Vinsamlegast notið þetta auðkenni þegar þið vitnið til verksins eða tengið í það: http://hdl.handle.net/1946/16610
Persistent pain among the elderly is a major health problem within nursing homes.
There is new knowledge, mainly in pharmacology, on pain assessment and
management of this age group. Geriatricians claim that with quality pain
management a relevant goal is to provide considerably relief and in some cases a
pain-free state of those that now suffer. Certain attitudes of the elderly are known to
bias pain assessment. The purpose of this study was to examine the lived experience
of elderly residents with persistent pain in nursing homes. The research approach used
was the Vancouver school of doing phenomenology. Data were collected in open
interviews or dialogues. The research question was: ’What are the essentials of the
experience of people with persistent pain in nursing homes’? The sample was twelve
residents, mean age 86 years. After analysing the transcribed data, themes were
constructed. The overriding theme was is ‘Unacknowledged afflictions’. Three major
themes were constructed. The first theme: Reconciliation to losses in life refers to the
fact that residents tended to see their pain in a wider perspective of losses in life.
They reiterated losses of loved ones, of health and former home An ongoing work of
reconciliation and adjustment seemed to be going on within them, many could be
placed on a continuum between grief and even anger at one end genuine peace on
the other. The second theme was: the lived experience of persistent pain with the
subthemes of : All in control, Seeks help when needed and Reluctant to seek help.
Some felt everything was under control and of which the doses of tablets seemed to
be a token. Others had no problem with seeking help when needed. One resident did
seek help in vein. A few were reluctant to seek help and seemed to have become lost
or unacknowledged from the eyes of the doctors or nurses. This seems a group in
obvious need for help. The third major theme was: Sources of strength and joy.
These were mainly close relatives, enjoying reasonably good health and conditions of
living. Suggestion is made that nurses will look at persistent pain in the aged in the
context of the multiple losses and grief. Residents without needed help must be found.
Under all circumstances should the words of the sufferer be counted as valid.
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