Experience of nurses in assessing postoperative pain in hip fracture patients suffering from dementia in nursing homes.

Autor: Krupić F; Department of Anesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Bišćević M; Orthopaedic and Traumatology Clinic, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina., Spahić E; Department of Forensic Medicine, School of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina., Jašarević A; Clinic for internal disease, Department for nephrology and dialysis, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina., Jašarević M; Clinic for Orthopaedic and Traumatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina., Grbić K; Clinic of Thoracic Surgery, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina., Hamrin-Senorski E; Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Svantesson E; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Čustović S; Clinic for Orthopaedic and Traumatology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina., Westin O; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Jazyk: angličtina
Zdroj: Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina [Med Glas (Zenica)] 2020 Feb 01; Vol. 17 (1), pp. 216-223.
DOI: 10.17392/1042-20
Abstrakt: Aim To explore the experiences of registered nurses in assessing postoperative pain in hip fracture patients suffering from dementia in nursing homes. Methods The study was designed as a qualitative study using data from a self-reported questionnaire form. Data were collected through the self-administered questionnaire with 23 questions, mainly addressing demographic and social data, information about communication and pain assessment. Results All nurses reported that large part of verbal communication with dementia patients was lost, and non-verbal communication was very important to optimize the care of these patients in postoperative situations. An assessment of pain in patients with dementia and hip fractures was a complex process because cognitive ability of these patients was reduced. Conclusion Registered nurses need to know various and different forms of evaluation and tools to assess the experience of pain in patients with dementia who had undergone surgery for hip fractures. This is a complicated task, which requires a great deal of time, and means that nurses must work together with other medical staff, using a holistic approach.
(Copyright© by the Medical Assotiation of Zenica-Doboj Canton.)
Databáze: MEDLINE
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