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- Anne Dewar.
- School of Nursing, Wesbrook Mall, Vancouver, Canada. dewar@nursing.ubc.ca
- Aust J Adv Nurs. 2006 Sep 1; 24 (1): 33-8.
AimThis paper reviews the nursing research literature on chronic pain in the older person living in the community and suggests areas for future research.BackgroundChronic pain is a pervasive and complex problem that is difficult to treat appropriately. Nurses managing chronic pain in older people in domiciliary/home/community nursing settings face many challenges. To provide care, the many parameters of chronic pain which include the physical as well as the psycho-social impact and the effect of pain on patients and their families, must be carefully assessed. Beliefs of the older person about pain and pain management are also important.MethodRelevant nursing studies were searched using CINAHL, Cochrane Database of Systematic Reviews, EMBASE and PUBMED databases using key words about pain and the older person that were appropriate to each database.ResultsTools to assess pain intensity in the older person have been studied but there has been less research on the other parameters of pain assessment or how the older person manages pain. An effective nurse-patient relationship is an important component of this process and one that needs more study. Few research studies have focused on how nurses can be assisted, or on the challenges, nurses' face, when managing this vulnerable population.ConclusionA broad approach at the organisational level will assist nurses to manage this health care issue.
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