1. Evaluation of a Pain Assessment Procedure in Long-Term Care Residents With Pain and Dementia.
- Author
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van Kooten, Janine, Smalbrugge, Martin, van der Wouden, Johannes C., Stek, Max L., and Hertogh, Cees M.P.M.
- Subjects
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PAIN management , *DEMENTIA , *LONG-term care facilities , *ELECTRONIC health records , *FOLLOW-up studies (Medicine) , *DIAGNOSIS of dementia , *TREATMENT of dementia , *PAIN diagnosis , *ANALGESICS , *COMPARATIVE studies , *LONG-term health care , *LONGITUDINAL method , *RESEARCH methodology , *MEDICAL cooperation , *MEDICAL protocols , *PAIN , *PHYSICIANS , *RESEARCH , *EVALUATION research , *PAIN measurement , *DISEASE complications - Abstract
Background: The management of pain in long-term care (LTC) residents with dementia is complex. A prospective exploratory study was conducted to describe the course of pain and pain management strategies following a guideline-based pain assessment procedure in LTC residents with pain and dementia.Measures: Pain observations with the Mobilization Observation Behaviour Intensity Dementia (MOBID-2) Pain Scale, a review of the electronic patient file and pharmacy files and physical examination of LTC residents with pain and dementia.Intervention: Communication of the assessment results to the attending physician including guideline-based treatment recommendations.Outcomes: After three months, complete follow-up data were obtained for 64 residents. Pain intensity was significantly reduced (P < 0.001). The proportion of residents with persistent pain was 58% and the total number of analgesic prescriptions did not change significantly.Conclusions: There is room for improvement regarding pain management in LTC residents with pain and dementia, and performance feedback seems a promising strategy to explore further. [ABSTRACT FROM AUTHOR]- Published
- 2017
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