Pain Assessment as Management for Patients with Dementia: Long-Term Training Effects of Formal Caregivers

2.50
Hdl Handle:
http://hdl.handle.net/10755/304085
Category:
Abstract
Type:
Presentation
Title:
Pain Assessment as Management for Patients with Dementia: Long-Term Training Effects of Formal Caregivers
Author(s):
Lin, Li-Chan
Lead Author STTI Affiliation:
Non-member
Author Details:
Li-Chan Lin, PhD, lichan@ym.edu.tw
Abstract:

Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013

Purpose:

The aims of this study was to compare the long-term effects of a combination of pain assessment, facial expression of pain, demonstration, return demonstration and boosted training on pain detection and management for formal caregivers.

Methods:

Subjects (372 residents and 162 formal caregivers) were recruited from eight nursing homes. The eight institutions were randomly assigned into experimental group I (EI), experimental group II (EII) or the control group (CG). Formal caregivers in EI received didactic training in pain assessment and the facial expression of pain, video and discussion session on facial expression of pain, demonstration and return demonstration to record the facial expression of pain. After completing the above training, formal caregivers in EI group continually received boosted training at 3-, 6-, and 9-month. Formal caregivers in EII group received didactic training in pain assessment and facial expression of pain, but no return demonstration of record facial expression and boosted training. The CG did not receive any training and conduct their routine assessment.

Results:

 Repeated measure and general estimate equation (GEE) were used to determine the long-term effects of training. Registered nurses (RNs) and nurse aids (NAs) in EI group had higher scores of identified residents’ pain than the other two groups.  Also, residents with dementia in EI group had more pain relief medication, NSAID, muscle relaxant use than the other two groups. Further analysis, general estimate equation (GEE) revealed that EI group could maintain the pain relief medication and NSAID use, but CG had the trend of decreasing pain relief medication and NSAID use in study period. However, residents with dementia at EII had higher hospitalization than that in other two groups.

Conclusion:

Based on the above results, it is recommended that health professionals in long-term care facilities should periodically discuss residents' pain to provide appropriate pain management.

Keywords:
Residents with dmentia; Long-term care facilities; Pain
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePain Assessment as Management for Patients with Dementia: Long-Term Training Effects of Formal Caregiversen_GB
dc.contributor.authorLin, Li-Chanen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLi-Chan Lin, PhD, lichan@ym.edu.twen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304085-
dc.description.abstract<p>Poster presented on: Wednesday, July 24, 2013, Thursday, July 25, 2013</p><b>Purpose: </b> <p>The aims of this study was to compare the long-term effects of a combination of pain assessment, facial expression of pain, demonstration, return demonstration and boosted training on pain detection and management for formal caregivers. <p><b>Methods: </b> <p>Subjects (372 residents and 162 formal caregivers) were recruited from eight nursing homes. The eight institutions were randomly assigned into experimental group I (EI), experimental group II (EII) or the control group (CG). Formal caregivers in EI received didactic training in pain assessment and the facial expression of pain, video and discussion session on facial expression of pain, demonstration and return demonstration to record the facial expression of pain. After completing the above training, formal caregivers in EI group continually received boosted training at 3-, 6-, and 9-month. Formal caregivers in EII group received didactic training in pain assessment and facial expression of pain, but no return demonstration of record facial expression and boosted training. The CG did not receive any training and conduct their routine assessment. <p><b>Results: </b> <p> Repeated measure and general estimate equation (GEE) were used to determine the long-term effects of training. Registered nurses (RNs) and nurse aids (NAs) in EI group had higher scores of identified residents’ pain than the other two groups.  Also, residents with dementia in EI group had more pain relief medication, NSAID, muscle relaxant use than the other two groups. Further analysis, general estimate equation (GEE) revealed that EI group could maintain the pain relief medication and NSAID use, but CG had the trend of decreasing pain relief medication and NSAID use in study period. However, residents with dementia at EII had higher hospitalization than that in other two groups. <p><b>Conclusion: </b> <p>Based on the above results, it is recommended that health professionals in long-term care facilities should periodically discuss residents' pain to provide appropriate pain management.en_GB
dc.subjectResidents with dmentiaen_GB
dc.subjectLong-term care facilitiesen_GB
dc.subjectPainen_GB
dc.date.available2013-10-22T20:28:52Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:28:52Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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