DEMENTIA: A FACTOR LEADING TO SUB-OPTIMAL PAIN MANAGEMENT IN ACUTE CARE?

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Abstract

Aim
To explore the factors influencing pain management in those with dementia within the acute care setting, from the Emergency Department (ED) through to the acute ward environments, in the context of international literature.
Method
Five databases were searched using the PICO framework (Population, Intervention, Control and Outcomes) to focus the search terms and to set inclusion and exclusion criteria.
Findings
Fourteen research papers from six countries were included in this review (see table 1). The main themes identified were: pain management; pain assessment tools and the need for education; communication and family involvement; culture and context.
Conclusion
While there is a dearth of literature available on pain management for the person living with dementia within acute care, what is known is that these patients are receiving suboptimal management. Therefore, there is a need for further exploration of the barriers to pain assessment and management practices from the ED through to the acute ward environments.
Original languageEnglish
JournalJournal of the All Ireland Gerontological Nurses Association
Publication statusAccepted/In press - 2 Jun 2020

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