Open AccessExperiencing improved assessment and control of pain in end‐of‐life care when using the Abbey Pain Scale systematically
Author(s) -
Ludvigsson Carola,
Isaksson Ulf,
Hajdarevic Senada
Publication year - 2020
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.566
Subject(s) - pain assessment , pain control , pain management , scale (ratio) , nursing , medicine , focus group , control (management) , pain scale , qualitative research , cognition , psychology , physical therapy , psychiatry , computer science , business , social science , physics , surgery , quantum mechanics , marketing , artificial intelligence , sociology
Aim To describe staff's reflections on aspects influencing pain assessment at end‐of‐life (EoL) care in nursing homes before and after the implementation of the Abbey Pain Scale (APS). Background People with cognitive impairment in the EoL care often suffer from underdiagnosed and undertreated pain due to the lack of knowledge and guidelines for systematic pain assessment. Methods Semi‐structured focus group interviews were conducted and analysed using qualitative content analysis. Results The staff described their experiences before the implementation of APS as striving to achieve control of pain by trusting in themselves and the team, while the experiences after the implementation of APS were described as improving symptom control with remaining weak confidence in the team . Conclusions Implementation of APS was experienced as improving systematic pain assessment. Efforts to establish clear routines and improve confidence in the care team would be prioritized to optimize pain assessment and pain relief in EoL care.