The assessment and management of pain among older people in care homes: current status and future directions
Pain is highlighted as a significant, yet neglected problem among older people, particularly in long-term care settings. The effects of inadequate assessment and treatment of pain among older people may lead to multiple problems. Problems arise due to cognitive impairment of clients and inadequate a...
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Veröffentlicht in: | International journal of nursing studies 2003-03, Vol.40 (3), p.291-298 |
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container_title | International journal of nursing studies |
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creator | Cowan, David T. Fitzpatrick, Joanne M. Roberts, Julia D. While, Alison E. Baldwin, Julie |
description | Pain is highlighted as a significant, yet neglected problem among older people, particularly in long-term care settings. The effects of inadequate assessment and treatment of pain among older people may lead to multiple problems.
Problems arise due to cognitive impairment of clients and inadequate assessment by healthcare professionals. Analgesics are under-used and there is a need for improved education of both healthcare professionals and older people regarding attitudes to pain and ageing. Research is needed into the prevalence of pain among older people in United Kingdom (UK) care homes, how best to further educate healthcare professionals regarding pain management and how to enable older people to be facilitative partners in this process. |
doi_str_mv | 10.1016/S0020-7489(02)00087-1 |
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Problems arise due to cognitive impairment of clients and inadequate assessment by healthcare professionals. Analgesics are under-used and there is a need for improved education of both healthcare professionals and older people regarding attitudes to pain and ageing. Research is needed into the prevalence of pain among older people in United Kingdom (UK) care homes, how best to further educate healthcare professionals regarding pain management and how to enable older people to be facilitative partners in this process.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/S0020-7489(02)00087-1</identifier><identifier>PMID: 12605951</identifier><identifier>CODEN: IJNUA6</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Aged ; Analgesics - therapeutic use ; Assessment ; Attitude of Health Personnel ; Biological and medical sciences ; Care homes ; Clinical Competence - standards ; Drug Utilization ; Elderly people ; Forecasting ; Geriatric Assessment ; Geriatric Nursing - education ; Geriatric Nursing - standards ; Health Knowledge, Attitudes, Practice ; Homes for the Aged ; Humans ; Long-Term Care - methods ; Management ; Medical sciences ; Needs Assessment ; Nursing ; Nursing Assessment - methods ; Nursing Evaluation Research ; Nursing Homes ; Nursing Staff - education ; Nursing Staff - psychology ; Older people ; Pain ; Pain - diagnosis ; Pain - epidemiology ; Pain - psychology ; Pain Management ; Pain Measurement - methods ; Patient Participation ; Prevalence ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Residential care ; Specific populations (family, woman, child, elderly...) ; Treatment ; United Kingdom - epidemiology</subject><ispartof>International journal of nursing studies, 2003-03, Vol.40 (3), p.291-298</ispartof><rights>2003 Elsevier Science Ltd</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-4ec3c53d6a311a760ba5f62c2706c93e43cf918db2c238fb3af6db1c344a85e73</citedby><cites>FETCH-LOGICAL-c479t-4ec3c53d6a311a760ba5f62c2706c93e43cf918db2c238fb3af6db1c344a85e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020748902000871$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,30979,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14579525$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12605951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cowan, David T.</creatorcontrib><creatorcontrib>Fitzpatrick, Joanne M.</creatorcontrib><creatorcontrib>Roberts, Julia D.</creatorcontrib><creatorcontrib>While, Alison E.</creatorcontrib><creatorcontrib>Baldwin, Julie</creatorcontrib><title>The assessment and management of pain among older people in care homes: current status and future directions</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Pain is highlighted as a significant, yet neglected problem among older people, particularly in long-term care settings. The effects of inadequate assessment and treatment of pain among older people may lead to multiple problems.
