PAIN IN DEMENTIA PATIENT

Added on - 19 Nov 2019

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Running head: PAIN IN DEMENTIA PATIENTPain in dementia patientName of the student:Name of the University:Author’s note:
1PAIN IN DEMENTIA PATIENTHealth issue: Recognizing pain in elderly people with dementia who are living in thenursing homeDescription of health issues:Dementia is a common health issue in elderly people and it significantly interferes withnormal daily life activities. The disease is associated with gradual deterioration in memory,communication, reasoning and judgment skills, ability to focus and visual perception. However,cognitive problem is not the only challenge for care givers of elderly people with dementia. Innursing homes, it has been found that 50% of elderly people have dementia and recognizing andassessing pain such people is very challenging (Hadjistavropoulos et al., 2014). Many barrier topain assessment is seen because of personality changes, memory loss and impairment ifjudgment and abstract thinking skill in elderly people. Error in assessment might also occurbecause sometimes symptoms attributed with dementia are actually an indication of pain inpatient. For example, dementia patients may display aggressive behavior when they experiencepain and the care may mistake it as a symptom of dementia (Lichtner et al., 2014). Hence,considering unique challenges in recognizing pain in dementia patient, this report proposeddeveloping a health promotion strategy to improve pain assessment of elderly people withdementia. The focus is mainly on female patients with dementia as women are at greater riskfrom dementia than men (Knapton, 2017).Evidence based strategy for health improvement:The evidence based strategy that is proposed for mitigating the barrier in pain assessmentand managing pain in elderly patient with dementia is the use of sense-making theories to
2PAIN IN DEMENTIA PATIENTinterpret pain in nursing homes. The strategy of using intuitive perception is consideredimportant to mitigate the barrier to pain assessment because pain assessment tool does notprovide the information that nurse need to recognize pain in patient. Hence, using the sensemaking theory may help to develop the intuitive knowledge of carer in nursing homes andimprove their decision making regarding pain recognition and management. The theories ofsense-making focuses on giving meaning to experiences and interpreting information from thoseexperiences (Dowding et al., 2016). Hence, this approach can be used in nursing home to useintuitive skills to recognize the characteristics of cognition in elderly women dementia. Thisform of decision-making is highly dependent on interaction with patient and the higherinteraction, the more information is gained regarding level of pain in dementia patients.Mamykina, Smaldone, & Bakken, (2015)also support the benefits of the sense making theory inmanagement of chronic disease by using the framework of sense making for diabetes self-management. Hence, instead of relying on the technology and clinical tools, this healthpromotion project encourages carers observe patient’s behavior and make sense of thoseinformation to manage chronic diseases.Overview of the strategy:This health promotion strategy proposes developing the intuitive perception of nurse orcare or elderly people with dementia by the application of the sense making theory andsupporting them to recognize and assess pain in such patients. Sense making is mainly dependenton a person’s ability to make sense of the phenomena (patient’s behavior or expression inresponse to pain), construct mental representation of that phenomenon and using this to guideaction. This enables developing a pattern related to behavior of dementia patients during pain,discovering connections associated with pain and then engaging in appropriate management
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