IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v20y2011i13-14p1849-1857.html
   My bibliography  Save this article

Predictors of pain in nursing home residents with dementia: a cross‐sectional study

Author

Listed:
  • Pei‐Chao Lin
  • Li‐Chan Lin
  • Yea‐Ing L Shyu
  • Mau‐Sun Hua

Abstract

Aim. The aim of this study was to investigate the association between care activities and pain and restraint and pain in residents with dementia. Background. If pain in people with dementia is not identified or alleviated in a timely manner, it could lead to an adverse effect on their physical, mental, social health and quality of life. Care activities and restraint might cause pain, but little is known as to whether they are true risk‐factors of pain in people with dementia. Design. A cross‐sectional research design was employed. Methods. One hundred and twelve people with dementia were chosen from two nursing homes located in northern Taiwan. The demographic and clinical data collected included diagnoses, analgesics, restraints, recent falls, etc. The severity of dementia was assessed using the Clinical Dementia Rating Scale. The researchers observed every participant immediately following instances of routine care and then recorded the level of pain using the Chinese version of the Pain Assessment in Advanced Dementia scale. Results. About 36·6% of the participants had a Chinese version of the Pain Assessment in Advanced Dementia scale score above two points and an overall mean score of 1·50 (SD 1·81) with a range from 0–8. Only one resident with dementia received regular analgesic. Pain level in residents with dementia that needed assisted care was higher than in residents who were able to move about freely. It showed a positive correlation between level of pain and the severity of dementia among residents. The major predictors for pain in residents with dementia included restraint, assisted bathing and assisted transfer. Conclusion. The findings confirm the association between care activities and pain and between restraint and pain in residents with dementia. Relevance to clinical practice. Formal caregivers need to minimise the triggering of pain when they assist residents’ daily activities and avoid unnecessary restraints, while offering personalised, conventional nursing care to residents with late‐stage dementia.

Suggested Citation

  • Pei‐Chao Lin & Li‐Chan Lin & Yea‐Ing L Shyu & Mau‐Sun Hua, 2011. "Predictors of pain in nursing home residents with dementia: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(13‐14), pages 1849-1857, July.
  • Handle: RePEc:wly:jocnur:v:20:y:2011:i:13-14:p:1849-1857
    DOI: 10.1111/j.1365-2702.2010.03695.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2010.03695.x
    Download Restriction: no

    File URL: https://libkey.io/10.1111/j.1365-2702.2010.03695.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Li‐Li Guo & Li Li & Yao‐Wei Liu & Keela Herr, 2015. "Evaluation of two observational pain assessment scales during the anaesthesia recovery period in Chinese surgical older adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 212-221, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:20:y:2011:i:13-14:p:1849-1857. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.