• Pain Manag Nurs · Oct 2018

    Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study.

    • Elin Damsgård, Hege Solgård, Karin Johannessen, Katrine Wennevold, Gunnvald Kvarstein, Gunn Pettersen, and Beate Garcia.
    • Department of Health and Care Sciences, UiT/The Arctic University of Norway, Langnes, Tromsø, Norway. Electronic address: Elin.damsgard@uit.no.
    • Pain Manag Nurs. 2018 Oct 1; 19 (5): 516-524.

    BackgroundPain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary.AimsThis pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients.DesignWe formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans.MethodsWe collected data through video recordings during teamwork before and after examining the patients and field notes during the patient examination. We analysed the video-recordings applying the seven-step model including 1) viewing the video data, 2) describing the video data, 3) identifying critical events, 4) transcribing, 5) coding, 6) constructing storyline and 7) composing a narrative. Field notes supplied the transcripts.ResultsBoth teams succeeded in making a pain management plan for their patient. The common examination of the patient was crucial for the students' approaches to pain management and changed their pre-assumptions about the patients' pain. By sharing knowledge and reflecting together, the students reached a common consensus on suggestions for management of the patients' problems. Interprofessional collaboration fostered enthusiasm and a more holistic pain management approach. However, students' lack of knowledge limited their understanding of pain.ConclusionKnowledge of pain management in nursing home patients and the practice of interprofessional cooperation should be included in pain curricula for health care professionals.Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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