title: Evidence-based practice for pain identification in cognitively impaired nursing home residents.
abstract: Pain identification of cognitively impaired elderly is very challenging. This project aimed to identify best practices for pain assessment in nursing home residents with cognitive impairment and to establish a standardized pain assessment guide to optimize nursing practice and resident outcomes. The Iowa Model of Evidence-Based Practice to Promote Quality of Care guided the project's process. Phase I of the project analyzed data gained from chart reviews on current practices of pain assessment, and Phase II used the results of Phase I to develop, implement, and evaluate an evidence-based practice standard for nursing assessment of pain for cognitively impaired residents.
authors.affiliation: Leahi Hospital, 3675 Kilauea Avenue, Honolulu, HI 96816, USA. Electronic address: csacoco@hhsc.org.
authors.forename: Christina
authors.initials: C
authors.lastname: Sacoco
authors.affiliation: Leahi Hospital, 3675 Kilauea Avenue, Honolulu, HI 96816, USA.
authors.forename: Sally
authors.initials: S
authors.lastname: Ishikawa
mesh_terms: D003072:Cognition Disorders / Q000150:complications* / Q000451:nursing; D055317:Evidence-Based Practice; D006254:Hawaii; D006801:Humans; D007297:Inpatients; D008134:Long-Term Care; D010146:Pain / Q000150:complications / Q000175:diagnosis*; D012866:Skilled Nursing Facilities
keywords: Long-term care facility; Nursing home facility; Pain assessment in cognitively impaired elderly residents