Pain Management of Community-dwelling Older Adults with Dementia Practiced by Visiting Nurses
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- Ando Chiaki
- Department of Gerontological and Home Care Nursing, Health Sciences, Tohoku University Graduate School of Medicine
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- Kanno Yusuke
- Division of Psycho-Oncology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center
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- Suzuki Shoko
- Kenwakai Medical Corporation, Kitasenju- Visiting Nursing Station
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- Takahashi Fumiyo
- Kenwakai Medical Corporation, Kitasenju- Visiting Nursing Station
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- Ogawa Asao
- Division of Psycho-Oncology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center
Bibliographic Information
- Other Title
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- 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>
Journal
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- Palliative Care Research
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Palliative Care Research 14 (2), 151-157, 2019
Japanese Society for Palliative Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390564238103081600
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- NII Article ID
- 130007668942
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- ISSN
- 18805302
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed