Pain Management Nursing
Volume 7, Issue 2 , Pages 71-77 , June 2006

Nurses’ Reflections on Pain Management in a Nursing Home Setting

  • Lauren Clark, RN, PhD, FAAN

      Affiliations

    • University of Colorado at Denver and Health Sciences Center School of Nursing, Colorado
    • Corresponding Author InformationAddress correspondence and reprint requests to Lauren Clark, RN, PhD, FAAN, University of Colorado School of Nursing, Health Sciences Center, 4200 East Ninth Avenue, C288, Denver, CO 80262
    • ,
  • Regina Fink, RN, PhD, FAAN, AOCN

      Affiliations

    • University of Colorado Hospital, Colorado
    • ,
  • Karen Pennington, RN, PhD

      Affiliations

    • Regis University, Denver, Colorado
    • ,
  • Katherine Jones, RN, PhD, FAAN

      Affiliations

    • Yale University College of Nursing, New Haven, Connecticut

References 

  1. American Geriatrics Society (AGS) . Panel on persistent pain in older persons. Clinical practice guideline: the management of persistent pain in older persons . Journal of the American Geriatric Society . 2002;50:S205–S224
  2. American Medical Directors Association . Pain management in the long-term care setting (clinical practice guideline) . Columbia, MD: AMDA; 2003;
  3. Benner P . From novice to expert (excellence and power in clinical nursing practice) . Upper Saddle River, NJ: Prentice Hall Health; 2001;
  4. Clark L , Jones K , Pennington K . Pain assessment practices with nursing home residents . Western Journal of Nursing Research . 2004;26:733–750
  5. Gaston-Johannsson F , Johansson F , Johansson C . Pain in the elderly (prevalence, attitudes, and assessment) . Nursing Home Medicine . 1996;4:325–331
  6. Joint Commission on Accreditation of Healthcare Organizations (JCAHO). (1999). Pain assessment and management standards—long term care. Retrieved on October 4, 2005, from http://www.jcrinc.com/subscribers/perspectives.asp?durki=3244&site=10&return=2897.
  7. Jones K , Fink R , Vojir C , Pepper G , Hutt E , Clark L , et al.   Translation research in long-term care (improving pain management in nursing homes) . Worldviews in Evidence-Based Nursing . 2004;1:S13–S20
  8. Jones K , Fink R , Clark L , Hutt E , Vojir C , Mellis K . Nursing home barriers to effective pain management (why nursing home residents may not seek pain medication) . Journal of the American Medical Directors’ Association . 2005;6:10–17
  9. Jones K , Fink R , Hutt E , Pepper G , Vojir CP , Clark L , et al.   Improving nursing home staff knowledge and attitudes about pain . The Gerontologist . 2004;44:469–478
  10. Kitson A , Harvey G , McCormack B . Enabling the implementation of evidence-based practice (a conceptual framework) . Quality in Health Care . 1998;7:149–158
  11. Marshall C , Rossman G . Designing qualitative research . 3rd ed.. Newbury Park, CA: Sage; 1999;
  12. Minkler M , Wallerstein N . Community-based participatory research for health . San Francisco: Jossey-Bass; 2004;
  13. Muhr T . Atlas/Ti (the knowledge workbench for Windows 95/98 and Windows NT 4.0 (version 4.2, build 54)) . Berlin: Scientific Software Development; 1998;
  14. Stein W , Ferrell BA . Pain in the nursing home . Clinics of Geriatric Medicine . 1996;12:601–613
  15. Stein WM . Pain management in the elderly (pain in the nursing home) . Clinics in Geriatric Medicine . 2001;17:575–594
  16. Struebert H , Carpenter D . Qualitative research in nursing (advancing the humanistic imperative) . Philadelphia: Lippincott; 1999;
  17. Teno JM , Weitzen S , Wetle T , Mor V . Persistent pain in nursing homes (validating a pain scale for the Minimum Data Set) . The Gerontologist . 2001;41:173–179
  18. Weissman D , Griffie J , Muchka S , Matson S . Improving pain management in long-term care facilities . Journal of Palliative Medicine . 2001;4:567–573
  19. Won A , Lapane K , Vallow S , Schein J , Morris J , Lipsitz L . Persistent nonmalignant pain and analgesic prescribing patterns in elderly nursing home residents . Journal of the American Geriatric Society . 2004;52:867–874

 This project was supported by a grant from the Agency for Healthcare Research and Quality (AHRQ U-18-HS11093) awarded to Katherine Jones, Principal Investigator.

PII: S1524-9042(06)00034-8

doi: 10.1016/j.pmn.2006.02.004

Pain Management Nursing
Volume 7, Issue 2 , Pages 71-77 , June 2006

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