2.50
Hdl Handle:
http://hdl.handle.net/10755/161580
Type:
Presentation
Title:
Development and Testing of an Instrument to Assess Pain in Confused Older Adults
Abstract:
Development and Testing of an Instrument to Assess Pain in Confused Older Adults
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Decker, Sheila
P.I. Institution Name:Emory University
Title:Postdoctoral Fellow
Contact Address:Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road NE, Atlanta, GA, 30322-4207, USA
The purposes of this study were to develop and evaluate the psychometric properties of an instrument containing nonverbal cues to assess pain in acutely confused older adults and to describe the differences among selected demographic variables and scores on the pain and confusion measures. The Pain Assessment Tool in Confused Older Adults (PATCOA) contains nonverbal cues of pain. One hundred sixteen cognitively intact older adults, 60 to 80 years of aging undergoing orthopedic surgery, participated in the study. Data were collected using the PATCOA, visual analogue scale, and NEECHAM Confusion Scale. For 23-paired observations, the percent of agreement for each nonverbal cue was 56.5% to 100%. The Spearman correlations ranged between 0.156 to 1.00. Nine nonverbal cues were subjected to exploratory factor analysis. Four components explained 69.83% variance. A total PATCOA score was used as a dependent variable in a hierarchical regression. The NEECHAM Confusion Scale was entered into the model, then the visual analogue scale. When controlling for confusion, the addition of the visual analogue scale increased explained variance by 5%. Older adults reported higher levels of pain on the visual analogue scale, yet age was not significantly related to nonverbal cues of pain. Women reported significantly more pain than men. There were no differences between women and men for display of nonverbal pain cues and level of acute confusion. There were no significant differences with ethnicity and self-report of pain, display of nonverbal pain cues, or level of confusion. The development and testing of the PATCOA provide steps to contribute to the developing body of knowledge about pain assessment in acutely confused older adults.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment and Testing of an Instrument to Assess Pain in Confused Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161580-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Testing of an Instrument to Assess Pain in Confused Older Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Decker, Sheila</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Emory University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Postdoctoral Fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road NE, Atlanta, GA, 30322-4207, USA</td></tr><tr><td colspan="2" class="item-abstract">The purposes of this study were to develop and evaluate the psychometric properties of an instrument containing nonverbal cues to assess pain in acutely confused older adults and to describe the differences among selected demographic variables and scores on the pain and confusion measures. The Pain Assessment Tool in Confused Older Adults (PATCOA) contains nonverbal cues of pain. One hundred sixteen cognitively intact older adults, 60 to 80 years of aging undergoing orthopedic surgery, participated in the study. Data were collected using the PATCOA, visual analogue scale, and NEECHAM Confusion Scale. For 23-paired observations, the percent of agreement for each nonverbal cue was 56.5% to 100%. The Spearman correlations ranged between 0.156 to 1.00. Nine nonverbal cues were subjected to exploratory factor analysis. Four components explained 69.83% variance. A total PATCOA score was used as a dependent variable in a hierarchical regression. The NEECHAM Confusion Scale was entered into the model, then the visual analogue scale. When controlling for confusion, the addition of the visual analogue scale increased explained variance by 5%. Older adults reported higher levels of pain on the visual analogue scale, yet age was not significantly related to nonverbal cues of pain. Women reported significantly more pain than men. There were no differences between women and men for display of nonverbal pain cues and level of acute confusion. There were no significant differences with ethnicity and self-report of pain, display of nonverbal pain cues, or level of confusion. The development and testing of the PATCOA provide steps to contribute to the developing body of knowledge about pain assessment in acutely confused older adults.</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:43Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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