Analgesic and Facilitator Pain Assessment

Topics: Pain, Analgesic, Pain scale Pages: 19 (5740 words) Published: November 29, 2012
Research Article Critique Presentation

Resource: The research study that you selected in Week Two
Develop a 10- to 15-minute presentation in which you address the following points (7 pts):

Strengths and weaknesses of the study
Theoretical and methodological limitations
Evidence of researcher bias
Ethical and legal considerations related to the protection of human subjects •Relationship between theory, practice, and research
Nurse’s role in implementing and disseminating research •How the study provides evidence for evidence-based practice •
Identify the following for the research study selected (choose 1 or 2 NOT BOTH): 8 pts. •
1.Quantitative Research Article Critique (Follow the example pp. 433–442 of the text): •
a.Phase 1: Comprehension
b.Phase 2: Comparison
c.Phase 3: Analysis
d.Phase 4: Evaluation

2.Qualitative Research Article Critique (Follow the example pp. 455–461 of the text): •
a.1. Problem (problem statement; purpose; research questions; literature review; frame of reference; research tradition) b.2. Methodology (sampling & sample; data collection; protection of human subjects c.3. Data (management; analysis

d.4. Results (findings; discussion; logic; evaluation summary •
Format the presentation as one of the following (5 pts):

Poster presentation in class
Microsoft® PowerPoint® presentation including detailed speaker’s notes •Video of yourself giving the presentation uploaded to an Internet video sharing site such as --Submit the link to your facilitator, include a written reference page in APA format •Another format approved by your facilitator

Pain Assessment in Persons with Dementia: Relationship Between Self-Report and Behavioral Observation Ann L. Horgas, RN, PhD,Ã Amanda F. Elliott, ARNP, PhD,w and Michael Marsiske, PhDz

OBJECTIVES: To investigate the relationship between self-report and behavioral indicators of pain in cognitively impaired and intact older adults. DESIGN: Quasi-experimental, correlational study of older adults. SETTING: Data were collected from residents of nursing homes, assisted living, and retirement apartments in northcentral Florida. PARTICIPANTS: One hundred twenty-six adults, mean age 83; 64 cognitively intact, 62 cognitively impaired. MEASUREMENTS: Pain interviews (pain presence, intensity, locations, duration), pain behavior measure, Mini-Mental State Examination, analgesic medications, and demographic characteristics. Participants completed an activitybased protocol to induce pain. RESULTS: Eighty-six percent self-reported regular pain. Controlling for analgesics, cognitively impaired participants reported less pain than cognitively intact participants after movement but not at rest. Behavioral pain indicators did not differ between cognitively intact and impaired participants. Total number of pain behaviors was significantly related to self-reported pain intensity (b 5 0.40, P 5.000) in cognitively intact elderly people. CONCLUSION: Cognitively impaired elderly people selfreport less pain than cognitively intact elderly people, independent of analgesics, but only when assessed after movement. Behavioral pain indicators do not differ between the groups. The relationship between self-report and pain behaviors supports the validity of behavioral assessments in this population. These findings support the use of multidimensional pain assessment in persons with dementia. J Am Geriatr Soc 57:126–132, 2009.

Key words: pain; dementia; measurement
From the ÃDepartment of Adult and Elderly Nursing, University of Florida, College of Nursing, Gainesville, Florida; wDepartment of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and zDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida,...
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