[Updated on Apr. 18] Integration of CiNii Articles into CiNii Research

Pain Management of Community-dwelling Older Adults with Dementia Practiced by Visiting Nurses

DOI Web Site 20 References Open Access
  • Ando Chiaki
    Department of Gerontological and Home Care Nursing, Health Sciences, Tohoku University Graduate School of Medicine
  • Kanno Yusuke
    Division of Psycho-Oncology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center
  • Suzuki Shoko
    Kenwakai Medical Corporation, Kitasenju- Visiting Nursing Station
  • Takahashi Fumiyo
    Kenwakai Medical Corporation, Kitasenju- Visiting Nursing Station
  • Ogawa Asao
    Division of Psycho-Oncology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center

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Other Title
  • 訪問看護師が実施している在宅認知症高齢者の疼痛マネジメント

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Abstract

<p>To clarify nursing practices in pain management of community-dwelling older adults with dementia by visiting nurses, we conducted semi-structured interviews with 10 visiting nurses and analyzed their responses qualitatively and inductively. As a result, 24 subcategories and 8 categories were identified. Visiting nurses were found to conduct pain assessment and assessment based on behavioral changes in usual daily life because of characteristics of health assessment in home care, in which the goal is to comprehensively support clients as living people, in addition to standard pain management of older people with dementia. The results suggest that the viewpoint to integrate information from other professionals and family members and assess daily life comprehensively is important, and some mechanism to facilitate multidisciplinary information sharing is required. When visiting nurses were unsure of whether a patient is in pain, they evaluated the patient’s pain on the basis of behavioral changes in his or her normal daily life after medication or nondrug treatment. A nationwide survey is necessary for further clarification.</p>

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