1. Some nurses misinterpret pain in people with dementia (severe forgetfulness). Because of this misinterpretation, they assume that neither these people do not experience pain nor they do not care at all. What view is most likely applied by the nurses’ in this situation? Why do you say so?
Answers
Answer:
Because of this misinterpretation, they assume that neither these people do not experience pain nor they do not care at all
Answer:
to investigate how nurses in hospice, acute care, and nursing homes manage pain for patients with severe dementia during their final month of life. to determine the issues, leaders, and practice areas in need of more assistance.
Explanation:
Our society is changing due to the ageing revolution as more individuals are living at a very long age and are at an increased risk of dementia and pain. Verbal communication, which is typically used to indicate pain, gradually deteriorates in dementia patients. These people thus experience discomfort that is bearable yet goes unnoticed. Despite rapid scientific development, assessing pain in persons with dementia remains a difficult task. National and international recommendations for measuring pain in elderly people now include instruments and processes for measuring pain (mostly observational measures). Interdisciplinary cooperation between nurses, doctors, psychologists, computer scientists, and engineers is crucial for accurately assessing pain. It is also preferable to administer pain treatment in an interdisciplinary environment to this fragile group. Programs for non-pharmacological treatment have primarily been explored in younger groups free of dementia. However, a lot of them are quite secure, have demonstrated their effectiveness, and hence merit the top spot in pain treatment programmes. A first-choice analgesic, paracetamol is comparatively safe and effective. Nonsteroidal anti-inflammatory medications, opioids, and adjuvant analgesics pose several safety concerns for dementia patients. Therefore, it is advised to routinely evaluate both discomfort and probable adverse effects. To effectively guide pain treatment in dementia, further study is required.
Keywords: Dementia, Pharmacotherapy, Nonpharmacological Interventions, Pain, Pain Assessment, Pain Management
Major Points
- Pain is quite common and challenging to evaluate in dementia. In clinical practice, observational tools are required in addition to simple self-report assessments.
- The first line of defence is nonpharmacological treatment strategies, frequently in conjunction with analgesics.
- In this group, paracetamol is generally regarded safe, but in order to provide each patient with the best possible pain management, safety concerns with other analgesics (such as nonsteroidal anti-inflammatory medications, opioids, and adjuvants) should be carefully examined.
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