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Open Access A Qualitative Investigation of Seniors' and Caregivers' Views on Pain Assessment and Management Étude qualitative sur le point de vue des personnes âgées et des aidants naturels quant à l'évaluation et au traitement de la douleur

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The literature suggests that pain in the elderly, especially among seniors with dementia, is under-assessed and under-treated. This qualitative study solicited the perspectives of seniors, front-line nursing staff, nursing-home administrators, and informal caregivers of seniors with dementia on the current status of pain assessment and management. The views of these participants complement the research findings reported in the literature. While some of their explanations and potential solutions concerning under-treatment of pain in seniors echo views that have been presented in the literature, the participants also pointed to factors and avenues that have been given less formal consideration (e.g., systemic barriers to effective assessment and treatment of pain). They also highlighted the need for pain-control strategies beyond medication. The implications of these findings are discussed.

French
La documentation disponible donne à penser que la douleur chez les personnes âgées, en particulier celles atteintes de démence, est sous-évaluée et sous-traitée. Dans le cadre de cette étude qualitative, des personnes âgées, du personnel infirmier de première ligne, des administrateurs de résidences pour personnes âgées et des aidants naturels de personnes âgées souffrant de démence donnent leur point de vue sur la manière dont on évalue et on traite actuellement la douleur. L'opinion des participants complète les résultats de recherche cités dans la documentation. Même si certaines explications et solutions possibles concernant le sous-traitement de la douleur chez les personnes âgées font écho aux points de vue exprimés dans la documentation, les participants ont également mentionné des facteurs et des solutions qui ont été pris en compte de manière moins formelle, comme les obstacles systémiques à une évaluation et un traitement efficaces de la douleur. Ils ont également souligné la nécessité d'avoir d'autres stratégies en plus de la médication pour contrôler la douleur. Cette étude examine l'impact de ces résultats.

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Keywords: DEMENTIA; ELDERLY; PAIN; PAIN ASSESSMENT; PAIN MANAGEMENT; SENIORS

Document Type: Research Article

Publication date: 2005-06-01

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