Initiating and Sustaining a Standardized Pain Management Program in Long-Term Care Facilities

2008 ◽  
Vol 9 (5) ◽  
pp. 347-353 ◽  
Author(s):  
Cynthia E. Keeney ◽  
Jennifer A. Scharfenberger ◽  
James G. O'Brien ◽  
Stephen Looney ◽  
Mark P. Pfeifer ◽  
...  
Keyword(s):  
Pain Management ◽  
Long Term Care ◽  
Management Program ◽  
Term Care ◽  
Pain Management Program ◽  
Care Facilities

scholarly journals An action-based approach to improving pain management in long-term care

2021 ◽  
Author(s):  
Sharon Kaasalainen ◽  
Kevin Brazil ◽  
Esther Coker ◽  
Jenny Ploeg ◽  
Ruth Martin-Misener ◽  
...  
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Health Care Provider ◽  
Care Provider ◽  
Long Term Care ◽  
Management Program ◽  
Care Providers ◽  
Term Care ◽  
Pain Management Program

Purpose: The study purposes were twofold: (1) to explore barriers to pain management and those associated with implementing a pain management program in long-term care (LTC); and (2) to develop an interprofessional approach to improve pain management in LTC. Methods: A case study approach included both qualitative and quantitative components. We collected data at two LTC sites using six focus groups for the licensed nurses, unregulated care providers, and 10 interviews with other health care provider groups, administration, and residents. We reviewed documents and administered a short survey to study participants to assess perceptions of barriers to pain management. Results: The findings revealed barriers to effective LTC pain management at the resident/family, health care provider, and system levels. We then developed a six-tiered model with proposed interventions to address these barriers. Conclusions: This model can guide the development of innovative approaches to improving pain management in LTC settings.

scholarly journals An action-based approach to improving pain management in long-term care

2021 ◽  
Author(s):  
Sharon Kaasalainen ◽  
Kevin Brazil ◽  
Esther Coker ◽  
Jenny Ploeg ◽  
Ruth Martin-Misener ◽  
...  
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Health Care Provider ◽  
Care Provider ◽  
Long Term Care ◽  
Management Program ◽  
Care Providers ◽  
Term Care ◽  
Pain Management Program

Purpose: The study purposes were twofold: (1) to explore barriers to pain management and those associated with implementing a pain management program in long-term care (LTC); and (2) to develop an interprofessional approach to improve pain management in LTC. Methods: A case study approach included both qualitative and quantitative components. We collected data at two LTC sites using six focus groups for the licensed nurses, unregulated care providers, and 10 interviews with other health care provider groups, administration, and residents. We reviewed documents and administered a short survey to study participants to assess perceptions of barriers to pain management. Results: The findings revealed barriers to effective LTC pain management at the resident/family, health care provider, and system levels. We then developed a six-tiered model with proposed interventions to address these barriers. Conclusions: This model can guide the development of innovative approaches to improving pain management in LTC settings.

Improving Pain Management in Long-Term Care Facilities

2001 ◽  
Vol 4 (4) ◽  
pp. 567-573 ◽  
Author(s):  
David E. Weissman ◽  
Julie Griffie ◽  
Sandra Muchka ◽  
Sandra Matson
Keyword(s):  
Pain Management ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Building an Institutional Commitment to Pain Management in Long-Term Care Facilities

2000 ◽  
Vol 20 (1) ◽  
pp. 35-43 ◽  
Author(s):  
David E Weissman ◽  
Julie Griffie ◽  
Sandra Muchka ◽  
Sandra Matson
Keyword(s):  
Pain Management ◽  
Long Term Care ◽  
Institutional Commitment ◽  
Term Care ◽  
Care Facilities

scholarly journals Acceptance Rates for Pharmacist-Initiated Interventions in Long-Term Care Facilities

