title: Chronic pain in elderly nursing home residents: the need for nursing leadership.
abstract: The incidence of chronic pain amongst elderly people in nursing homes is very high, making pain in this population a serious problem for aged care facilities. Research studies reveal a pattern of poor pain management in this setting despite the high incidence of pain suggesting that the management of pain in nursing homes is limited in scope and only partially effective. What is not fully appreciated by health professionals is the impact pain has on the lives of elderly people who live in nursing homes. In the study reported here a phenomenological method was used involving several in depth interviews with elderly people over a period of 9 months. Field notes of observations were also recorded as the participants went about their everyday lives in the nursing home. The discussion focuses on some of the themes drawn from the study with an emphasis on a key theme 'being constantly pained'. The findings of the study highlight what it is like to experience pain and how this impacts on everyday lives of elderly people. The paper concludes with some suggestions for health professional for improving care in this area.
authors.affiliation: Faculty of Health, Deputy Head of School, School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW, Australia. Isabel.Higgins@newcastle.edu.au
authors.forename: Isabel
authors.initials: I
authors.lastname: Higgins
authors.forename: Irena
authors.initials: I
authors.lastname: Madjar
authors.forename: Jo Ann
authors.initials: JA
authors.lastname: Walton
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002908:Chronic Disease; D004645:Empathy; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006707:Homes for the Aged; D006801:Humans; D015994:Incidence; D007857:Leadership; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009735:Nursing Homes; D015404:Nursing Methodology Research; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D010147:Pain Measurement; D011788:Quality of Life