Related Experiment Video
Updated: Jul 4, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Initiating and sustaining a standardized pain management program in long-term care facilities
Cynthia E Keeney1, Jennifer A Scharfenberger, James G O'Brien
1Interdisciplinary Program for Palliative Care and Chronic Illness, University of Louisville Department of Medicine, Louisville, KY 40202, USA. cakeen02@gwise.louisville.edu
Summary
Implementing a comprehensive pain management program significantly improved pain assessment and treatment in long-term care facilities. Standardized programs are crucial for enhancing resident care and quality indicators in these settings.
Area of Science:
- Gerontology
- Healthcare Management
- Pain Management
Background:
- Current pain management practices in long-term care facilities are often inadequate.
- Lack of standardized policies and procedures hinders effective pain assessment and treatment.
Purpose of the Study:
- To identify existing pain management practices in long-term care.
- To implement and evaluate a comprehensive pain management program.
Main Methods:
- An interventional pilot study conducted in community-based long-term care facilities.
- Phase I: Interviews with administrators to assess current policies.
- Phase II: Program development, implementation, and education.
Main Results:
- Pre-intervention: Inadequate pain assessment policies and limited methods for non-verbal residents.
- Post-intervention: Significant increase in pain assessment and treatment.
- One year post-study: All facilities adopted standardized pain assessment programs.
Conclusions:
- Comprehensive, standardized pain management programs are essential for improving care in long-term settings.
- Staff education, policy changes, and quality indicator identification are key components for success.
More Related Videos
Related Concept Videos
01:25Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:25Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...