A literature review exploring how healthcare professionals contribute to the assessment and control of postoperative pain in older people

被引:44
作者
Brown, D [1 ]
机构
[1] Royal Hosp Trust, Belfast, Antrim, North Ireland
关键词
ageism; barriers; communication; older people; pain assessment;
D O I
10.1111/j.1365-2702.2004.01047.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Little research has examined the care older people receive in the acute surgical setting. Although pain assessment and management are judged to be a priority in nursing, often pain, in older people, is undermanaged for a variety of reasons. Factors such as stoicism, communication and ageism can shape both the patients' and nurses' attitude towards the perception of pain which subsequently affects pain management. Through a review of the literature, this paper aims to: (i) identify how healthcare professionals contribute to the assessment and control of postoperative pain in older people and (ii) explore potential barriers to achieving more advantageous pain control in this group. It is suggested that to improve pain management there is a need to individualize pain assessment for older people and to assist clinicians with enhancing their education and decision-making abilities in this field. This may best be achieved by supporting a programme of change to develop the skills of staff and encouraging learning through reflective practice. There is however a need for further research in this area.
引用
收藏
页码:74 / 90
页数:17
相关论文
共 146 条
[71]   THE PROCESS OF TRANSLATING RESEARCH FINDINGS INTO NURSING PRACTICE [J].
HUNT, M .
JOURNAL OF ADVANCED NURSING, 1987, 12 (01) :101-110
[72]   ASSESSMENT OF DISCOMFORT IN ADVANCED ALZHEIMER PATIENTS [J].
HURLEY, AC ;
VOLICER, BJ ;
HANRAHAN, PA ;
HOUDE, S ;
VOLICER, L .
RESEARCH IN NURSING & HEALTH, 1992, 15 (05) :369-377
[73]   Important aspects of nursing care in surgical wards as expressed by nurses [J].
Idvall, E ;
Rooke, L .
JOURNAL OF CLINICAL NURSING, 1998, 7 (06) :512-520
[74]  
*INT ASS STUD PAIN, 1993, IASP NEWSLETTER SEP, P4
[75]  
*JOINT COMM ACCR H, 2001, IMPL NEW PAIN MAN ST
[76]  
Jordan Sue, 2004, Nurs Stand, V18, P40
[77]   CLINICAL MANAGEMENT OF ACUTE PAIN [J].
JUSTINS, DM ;
RICHARDSON, PH .
BRITISH MEDICAL BULLETIN, 1991, 47 (03) :561-583
[78]   NARCOTICS IN THE ELDERLY [J].
KAIKO, RF ;
WALLENSTEIN, SL ;
ROGERS, AG ;
GRABINSKI, PY ;
HOUDE, RW .
MEDICAL CLINICS OF NORTH AMERICA, 1982, 66 (05) :1079-1089
[79]   Enabling the implementation of evidence based practice: a conceptual framework [J].
Kitson, A ;
Harvey, G ;
McCormack, B .
QUALITY IN HEALTH CARE, 1998, 7 (03) :149-158
[80]  
KOCH T, 1995, J CLIN NURS, V4, P185