Tillvägagångssätt i smärtbedömning av patienter som har demenssjukdom i palliativ omvårdnad : En litteraturstudie

Detta är en Kandidat-uppsats från Uppsala universitet/Institutionen för folkhälso- och vårdvetenskap

Sammanfattning: Introduction The population of Sweden is getting older and therefore the estimated population of patients with dementia is likely to increase. This group of patients is particularly vulnerable in relation to pain assessment in palliative care because of the nature of dementia, which makes it harder for the patient to communicate verbally. Previous studies have shown that pain assessment of patients with dementia occurs with both observational pain assessment tools and observation but both of these approaches are associated with challenges. Palliative care of patients with dementia should be based on a person centered approach which enables healthcare professionals to see the patient and not the diagnosis. The aim The aim of this study was to describe approaches to pain assessment of patients with dementia in palliative care.   Method To answer the aim a general literature review was conducted where ten qualitative studies were included. These were reviewed qualitatively using a template for qualitative studies. The content was then analyzed with latent content analysis and Katie Eriksson’s nursing theory.  Results The results revealed that healthcare professionals used pain   assessment tools and getting to know the patient as a foundation for pain assessment. Furthermore, the healthcare professionals experienced difficulties using the pain assessment tools and tended on focus more on a person centered approach by observing the patients’ expressions, talking to family members and reading in the patients’ medical records to find information to interpret and identify pain signals Conclusion The healthcare professionals described that they used all resources available to get to know the patient focusing on person centered and holistic care. Obtaining a rich knowledge of the patient builds on continuity in care, healthcare professionals involving family members and using all of these resources together to create a good foundation for pain assessment.

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