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Updated: Jun 10, 2026

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

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Published on: July 4, 2018

Nurses' Pain Management Competency in Nursing Home Residents With Dementia.

Yo-Jen Liao¹, Marie Boltz², Diane Berish²

¹Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses

|June 8, 2026

Summary

Nursing home nurses show suboptimal pain management competency in dementia care, particularly in pain treatment. Further education is recommended for experienced nurses to improve patient outcomes.

Keywords:

Dementia Nurse Observation Pain management competency

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Last Updated: Jun 10, 2026

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

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
Nursing Science
Pain Management

Background:

Nursing home residents with dementia often suffer from undertreated pain.
Inconsistent nursing practices and limited observational studies highlight gaps in dementia pain management competency.

Purpose of the Study:

To assess nursing home nurses' pain management competency in dementia using the Pain Competency Evaluation in Dementia (PACED) scale.

Main Methods:

A descriptive study involving licensed practical nurses (LPNs) and registered nurses (RNs) in Pennsylvania.
Nurses managed pain in virtual simulation cases of dementia residents; competency was rated using the PACED scale.

Main Results:

Overall nurse competency was 69.8%, with pain treatment being the weakest area.
Older nurses and those with more experience showed lower competency.
Licensed practical nurses demonstrated slightly higher competency than registered nurses.

Conclusions:

Nursing home nurses require improved pain management competency, especially in pain treatment.
Targeted continuing education is necessary for older and more experienced nurses.
Further research should validate findings in diverse settings and populations.