The Norwegian Doloplus-2, a tool for behavioural pain assessment: translation                 and pilot-validation in nursing home patients with cognitive impairment

Hølen, Jacob Chr.; Saltvedt, Ingvild; Fayers, Peter; Bjørnnes, Marit; Stenseth, Guri; Hval, Bjørn; Filbet, Marilène; Loge, Jon Håvard; Kaasa, Stein

doi:10.1191/0269216305pm1031oa

Cited by 47 publications

(78 citation statements)

References 21 publications

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“…Regular training in the use of pain assessment tools is needed for health care workers in home care and nursing homes. Ó 2015 by the American Society for Pain Management Nursing within the general population is estimated to range from 25% to 50% (American Geriatrics Society, 2002;Johannes, Le, Zhou, Johnston, & Dworkin, 2010;Rustøen et al, 2005). The prevalence of pain in patients living in nursing homes and community care is even higher (27.8%-86.5%).…”

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confidence: 99%

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

Torvik¹,

Nordtug²,

Brenne³

et al. 2015

Pain Management Nursing

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The prevalence of pain ranges from 27.8% to 86.5% in nursing homes and 42% to 50% in home care. Pain assessment is the first step toward effective pain management. The aim of this study was to explore the use of pain assessment strategies (verbal, numeric, and observation rating scales and standardized questions) in home care and nursing homes. The study was a descriptive cross-sectional survey. Health care providers who were responsible for the patients' medications replied to a questionnaire. In-home care and nursing homes in 11 randomly selected municipalities in Mid-Norway were included. Three hundred ninety-two individuals were included in this study (70% response rate): 271 (69%) from nursing homes and 121 (31%) from home care. The respondents working in home care had a higher educational level than those in working in nursing homes. Pain assessment instruments were not used frequently in nursing homes and home care. Verbal and numeric rating scales were used significantly more frequently in home care than in nursing homes. Registered nurses (RNs) in nursing homes used standardized questions significantly more often than did RNs in home care. RNs and social educators in home care self-reported less competence in treating the patients' total pain experience than did those in nursing homes. Workplace (working in home care) and regular training in the use of pain assessment tools explained more than 20% of the variation in the use of pain assessment tools. Regular training in the use of pain assessment tools is needed for health care workers in home care and nursing homes.

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“…In this population, other methods such as behavioral pain observation become more useful and necessary (Kaasalainen, 2007;Kaasalainen et al, 2007). Doloplus-2 and MOBID-2 are observational scales validated in nursing homes (Husebo, Strand, Moe-Nilssen, Husebo, & Ljunggren, 2010;Hølen et al, 2007;Hølen, et al, 2005).…”

mentioning

confidence: 99%

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

Torvik¹,

Nordtug²,

Brenne³

et al. 2015

Pain Management Nursing

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“…Undersøkelser viser at demente ofte er underbehandlet for smerte (1,2,(7)(8)(9)(10)(11)(12)(13). Årsaker til dette kan vaere utilstrekkelig smertekartlegging eller manglende bevissthet på at demente kan ha vondt (12).…”

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“…Årsaker til dette kan vaere utilstrekkelig smertekartlegging eller manglende bevissthet på at demente kan ha vondt (12). Smertelindring hos demente avhenger av at andre vurderer deres smerteytringer og handler i forhold til det (1,14).…”

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Får bedre smertebehandling

Galek¹,

Gjertsen²

2011

Sykepleien

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var det rundt 65 000 personer med diagnosen demens i Norge, og andelen vil fordobles frem mot år 2040. 50-80 prosent av pasientene innlagt i sykehjem har en demens sykdom (1-4). Personer med demens dør som oftest ikke av demenssykdommen, men av andre sykdommer som kreft, hjertesvikt, nyresvikt eller KOLS. Noen dør av komplikasjoner fra demens, for eksempel brudd, svelgvansker, fall, infeksjoner eller trykksår (5). Mange av disse tilstandene har smerter som en del av symptombildet (6, 7). Sykepleiers oppgave

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Pain

Herr¹,

Gibson²,

Hadjistavropoulos³

2018

The Wiley Handbook on the Aging Mind and Brain

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The Norwegian Doloplus-2, a tool for behavioural pain assessment: translation and pilot-validation in nursing home patients with cognitive impairment

Abstract: The Norwegian Doloplus-2 demonstrates satisfactory criterion validity and clinical value in this pilot study. However, the content of the instrument needs a general re-evaluation, especially with regard to the psychosocial items.

Cited by 47 publications

References 21 publications

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

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

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Pain

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