Abstract:
BACKGROUND:The aims of this study were to explore the knowledge, attitudes and beliefs that nursing home managers hold with regard to the assessment and management of pain in residents with dementia and to determine how these may be affected by the demographic characteristics of the respondents. METHODS:A questionnaire comprising six sections was mailed, on two occasions during March and April 2010, to 244 nursing home managers in Northern Ireland (representing 96% of the nursing homes in Northern Ireland). RESULTS:The response rate was 39%. Nearly all respondents (96%) provided care to residents with dementia, yet only 60% of managers claimed to use pain treatment guidelines within their nursing home. Respondents demonstrated good knowledge about pain in residents with dementia and acknowledged the difficulties surrounding accurate pain assessment. Nursing home managers were uncertain about how to manage pain in residents with dementia, demonstrating similar concerns about the use of opioid analgesics to those reported in previous studies about pain in older people. Managers who had received recent training (p = 0.044) were less likely to have concerns about the use of opioid analgesia than those who had not received training. Respondents' beliefs about painkillers were largely ambivalent and were influenced by the country in which they had received their nursing education. CONCLUSIONS:The study has revealed that accurate pain assessment, training of nursing staff and a standardised approach to pain management (the use of pain management guidelines) within nursing homes all have a significant part to play in the successful management of pain in residents with dementia.
journal_name
Int J Geriatr Psychiatryjournal_title
International journal of geriatric psychiatryauthors
Barry HE,Parsons C,Peter Passmore A,Hughes CMdoi
10.1002/gps.3770subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1258-66issue
12eissn
0885-6230issn
1099-1166journal_volume
27pub_type
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journal_title:International journal of geriatric psychiatry
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journal_title:International journal of geriatric psychiatry
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更新日期:2008-07-01 00:00:00
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更新日期:2002-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-08-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2005-04-01 00:00:00
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更新日期:2001-07-01 00:00:00
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更新日期:2008-06-01 00:00:00
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更新日期:2010-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-12-01 00:00:00
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更新日期:2004-05-01 00:00:00
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