Systemer for å avdekke smerte hos eldre personer i utviklingssenter for sykehjem og
hjemmetjenester
Engelsk titel: Systems for pain detection in older patients in nursing homes and home care
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Författare:
Larsen, Toril Agnete
;
Knudsen, Liv-Berit
Email: toril.agnete.larsen@uit.no
Språk: Nor
Antal referenser: 27
Dokumenttyp:
Artikel
UI-nummer: 14013112
Sammanfattning
With increasing age, pain and sensitivity for chronic pain increase while sensitivity for acute pain is reduced. Pain is often inadequately investigated and treated. The purpose of this study is to describe procedures and routines to detect pain in nursing homes and homecare designated as development centers. The units in the study include 780 patients. Among nursing home patients 51.5 % have pain while the percentage among home care patients is 30.5 %. The number of patients diagnosed with dementia and pain amounts to more than 60 %. In six units pain was a predefined category in the patient journal. Six units did not use assessment tools for pain detection. Assessment tools for pain detection and follow-up of pain problems have not been implemented in the majority of the units included. This may lead to random care and treatment as it will depend on the individual employee’s skills rather than on common knowledge and pain assessment. Systems where several approaches in pain assessment are included will contribute to improved quality in diagnostics and treatment. The development centers are intended to promote professional and service development. Based on the findings in this study the development of systems of procedures and routines for pain assessment are recommended.