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A comparative study of nurses' and elderly patients' ratings of pain and pain tolerance.

Bergh, Ingrid, 1956 (author)
Gothenburg University,Göteborgs universitet,Institutionen för vårdpedagogik,Institute of Health Care Pedagogics,Department of Geriatric Medicine, Göteborg University, Sweden
Sjöström, Björn, 1947 (author)
Gothenburg University,Göteborgs universitet,Institutionen för vårdpedagogik,Institute of Health Care Pedagogics,Department of Geriatric Medicine, Göteborg University, Sweden
 (creator_code:org_t)
1999
1999
English.
In: Journal of gerontological nursing. - 0098-9134 .- 1938-243X. ; 25:5, s. 30-6
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The purpose of this study was to compare elderly patients' and nurses' ratings of pain and pain tolerance. Data were collected through structured interviews with the patients. The attending nurses completed a questionnaire after conducting a pain assessment. Independent of each other, patients and nurses were asked to rate on a VAS when pain should be treated (pain tolerance) and pain intensity. The VAS has been used both by patients and nurses. The initial selection consisted of 43 patients; however, 9% (n = 4) were unable to complete the VAS. These patients were not significantly older than those who completed the study (n = 39). The results shows that nurses tend to overestimate mild pain and underestimate severe pain. Nurses rated pain tolerance significantly lower than patients. The results also suggest that nurses with training beyond basic nursing education tend to assess patients' pain more accurately than those without additional training. For patients who reported that they had pain prior to hospitalization, the nurses' pain ratings showed a higher agreement than for those who reported that they did not have pain before being hospitalized. At the time of the interviews, 21% (n = 8) of patients felt that their pain was so great they needed treatment. Those patients also were recognized by the attending nurses as being in pain. To improve elderly patients' pain management, practicing nurses must collaborate with researchers to develop specific empirical research nursing knowledge within geriatric pain management. This research-based knowledge should be incorporated into nurses' clinical practice regarding pain management. Specific guidelines must be developed for the assessment, treatment, and documentation of elderly patients' pain.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Aged
psychology
Attitude of Health Personnel
Attitude to Health
Bias (Epidemiology)
Communication
Humans
Nurse-Patient Relations
Nursing Assessment
methods
Nursing Evaluation Research
Nursing Staff
Hospital
psychology
Pain
classification
diagnosis
psychology
Pain Measurement
methods
nursing
Reproducibility of Results
Severity of Illness Index

Publication and Content Type

ref (subject category)
art (subject category)

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