2013 ◽  
Vol 4 (4) ◽  
Author(s):  
Gina L. Carson ◽  
Kimberly Crosby ◽  
Garrett R. Huxall ◽  
Nancy C. Brahm
Keyword(s):  
Pain Management ◽  
Drug Utilization ◽  
Chart Review ◽  
Long Term Care ◽  
Inclusion Criteria ◽  
Term Care ◽  
Medication Therapy ◽  
Care Facilities ◽  
Acceptance Rates

Objectives: Describe individualized medication interventions, categorize intervention types, and report acceptance rates by prescribers following a pilot medication intervention program in which a pharmacist rounded with the patient care team in long-term care facilities in addition to their traditional medication regimen review (MRR) process. Design: Prospective Chart review Setting: Two primary long-term care (LTC) facilities Participants: Fifty randomly selected patient charts. Inclusion criteria were adult patients (18 years old or older) residing in one of the LTC facilities receiving consultant pharmacist services. Patient charts not meeting inclusion criteria were excluded from the review. Interventions: Recommendations made according to the needs of each patient and categorically reported. Main Outcome Measures: Intervention acceptance rates by prescribers and aggregate reporting for type of medication interventions. Results: For 50 patient charts (68% female, 32% male) 66 interventions were reported. The average patient age was 81.5 years. Approximately 45% of the interventions pertained to drug utilization concerns, and 21% involved pain management. Additional categories included treatment of eye and skin conditions and pharmacotherapy for mental health. A 'nonpharmacotherapy' designation was given to individual interventions not fitting into a larger category. New medications and regimen changes were the most common medication therapy outcomes (42% and 32%, respectively). Overall 92% of all pharmacist interventions were either fully or partially accepted by the prescriber where partial acceptance was defined as implementation of the recommendation with an adjustment. Interventions related to drug utilization or pain management each approached a 93% acceptance rate. Conclusions: The consultant pharmacist provided personalized recommendations following extensive chart review and patient assessment. Our chart review suggests that high prescriber acceptance rates along with medication therapy optimization may produce similar benefits in other LTC facilities.   Type: Original Research

scholarly journals Educational Needs of Health Care Providers Working in Long-Term Care Facilities with Regard to Pain Management

2012 ◽  
Vol 17 (5) ◽  
pp. 341-346 ◽  
Author(s):  
Yannick Tousignant-Laflamme ◽  
Michel Tousignant ◽  
David Lussier ◽  
Paule Lebel ◽  
Maryse Savoie ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Continuing Education ◽  
Health Care Providers ◽  
Long Term Care ◽  
Educational Needs ◽  
Care Providers ◽  
Term Care ◽  
Care Facilities

BACKGROUND: The prevalence of chronic pain ranges from 40% to 80% in long-term care facilities (LTCF), with the highest proportion being found among older adults and residents with dementia. Unfortunately, pain in older adults is underdiagnosed, undertreated, inadequately treated or not treated at all. A solution to this problem would be to provide effective and innovative interdisciplinary continuing education to health care providers (HCPs).OBJECTIVE: To identify the educational needs of HCPs working in LTCF with regard to pain management.METHODS: A qualitative research design using the nominal group technique was undertaken. Seventy-two HCPs (21 physicians/pharmacists, 15 occupational/physical therapists, 24 nurses and 21 orderlies) were recruited from three LTCF in Quebec. Each participant was asked to provide and prioritize a list of the most important topics to be addressed within a continuing education program on chronic pain management in LTCF.RESULTS: Forty topics were generated across all groups, and six specific topics were common to at least three out of the four HCP groups. Educational need in pain assessment was ranked the highest by all groups. Other highly rated topics included pharmacological treatment of pain, pain neurophysiology, nonpharmacological treatments and how to distinguish pain expression from other behaviours.CONCLUSION: The present study showed that despite an average of more than 10 years of work experience in LTCF, HCPs have significant educational needs in pain management, especially pain assessment. These results will help in the development of a comprehensive pain management educational program for HCPs in LTCF.

Sign in / Sign up

Export Citation Format

Share Document