2020
DOI: 10.1111/jan.14660
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The effectiveness of interventions to improve pain assessment and management in people living with dementia: A systematic review and meta‐analyses

Abstract: Aims To synthesize and evaluate the effectiveness of interventions for nurses to improve the assessment and management of pain in people living with dementia. Design Systematic review and meta‐analyses of randomized controlled trials. Data sources CINAHL, Joanna Briggs Institute (JBI) EBP, Cochrane Library, PubMed, and Scopus databases were searched for all journal articles published between 2009 ‐2019. Review methods Papers were included under population intervention comparator outcome (PICO) framework for: (… Show more

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Cited by 18 publications
(15 citation statements)
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“…A large number of observational pain tools have been developed based on the behavioural cues to identify potential pain. There has been a relatively large number of evaluations and reviews of such pain assessment tools, although there is no one tool that is recommended for use in this population [ 6 , 7 ]. In addition, the care home setting has unique challenges and difficulties in how to integrate pain assessment tools into practice due to the complex care needs of the residents, the high staffing turnover, and the budget considerations [ 8 , 9 , 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…A large number of observational pain tools have been developed based on the behavioural cues to identify potential pain. There has been a relatively large number of evaluations and reviews of such pain assessment tools, although there is no one tool that is recommended for use in this population [ 6 , 7 ]. In addition, the care home setting has unique challenges and difficulties in how to integrate pain assessment tools into practice due to the complex care needs of the residents, the high staffing turnover, and the budget considerations [ 8 , 9 , 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…Clinical guidelines and recommendations for assessing and managing pain in people with dementia are available in most healthcare settings (Anderson et al, 2021). Various approaches have been made to improve nurses' pain assessment and management for people with dementia, including pharmacological and non‐pharmacological management (Liao et al, 2021; Tsai et al, 2020). However, inadequacies and challenges associated with nursing practice, in general, mean that pain in people with dementia remains suboptimal in the global healthcare context (Achterberg et al, 2021).…”
Section: Introductionmentioning
confidence: 99%
“…These guidelines recommend paracetamol as a first-line approach for dementia patients with communication problems, which aligns with systematic reviews [ 10 12 ]. Currently, it is used in nursing homes worldwide.…”
Section: Introductionmentioning
confidence: 99%