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Evidence-based practice for pain identification in cognitively impaired nursing home residents
Christina Sacoco1, Sally Ishikawa1
1Leahi Hospital, 3675 Kilauea Avenue, Honolulu, HI 96816, USA.
Abstract:
Pain identification of cognitively impaired elderly is very challenging. This project aimed to identify best practices for pain assessment in nursing home residents with cognitive impairment and to establish a standardized pain assessment guide to optimize nursing practice and resident outcomes. The Iowa Model of Evidence-Based Practice to Promote Quality of Care guided the project's process. Phase I of the project analyzed data gained from chart reviews on current practices of pain assessment, and Phase II used the results of Phase I to develop, implement, and evaluate an evidence-based practice standard for nursing assessment of pain for cognitively impaired residents.
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