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Pain in institutionalized elders with chronic dementia.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Pain in institutionalized elders with chronic dementia./
作者:	Young, Diane Marie.
面頁冊數:	1 online resource (169 pages)
附註:	Source: Dissertations Abstracts International, Volume: 63-10, Section: B.
Contained By:	Dissertations Abstracts International63-10B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3034162click for full text (PQDT)
ISBN:	9780493472560

Pain in institutionalized elders with chronic dementia.
Young, Diane Marie.

Pain in institutionalized elders with chronic dementia. - 1 online resource (169 pages)

Source: Dissertations Abstracts International, Volume: 63-10, Section: B.

Thesis (Ph.D.)--The University of Iowa, 2001.

Includes bibliographical references

The purpose of the study was to identify (1) the prevalence of pain in institutionalized elders with dementia, (2) how frequently nurses and physicians assess pain and order/implement pain interventions, and (3) the relationship between pain and physical and cognitive function, depression, and agitation. The Progressively Lowered Stress Threshold model served as the theoretical framework for the study. The sample consisted of 104 elders with diagnosed dementia residing in one of three community-based nursing homes in the Midwest. Pain was assessed using the Discomfort Scale for Dementia of the Alzheimer's Type, an observational scale based on pain behaviors. Subjects completed the MMSE and the Dementia Rating Scale to measure cognitive function. The nursing assistant most familiar with the subject completed the Cornell Scale for Depression in Dementia, the Cohen-Mansfield Agitation Inventory, and the Functional Abilities Checklist. The most recent MDS scores for depression and agitation were also used in analysis. Information was extracted from the chart to identify documentation of pain assessment and intervention. Results. Pain was identified in 76 subjects (73%) based on the DS-DAT scale. During the prior three months, nurses documented pain assessment for 77 subjects (74%) and physicians documented pain assessment for 35 subjects (33.7%). Fifty-five subjects (52.9%) received an analgesic during the prior 72 hours. MANOVA was conducted to analyze the relationship between pain and dependent variables. Significant relationships were identified for physical function (p = .001) and cognitive function (p = .000). Correlation and multiple regression identified a strong relationship between depression and agitation, though neither of these was significantly associated with pain. Conclusion . Many institutionalized elders with dementia experience continuing pain due to inadequate assessment and intervention. Unrelieved pain in these individuals is associated with functional impairment. Further study is needed regarding the association between depression and agitation in this population.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9780493472560Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

DementiaIndex Terms--Genre/Form:

542853
Electronic books.

Pain in institutionalized elders with chronic dementia.
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520 $a The purpose of the study was to identify (1) the prevalence of pain in institutionalized elders with dementia, (2) how frequently nurses and physicians assess pain and order/implement pain interventions, and (3) the relationship between pain and physical and cognitive function, depression, and agitation. The Progressively Lowered Stress Threshold model served as the theoretical framework for the study. The sample consisted of 104 elders with diagnosed dementia residing in one of three community-based nursing homes in the Midwest. Pain was assessed using the Discomfort Scale for Dementia of the Alzheimer's Type, an observational scale based on pain behaviors. Subjects completed the MMSE and the Dementia Rating Scale to measure cognitive function. The nursing assistant most familiar with the subject completed the Cornell Scale for Depression in Dementia, the Cohen-Mansfield Agitation Inventory, and the Functional Abilities Checklist. The most recent MDS scores for depression and agitation were also used in analysis. Information was extracted from the chart to identify documentation of pain assessment and intervention. Results. Pain was identified in 76 subjects (73%) based on the DS-DAT scale. During the prior three months, nurses documented pain assessment for 77 subjects (74%) and physicians documented pain assessment for 35 subjects (33.7%). Fifty-five subjects (52.9%) received an analgesic during the prior 72 hours. MANOVA was conducted to analyze the relationship between pain and dependent variables. Significant relationships were identified for physical function (p = .001) and cognitive function (p = .000). Correlation and multiple regression identified a strong relationship between depression and agitation, though neither of these was significantly associated with pain. Conclusion . Many institutionalized elders with dementia experience continuing pain due to inadequate assessment and intervention. Unrelieved pain in these individuals is associated with functional impairment. Further study is needed regarding the association between depression and agitation in this population.
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