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Ability of the Pain Recognition and Treatment (PRT) Protocol to Reduce Expressions of Pain among Institutionalized Residents with Dementia / Yi-Heng Chen in Pain Management Nursing, Vol. 17, n°1 (February 2016)

Public ISBD [article]  inPain Management Nursing > Vol. 17, n°1 (February 2016) . - p. 14-24 Titre : Ability of the Pain Recognition and Treatment (PRT) Protocol to Reduce Expressions of Pain among Institutionalized Residents with Dementia : A Cluster Randomized Controlled Trial Type de document : Article Auteurs : Yi-Heng Chen ; Li-Chan Lin Année de publication : 2016 Article en page(s) : p. 14-24 Langues : Anglais (eng) Descripteurs : HE Vinci Comportement ; Démarche qualité ; Démence ; Douleur ; Echelles d'évaluation ; Protocole ; Recherche ; Soins ; Thérapeutique Résumé : Many strategies have been used to improve pain management in institutionalized care settings, but there is no consensus on the effects of these methods. The study purpose was to compare the effect of a Pain Recognition and Treatment (PRT) protocol coupled with basic pain education (experimental group) versus basic pain education alone (control group) in (1) improving the pain management performance of registered nurses (RNs) and (2) reducing pain-related expressions of residents with dementia postintervention and at 3-month follow up. A double-blind cluster randomized controlled trial with a 3-month follow-up period was conducted with 195 residents of six dementia special-care units. The weekly pain management performance of RNs (e.g., use of pharmacologic and nonpharmacologic strategies, use of referral) was recorded and weekly average scores of the pain-related expressions of residents were assessed using the following: the Verbal Descriptor Scale (VDS), Pain Assessment in Advanced Dementia Scale (PAINAD), and the Cohen-Mansfield Agitation Inventory (CMAI). The generalized linear mixed model analysis showed that, after intervention, the experimental group had significantly more weekly nonpharmacologic pain relief strategies and weekly referrals for pain management than the control group. Residents in the experimental group had significantly fewer verbal and behavioral expressions of pain compared to those in the control group. However, the groups did not differ significantly in the use of pharmacological strategies or the agitated behaviors expressed by residents. The PRT protocol is effective and is recommended for routine use in residents with dementia to improve the quality of pain care. Disponible en ligne : Non [article] Ability of the Pain Recognition and Treatment (PRT) Protocol to Reduce Expressions of Pain among Institutionalized Residents with Dementia : A Cluster Randomized Controlled Trial [Article] / Yi-Heng Chen ; Li-Chan Lin . - 2016 . - p. 14-24. Langues : Anglais (eng) in Pain Management Nursing > Vol. 17, n°1 (February 2016) . - p. 14-24 Descripteurs : HE Vinci Comportement ; Démarche qualité ; Démence ; Douleur ; Echelles d'évaluation ; Protocole ; Recherche ; Soins ; Thérapeutique Résumé : Many strategies have been used to improve pain management in institutionalized care settings, but there is no consensus on the effects of these methods. The study purpose was to compare the effect of a Pain Recognition and Treatment (PRT) protocol coupled with basic pain education (experimental group) versus basic pain education alone (control group) in (1) improving the pain management performance of registered nurses (RNs) and (2) reducing pain-related expressions of residents with dementia postintervention and at 3-month follow up. A double-blind cluster randomized controlled trial with a 3-month follow-up period was conducted with 195 residents of six dementia special-care units. The weekly pain management performance of RNs (e.g., use of pharmacologic and nonpharmacologic strategies, use of referral) was recorded and weekly average scores of the pain-related expressions of residents were assessed using the following: the Verbal Descriptor Scale (VDS), Pain Assessment in Advanced Dementia Scale (PAINAD), and the Cohen-Mansfield Agitation Inventory (CMAI). The generalized linear mixed model analysis showed that, after intervention, the experimental group had significantly more weekly nonpharmacologic pain relief strategies and weekly referrals for pain management than the control group. Residents in the experimental group had significantly fewer verbal and behavioral expressions of pain compared to those in the control group. However, the groups did not differ significantly in the use of pharmacological strategies or the agitated behaviors expressed by residents. The PRT protocol is effective and is recommended for routine use in residents with dementia to improve the quality of pain care. Disponible en ligne : Non

