Friday, September 25, 2009
Monday, September 7, 2009
Hospice final report
Develop, Trial and Evaluate a Model of Multi-Disciplinary Pallative Care for Residents with End-State Dementia.
Funded by The Prince Charles Hospital Foundation
http://www.scribd.com/full/19505364?access_key=key-27u7ujnwrkj139uk1bfp
Funded by The Prince Charles Hospital Foundation
http://www.scribd.com/full/19505364?access_key=key-27u7ujnwrkj139uk1bfp
Thursday, July 16, 2009
Pain in Residental Aged Care Facilities - Management Strategies
To view this report from The Australian Pain Society August 2005
http://www.scribd.com/full/17425518?access_key=key-1rngo3z8tv9job0owwkq
http://www.scribd.com/full/17425518?access_key=key-1rngo3z8tv9job0owwkq
APRA - Final Report November 2004
Australian Pain Society and the Australian Pain Relief Association Pain Management Guidelines for Residential Care:
Stage 1:
Preliminary field-testing and preparations for implementation.
Investigators:
Associate Professor Stephen Gibson BBSc (Hons), PhD, MAPS
Dr Sam Scherer MB BS, DGM
Dr C Roger Goucke MB ChB, FANZCA, FFPMANZCA, FAChPM
Contact person Dr Roger Goucke
roger.goucke@health.wa.gov.au
For a copy of this 71 page report http://www.scribd.com/full/17425518?access_key=key-1rngo3z8tv9job0owwkq
Stage 1:
Preliminary field-testing and preparations for implementation.
Investigators:
Associate Professor Stephen Gibson BBSc (Hons), PhD, MAPS
Dr Sam Scherer MB BS, DGM
Dr C Roger Goucke MB ChB, FANZCA, FFPMANZCA, FAChPM
Contact person Dr Roger Goucke
roger.goucke@health.wa.gov.au
For a copy of this 71 page report http://www.scribd.com/full/17425518?access_key=key-1rngo3z8tv9job0owwkq
Friday, June 12, 2009
Abbey Pain Scale
The Abbey Pain Scale is used for measuring pain in people with dementia who cannot verbalise.
This one-page assessment tool uses non-verbal observable cues and then scores observations to ascertain what level of pain the person is experiencing.
The scale can be used both as an assessment tool before intervention and afterwards as a measure of effectiveness and success.
International Journal of Palliative Nursing 2004 Jan:10(1):6-13
The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia.
Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B.
School of Nursing, Queensland University of Technology and The Prince Charles Hospital Health Service Distict, c/o Prince Charles Hospital, Rode Road, Chermside, Queensland 4032, Australia. j.abbey@qut.edu.au
The need for a specialized clinical regimen for patients with dementia who require palliative care has only recently been recognized. Structured approaches to palliative care are not well developed. The recognition and treatment of pain is an important part of this management risk. However, pain is consistently underdiagnosed and undertreated in this population. A factor contributing to this has been a lack of appropriate tools to help recognize and document pain. This study sought to develop and validate an easy-to-use pain scale for use in residential aged care homes. The tool was developed with residents with end- or late-stage dementia who were unable to articulate their needs, identified by the registered nurses who knew them. Results showed that following pain-relief intervention the average pain score recorded using the scale fell by more than half. A paired Student's t-test showed the reduction to be highly significant (P<0.001). Validity and internal reliability, assessed by calculating Gamma and Cronbach's alpha, were found to be satisfactory. Qualitative evidence gathered from users of the scale indicated that it was considered a useful clinical device that could be completed within one minute. Further analysis of the use of the scale in clinical settings, testing of inter-rater reliability and examination of the limitations found in this study will commence early in 2004.
http://www.ncbi.nlm.nih.gov/pubmed/14966439
Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B.
School of Nursing, Queensland University of Technology and The Prince Charles Hospital Health Service Distict, c/o Prince Charles Hospital, Rode Road, Chermside, Queensland 4032, Australia. j.abbey@qut.edu.au
The need for a specialized clinical regimen for patients with dementia who require palliative care has only recently been recognized. Structured approaches to palliative care are not well developed. The recognition and treatment of pain is an important part of this management risk. However, pain is consistently underdiagnosed and undertreated in this population. A factor contributing to this has been a lack of appropriate tools to help recognize and document pain. This study sought to develop and validate an easy-to-use pain scale for use in residential aged care homes. The tool was developed with residents with end- or late-stage dementia who were unable to articulate their needs, identified by the registered nurses who knew them. Results showed that following pain-relief intervention the average pain score recorded using the scale fell by more than half. A paired Student's t-test showed the reduction to be highly significant (P<0.001). Validity and internal reliability, assessed by calculating Gamma and Cronbach's alpha, were found to be satisfactory. Qualitative evidence gathered from users of the scale indicated that it was considered a useful clinical device that could be completed within one minute. Further analysis of the use of the scale in clinical settings, testing of inter-rater reliability and examination of the limitations found in this study will commence early in 2004.
http://www.ncbi.nlm.nih.gov/pubmed/14966439
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