Write a Summary how to manage pain in cognitively impaired older adults in facilities.
below are the articles related to my topic:
Demange, M., Pino, M., Kerhervé, H., Rigaud, A. S., & Cantegreil-Kallen, I. (2019). Management of acute pain in dementia: a feasibility study of a robot-assisted intervention. Journal of pain research, 12, 1833–1846. https://doi.org/10.2147/JPR.S179640
Helvik, A. S., Bergh, S., Šaltytė Benth, J., Selbaek, G., Husebo, B. S., & Tevik, K. (2022). Pain in nursing home residents with dementia and its association to quality of life. Aging & mental health, 26(9), 1787–1797.
Lapane, K. L., Dubé, C., Hume, A. L., Tjia, J., Jesdale, B. M., Pawasauskas, J., & Khodyakov, D. (2021). Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study. Drugs & aging, 38(4), 327–340.
Lundin, E., & Godskesen, T. E. (2021). End-of-life care for people with advanced dementia and pain: a qualitative study in Swedish nursing homes. BMC nursing, 20(1), 48.
Nowak, T., Neumann-Podczaska, A., Deskur-Śmielecka, E., Styszyński, A., & Wieczorowska-Tobis, K. (2018). Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia. Clinical interventions in aging, 13, 1045–1051.
Regular Assessment: Pain assessment should be a routine part of care for cognitively impaired older adults in facilities. A thorough pain assessment, including observation of behavioral and physical signs, should be conducted regularly.
Communication: Communication is crucial when managing pain in cognitively impaired older adults. Staff members should be trained to communicate effectively with patients who have cognitive impairments, using simple language and nonverbal cues.
Non-Pharmacological Interventions: Non-pharmacologi
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Pharmacological Interventions: When non-pharmacological interventions are not enough, pharmacological interventions may be necessary. Medications should be carefully selected and administered at the appropriate dose and schedule to minimize side effects and potential interactions with other medications.
Individualized Care Plans: Individualized care plans should be developed for each patient to ensure that their pain management needs are being met. Care plans should take into account the patient’s cognitive abilities, preferences, and medical history.
Family Involvement: Involving family members in pain management can be beneficial, as they may be able to provide valuable information about the patient’s pain and preferences.
Staff Education: Staff members should receive ongoing education and training on pain management in cognitively impaired older adults. This can include training on communication techniques, pain assessment, and the use of non-pharmacological interventions.
Overall, managing pain in cognitively impaired older adults in facilities requires a multifaceted approach that takes into account the unique needs and challenges of this population. Regular pain assessment, effective communication, non-pharmacological interventions, and individualized care plans can all help to ensure that patients receive appropriate pain management.