Pain-Me-Free: A Video Game to Improve Geriatric Pain Management Using a Multi-Discipline Approach

2.50
Hdl Handle:
http://hdl.handle.net/10755/621796
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Pain-Me-Free: A Video Game to Improve Geriatric Pain Management Using a Multi-Discipline Approach
Author(s):
Martinez, Martha; Sanchez-Reilly, Sandra; Ross, Jeanette
Lead Author STTI Affiliation:
Delta Alpha-at-Large
Author Details:
Martha Martinez, MN, RN, Professional Experience: 2012-Present--Clinical Assistant Professor, The University of Texas Health Science Center at San Antonio, Department of Family and Community Health Systems, San Antonio, TX 2003-2011--Director, Primary Health Care Services (Mercy Clinic). Mercy Ministries of Laredo, Laredo, TX Responsible for day-to-day operations of clinical and ancillary services of primary health care clinic. Focus on providing health care services, health education leading to prevention and early detection and outreach services to unfunded, low-income residents in Webb County. 2001-2011--Clinical Adjunct Faculty Texas A & M International University Canseco, School of Nursing, Laredo, TX Author Summary: Mrs. Martinez’s research addresses health disparities at the population level. She has provided health care in the community for 20 years primarily focusing on low-income Hispanic community residents with chronic and complex health problems. In addition, she has worked on programs that target prevention and early detection using a promotora model to recruit and retain patients. Mrs. Martinez is bicultural and bilingual and speaks, reads and writes in both English and Spanish.
Abstract:

Purpose:

In response to the IOM report the Association of American Medical Colleges (AAMC), Accreditation Council for Graduate Medical Education (ACGME) and American Association of Colleges of Nursing (AACN) recognized the importance adequately preparing healthcare professionals to care for elders and developed minimum geriatrics competency guidelines grounded in evidence-based principles of quality care for older adults. Despite its prevalence, evidence suggests that pain is often poorly assessed/managed, especially in the elderly. The PAIN-ME-FREE (Pain Activity for Inter-professional Nursing and Medical Student Education Focusing on Response, Effectiveness and decreasing side Effects among elders) educational intervention aims to promote collaboration and patient-centered best practices by educating health care trainees in the assessment, diagnosis, and safe treatment of total pain for elders, as an integral part of an inter-professional team.

Methods:

This interactive game includes video, audio, and text to gain a general history of the patient the learner will be caring for. Intervention targeted nursing (NL) and medical learners (medical students: MS and fellows: F) at a teaching institution. Pain Game had 3 pain-related scenarios (Older Adult (OA) at home, hospitalized OA after fall and OA at rehabilitation facility). Pain Game has questions related to pain assessment, management and opioid side effects. Scores were compared between learners’ groups.

Aim 1. To evaluate the educational effectiveness of a geriatric chronic interactive pain video-game comparing different types of learners from different disciplines and educational levels.

Aim 2. To evaluate the effectiveness of this teaching tool by the learners.

Results:

Current data presents: N: 77, 78% female, Ethnicity: 36% Hispanic, 33% Caucasian, 4% African American. When comparing NL vs. MS/F; there were no significant differences related to rating or classifying pain. When asking about naming physical, emotional, social and spiritual factors influencing “total pain” when a patient was suffering, 89.5%F were knowledgeable as compared with 77.8%MS and 47%NL (p=0.02). When deciding on a specific pharmacological pain regimen, 100% MS/F had accurate recommendations vs. only 54% NL (p=0.03). When discussing side effects, 100% MS knew opioids caused constipation and how to treat it vs. only 60% NL (p=0.04).

Conclusion:

Incorporating chronic pain education into clinician’s curriculum will greatly improve the management of chronic pain for Older Adults. An innovative intervention such as the Pain Game could be ideal to gain such expertise, and is much needed for all learners, including nursing: the forefront of patient care. Reaching to MS and NL early in their education and providing them with the skills and specialized training to treat chronic pain in Older Adults will improve patient satisfaction and overall quality of care.

