Use of the certified nursing assistant pain assessment tool (CPAT) in nursing home residents with dementia.

Autor: Cervo FA; Long Island State Veterans Home, Stony Brook, New York 11790, USA. FCERVO@NOTES.CC.SUNYSB.EDU, Raggi RP, Bright-Long LE, Wright WK, Rows G, Torres AE, Levy RB, Komaroff E
Jazyk: angličtina
Zdroj: American journal of Alzheimer's disease and other dementias [Am J Alzheimers Dis Other Demen] 2007 Apr-May; Vol. 22 (2), pp. 112-9.
DOI: 10.1177/1533317506298907
Abstrakt: The purpose of this study was to develop a pain assessment tool utilized by certified nursing assistant (CNA) direct-care providers for nursing home residents with dementia and to examine the impact of such a tool on their function, behavior, or medication use. In the first phase, 41 items from an observational pain assessment tool were correlated with an objective pain "gold standard"; 12 statistically significant items were retained and used in the CNA pain assessment tool. Symmetry analysis was then conducted to determine if this resulted in any significant change in resident function, behavior, or medication use. This failed to detect significant change in these characteristics. A pain assessment tool utilized by CNA direct-care providers can be developed for use in nursing home residents with dementia. Further study is required to determine whether the use of such a tool will improve their function or quality of life.
Databáze: MEDLINE