Problems arise due to cognitive impairment of clients and inadequate assessment by healthcare professionals. Analgesics are under-used and there is a need for improved education of both healthcare professionals and older people regarding attitudes to pain and ageing. Research is needed into the prevalence of pain among older people in United Kingdom (UK) care homes, how best to further educate healthcare professionals regarding pain management and how to enable older people to be facilitative partners in this process.</description><subject>Aged</subject><subject>Analgesics - therapeutic use</subject><subject>Assessment</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Care homes</subject><subject>Clinical Competence - standards</subject><subject>Drug Utilization</subject><subject>Elderly people</subject><subject>Forecasting</subject><subject>Geriatric Assessment</subject><subject>Geriatric Nursing - education</subject><subject>Geriatric Nursing - standards</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Long-Term Care - methods</subject><subject>Management</subject><subject>Medical sciences</subject><subject>Needs Assessment</subject><subject>Nursing</subject><subject>Nursing Assessment - methods</subject><subject>Nursing Evaluation Research</subject><subject>Nursing Homes</subject><subject>Nursing Staff - education</subject><subject>Nursing Staff - psychology</subject><subject>Older people</subject><subject>Pain</subject><subject>Pain - diagnosis</subject><subject>Pain - epidemiology</subject><subject>Pain - psychology</subject><subject>Pain Management</subject><subject>Pain Measurement - methods</subject><subject>Patient Participation</subject><subject>Prevalence</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Residential care</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>Treatment</subject><subject>United Kingdom - epidemiology</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0ctu1TAQBmALgehp4RFA3kBhEfDEduywQajiJlViQZHYWRNn0gYl8aknQeLtybmI7ujK8uib8ci_EM9AvQEF1dvvSpWqcMbXr1T5WinlXQEPxAa804Wp4edDsflHTsQp868VgVf-sTiBslK2trARw9UNSWQm5pGmWeLUyhEnvKb9NXVyi_0kcUzTtUxDS1luKW0Hkms1YiZ5k0bidzIuOe86eMZ54f2cbpmXFbR9pjj3aeIn4lGHA9PT43kmfnz6eHXxpbj89vnrxYfLIhpXz4WhqKPVbYUaAF2lGrRdVcbSqSrWmoyOXQ2-bdaS9l2jsavaBqI2Br0lp8_E-WHuNqfbhXgOY8-RhgEnSgsHVxlwNeidfPl_qZX11pl7oXVgtAe1QnuAMSfmTF3Y5n7E_CeACrvkwj65sIslqDLskwuw9j0_PrA0I7V3XceoVvDiCJAjDl3GKfZ854x1tS3t6t4fHK0__LunHDj2NEU65BDa1N-zyl8UbbXG</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Cowan, David T.</creator><creator>Fitzpatrick, Joanne M.</creator><creator>Roberts, Julia D.</creator><creator>While, Alison E.</creator><creator>Baldwin, Julie</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20030301</creationdate><title>The assessment and management of pain among older people in care homes: current status and future directions</title><author>Cowan, David T. ; Fitzpatrick, Joanne M. ; Roberts, Julia D. ; While, Alison E. ; Baldwin, Julie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-4ec3c53d6a311a760ba5f62c2706c93e43cf918db2c238fb3af6db1c344a85e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Analgesics - therapeutic use</topic><topic>Assessment</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Care homes</topic><topic>Clinical Competence - standards</topic><topic>Drug Utilization</topic><topic>Elderly people</topic><topic>Forecasting</topic><topic>Geriatric Assessment</topic><topic>Geriatric Nursing - education</topic><topic>Geriatric Nursing - standards</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Long-Term Care - methods</topic><topic>Management</topic><topic>Medical sciences</topic><topic>Needs Assessment</topic><topic>Nursing</topic><topic>Nursing Assessment - methods</topic><topic>Nursing Evaluation Research</topic><topic>Nursing Homes</topic><topic>Nursing Staff - education</topic><topic>Nursing Staff - psychology</topic><topic>Older people</topic><topic>Pain</topic><topic>Pain - diagnosis</topic><topic>Pain - epidemiology</topic><topic>Pain - psychology</topic><topic>Pain Management</topic><topic>Pain Measurement - methods</topic><topic>Patient Participation</topic><topic>Prevalence</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Residential care</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>Treatment</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cowan, David T.</creatorcontrib><creatorcontrib>Fitzpatrick, Joanne M.</creatorcontrib><creatorcontrib>Roberts, Julia D.</creatorcontrib><creatorcontrib>While, Alison E.</creatorcontrib><creatorcontrib>Baldwin, Julie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cowan, David T.</au><au>Fitzpatrick, Joanne M.</au><au>Roberts, Julia D.</au><au>While, Alison E.</au><au>Baldwin, Julie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The assessment and management of pain among older people in care homes: current status and future directions</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>40</volume><issue>3</issue><spage>291</spage><epage>298</epage><pages>291-298</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><coden>IJNUA6</coden><abstract>Pain is highlighted as a significant, yet neglected problem among older people, particularly in long-term care settings. The effects of inadequate assessment and treatment of pain among older people may lead to multiple problems.
Problems arise due to cognitive impairment of clients and inadequate assessment by healthcare professionals. Analgesics are under-used and there is a need for improved education of both healthcare professionals and older people regarding attitudes to pain and ageing. Research is needed into the prevalence of pain among older people in United Kingdom (UK) care homes, how best to further educate healthcare professionals regarding pain management and how to enable older people to be facilitative partners in this process.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>12605951</pmid><doi>10.1016/S0020-7489(02)00087-1</doi><tpages>8</tpages></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
subjects | Aged Analgesics - therapeutic use Assessment Attitude of Health Personnel Biological and medical sciences Care homes Clinical Competence - standards Drug Utilization Elderly people Forecasting Geriatric Assessment Geriatric Nursing - education Geriatric Nursing - standards Health Knowledge, Attitudes, Practice Homes for the Aged Humans Long-Term Care - methods Management Medical sciences Needs Assessment Nursing Nursing Assessment - methods Nursing Evaluation Research Nursing Homes Nursing Staff - education Nursing Staff - psychology Older people Pain Pain - diagnosis Pain - epidemiology Pain - psychology Pain Management Pain Measurement - methods Patient Participation Prevalence Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Residential care Specific populations (family, woman, child, elderly...) Treatment United Kingdom - epidemiology |
title | The assessment and management of pain among older people in care homes: current status and future directions |
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