Keywords:
Assessment; Geriatrics; Pain
Repository Posting Date:
12-Jul-2017
Date of Publication:
12-Jul-2017
Other Identifiers:
INRC17PST136
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titlePain-Me-Free: A Video Game to Improve Geriatric Pain Management Using a Multi-Discipline Approachen_US
dc.contributor.authorMartinez, Marthaen
dc.contributor.authorSanchez-Reilly, Sandraen
dc.contributor.authorRoss, Jeanetteen
dc.contributor.departmentDelta Alpha-at-Largeen
dc.author.detailsMartha Martinez, MN, RN, Professional Experience: 2012-Present--Clinical Assistant Professor, The University of Texas Health Science Center at San Antonio, Department of Family and Community Health Systems, San Antonio, TX 2003-2011--Director, Primary Health Care Services (Mercy Clinic). Mercy Ministries of Laredo, Laredo, TX Responsible for day-to-day operations of clinical and ancillary services of primary health care clinic. Focus on providing health care services, health education leading to prevention and early detection and outreach services to unfunded, low-income residents in Webb County. 2001-2011--Clinical Adjunct Faculty Texas A & M International University Canseco, School of Nursing, Laredo, TX Author Summary: Mrs. Martinez’s research addresses health disparities at the population level. She has provided health care in the community for 20 years primarily focusing on low-income Hispanic community residents with chronic and complex health problems. In addition, she has worked on programs that target prevention and early detection using a promotora model to recruit and retain patients. Mrs. Martinez is bicultural and bilingual and speaks, reads and writes in both English and Spanish.en
dc.identifier.urihttp://hdl.handle.net/10755/621796-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>In response to the IOM report the Association of American Medical Colleges (AAMC), Accreditation Council for Graduate Medical Education (ACGME) and American Association of Colleges of Nursing (AACN) recognized the importance adequately preparing healthcare professionals to care for elders and developed minimum geriatrics competency guidelines grounded in evidence-based principles of quality care for older adults. Despite its prevalence, evidence suggests that pain is often poorly assessed/managed, especially in the elderly. The <strong>PAIN-ME-FREE</strong> (<strong>P</strong>ain <strong>A</strong>ctivity for <strong>I</strong>nter-professional <strong>N</strong>ursing and <strong>M</strong>edical Student <strong>E</strong>ducation <strong>F</strong>ocusing on <strong>R</strong>esponse, <strong>E</strong>ffectiveness and decreasing side <strong>E</strong>ffects among elders) educational intervention aims to promote collaboration and patient-centered best practices by educating health care trainees in the assessment, diagnosis, and safe treatment of total pain for elders, as an integral part of an inter-professional team.</p> <p><strong>Methods:</strong></p> <p>This interactive game includes video, audio, and text to gain a general history of the patient the learner will be caring for. Intervention targeted nursing (NL) and medical learners (medical students: MS and fellows: F) at a teaching institution. Pain Game had 3 pain-related scenarios (Older Adult (OA) at home, hospitalized OA after fall and OA at rehabilitation facility). Pain Game has questions related to pain assessment, management and opioid side effects. Scores were compared between learners’ groups.</p> <p>Aim 1. To evaluate the educational effectiveness of a geriatric chronic interactive pain video-game comparing different types of learners from different disciplines and educational levels.</p> <p>Aim 2. To evaluate the effectiveness of this teaching tool by the learners.</p> <p><strong>Results:</strong></p> <p>Current data presents: N: 77, 78% female, Ethnicity: 36% Hispanic, 33% Caucasian, 4% African American. When comparing NL vs. MS/F; there were no significant differences related to rating or classifying pain. When asking about naming physical, emotional, social and spiritual factors influencing “total pain” when a patient was suffering, 89.5%F were knowledgeable as compared with 77.8%MS and 47%NL (p=0.02). When deciding on a specific pharmacological pain regimen, 100% MS/F had accurate recommendations vs. only 54% NL (p=0.03). When discussing side effects, 100% MS knew opioids caused constipation and how to treat it vs. only 60% NL (p=0.04).</p> <p><strong>Conclusion:</strong></p> <p>Incorporating chronic pain education into clinician’s curriculum will greatly improve the management of chronic pain for Older Adults. An innovative intervention such as the Pain Game could be ideal to gain such expertise, and is much needed for all learners, including nursing: the forefront of patient care. Reaching to MS and NL early in their education and providing them with the skills and specialized training to treat chronic pain in Older Adults will improve patient satisfaction and overall quality of care.</p>en
dc.subjectAssessmenten
dc.subjectGeriatricsen
dc.subjectPainen
dc.date.available2017-07-12T17:06:24Z-
dc.date.issued2017-07-12-
dc.date.accessioned2017-07-12T17:06:24Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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