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Cote	Support	Localisation	Section	Disponibilité
REV	Périodique papier	Woluwe (Promenade de l'Alma)	périodiques	Exclu du prêt

The Credibility of Self-reported Pain Among Institutional Older People with Different Degrees of Cognitive Function in Taiwan / Yi-Heng Chen in Pain Management Nursing, Vol. 16, n°3 (June 2015)

Public ISBD [article]  inPain Management Nursing > Vol. 16, n°3 (June 2015) . - p. 163-172 Titre : The Credibility of Self-reported Pain Among Institutional Older People with Different Degrees of Cognitive Function in Taiwan Type de document : Article Auteurs : Yi-Heng Chen, Auteur ; Li-Chan Lin, Auteur Année de publication : 2015 Article en page(s) : p. 163-172 Langues : Anglais (eng) Descripteurs : HE Vinci Cognition ; Douleur ; Institution ; Personne âgée ; Recherche ; Taïwan Résumé : Despite many studies conducted to validate the self-reported pain of vulnerable patients, it is unclear at what level of cognitive impairment individuals still can provide reliable information. The aims of this study were to examine the reliability and validity of self-reported pain by degree of patients' cognitive function and to determine important predictors of self-reported pain in cognitively impaired residents in long-term care facilities. The 414 participants were divided into four groups according to their scores on the Mini-Mental State Examination (nonimpaired, mild, moderate, and severe cognitive impairment). Multifaceted measures were performed to validate residents' pain reports. Self-reported pain and pain behaviors were measured using the Verbal Descriptor Scale and the Doloplus-2 scale. Known correlates of pain including functional disability, depression, and agitation were compared, using the Barthel Index, the Cornell scale, and the Cohen-Mansfield Agitation Inventory. Intra-rater and interrater reliability were generally acceptable in groups with no impairment to moderate cognitive impairment. The relationships between residents' self-reported pain and the known correlates of pain were almost all significant across groups with no impairment to moderate cognitive impairment, but fewer were significant in the severely impaired group. Regression analyses revealed that multiple pain indicators together were significantly better predictors of self-reported pain in moderately and severely impaired residents. The findings from this study support residents with cognitive impairment up to a moderate level can report pain reliably. However, for those in later stages of dementia, a multifaceted approach is suggested to help in pain recognition. Disponible en ligne : Non [article] The Credibility of Self-reported Pain Among Institutional Older People with Different Degrees of Cognitive Function in Taiwan [Article] / Yi-Heng Chen, Auteur ; Li-Chan Lin, Auteur . - 2015 . - p. 163-172. Langues : Anglais (eng) in Pain Management Nursing > Vol. 16, n°3 (June 2015) . - p. 163-172 Descripteurs : HE Vinci Cognition ; Douleur ; Institution ; Personne âgée ; Recherche ; Taïwan Résumé : Despite many studies conducted to validate the self-reported pain of vulnerable patients, it is unclear at what level of cognitive impairment individuals still can provide reliable information. The aims of this study were to examine the reliability and validity of self-reported pain by degree of patients' cognitive function and to determine important predictors of self-reported pain in cognitively impaired residents in long-term care facilities. The 414 participants were divided into four groups according to their scores on the Mini-Mental State Examination (nonimpaired, mild, moderate, and severe cognitive impairment). Multifaceted measures were performed to validate residents' pain reports. Self-reported pain and pain behaviors were measured using the Verbal Descriptor Scale and the Doloplus-2 scale. Known correlates of pain including functional disability, depression, and agitation were compared, using the Barthel Index, the Cornell scale, and the Cohen-Mansfield Agitation Inventory. Intra-rater and interrater reliability were generally acceptable in groups with no impairment to moderate cognitive impairment. The relationships between residents' self-reported pain and the known correlates of pain were almost all significant across groups with no impairment to moderate cognitive impairment, but fewer were significant in the severely impaired group. Regression analyses revealed that multiple pain indicators together were significantly better predictors of self-reported pain in moderately and severely impaired residents. The findings from this study support residents with cognitive impairment up to a moderate level can report pain reliably. However, for those in later stages of dementia, a multifaceted approach is suggested to help in pain recognition. Disponible en ligne : Non

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
REV	Périodique papier	Woluwe (Promenade de l'Alma)	périodiques	Exclu du prêt