and sedation after transthoracic device closure of ventricular septal defects (VSDs) in adult patients. Methods A retrospective analysis was performed on 59 patients aged 21–53 years who underwent transthoracic device closure of VSDs from January 2019 to September 2019. According to the different anesthesia strategies, the patients were divided into the R group (using remifentanil-based anesthesia, n = 33) and the S group (using sufentanil-based anesthesia, n = 26). Patient-related clinical data, postoperative analgesia, and sedation scores were collected and analyzed. Results There was no significant difference in age, gender, body weight, and operation time between the group R and the group S (P > 0.05). There was also no significant difference in intraoperative hemodynamic changes, BIS scores, postoperative analgesia, and sedation scores between the two groups (P > 0.05). The duration of mechanical ventilation, the length of ICU stay, and hospital stay in the group R were significantly lower than those in the group S (P < 0.05). Conclusion Remifentanil-based fast-track anesthesia is effective for adult patients undergoing transthoracic device closure of VSDs, which may shorten the mechanical ventilation duration, the ICU and hospital stay of patients.

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“…With respect to their psychometric properties Goebel et al (2019) found PAINAD to be a reliable and valid tool for pain screening in medical or surgical settings. However, a recent systematic review (Tapp et al 2019) assessing pain assessment tools for non-verbal patients at EoL concluded that more work is needed to improve the scientific basis for testing and recommended a new tool be developed for this population.…”

Section: Table 4 Herementioning

confidence: 99%

Assessment of pain in people living with dementia at the end of life: a systematic review

et al. 2021

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Background: People with dementia may not receive the same quality of palliative care as those with other life-limiting conditions, particularly at end of life (EoL). Aims: To understand the best way to examine pain in people with dementia. Methods: A systematic review of tools to assess pain in patients with dementia near the end of life; PubMed, Medline, Embase, EBSCO Host, CINAHL Plus, Web of Science, Psycinfo, PsycArticles and Scopus were searched. Findings: A total of 15 articles were identified, which were qualitatively synthesised. Conclusion: There are a range of pain assessment tools that are appropriate for use in people with dementia, but all 15 studies used a formal tool. A more robust approach is needed to improve the quality of research for measurement and management of pain in this population.

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Pain Screening in the Older Adult With Delirium

Cited by 9 publications

References 46 publications

Pain management nursing practice assessment in older adults with dementia

Pain management nursing practice assessment in older adults with dementia

Effect of remifentanil-based fast-track anesthesia on postoperative analgesia and sedation in adult patients undergoing transthoracic device closure of ventricular septal defect

Assessment of pain in people living with dementia at the end of life: a systematic review

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