Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation 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
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Analgesia and Pain Management01:25

Analgesia 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...
Planning Nursing Care I01:21

Planning 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...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Planning Nursing Care II01:29

Planning Nursing Care II

A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Walking speed measurement technology: A review.

Current geriatrics reports·2021
Same author

The effects of guided imagery and hand massage on wellbeing and pain in palliative care: Evaluation of a pilot study.

Complementary therapies in clinical practice·2021
Same author

Parental history of premature cardiovascular disease, estimated GFR, and rate of estimated GFR decline: results from the Aerobics Center Longitudinal Study.

American journal of kidney diseases : the official journal of the National Kidney Foundation·2015
Same author

Improving compliance: does it matter to your patients if you are spiritual?

Journal of the South Carolina Medical Association (1975)·2011
Same author

Geriatricians' interest to learn bedside portable ultrasound (GEBUS) for application in the clinical practice and in education.

Journal of the American Medical Directors Association·2011
Same author

Establishment of a predominantly African-American cohort for the study of Alzheimer's disease: the South Carolina Alzheimer's disease clinical core.

Dementia and geriatric cognitive disorders·2009

Related Experiment Video

Updated: Jun 26, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Implementing a pain management program in a long-term care facility using a quality improvement approach.

Andres F Leone1, Francesco Standoli, Victor Hirth

  • 1University of South Carolina, School of Medicine/Palmetto Health Richland Hospital, Department of Internal Medicine, Division of Geriatrics, Columbia, SC 29203, USA. andyleone@yahoo.com

Journal of the American Medical Directors Association
|December 30, 2008
PubMed
Summary

Implementing standardized pain scales in nursing homes improved pain assessment and management for elderly residents. Staff found the tools helpful, facilitating prompt pain identification and treatment, leading to better resident care.

Related Experiment Videos

Last Updated: Jun 26, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Area of Science:

  • Gerontology
  • Pain Management
  • Quality Improvement in Healthcare

Background:

  • Pain is a significant challenge in skilled nursing facilities (SNF) and nursing homes (NH).
  • Many facilities lack uniform pain assessment and treatment plans, despite evidence showing scales improve detection and management.
  • This study aimed to analyze baseline pain levels and implement a standardized pain scale in an institutionalized elderly population.

Purpose of the Study:

  • To analyze baseline pain levels in institutionalized elderly patients.
  • To implement and evaluate a standardized pain scale for pain assessment and management.
  • To identify challenges associated with adopting standardized pain assessment methods.

Main Methods:

  • A Quality Improvement (QI) project involving 40 randomly selected patients from skilled care and dementia units.
  • Chart review to document pain syndromes, medications, and use of pain evaluation tools.
  • Introduction and staff training on verbal and nonverbal pain scales, followed by baseline pain evaluation using the PDSA model.

Main Results:

  • 84.2% of the study population were females, with a mean age of 91.4 years.
  • 50% of patients experienced mild to moderate pain; some regimens had toxicity potential (e.g., excessive acetaminophen).
  • Nursing staff successfully adopted the pain tools, providing positive feedback on their utility for prompt pain identification and treatment.

Conclusions:

  • Pain evaluation and management are crucial due to high prevalence and negative impacts on quality of life and survival.
  • Standardized verbal and nonverbal pain evaluation tools are essential in NH and SNF settings.
  • Regular cognitive and behavioral assessments, alongside standardized orders, can enhance pain management and reduce analgesic toxicity.