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Smärtskattning hos personer med sjukdomen demens.: En litteraturstudie
University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
2009 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syftet med denna litteraturstudie var att beskriva hur smärta, hos äldre personer som har diagnosen demens, kan identifieras och vilka hjälpmedel som finns att tillgå för att skatta/bedöma smärta hos dem som har diagnosen demens. Dessutom var syftet att beskriva vilka kriterier/särdrag man använder sig av vid smärtbedömningen hos de med sjukdomen demens. Artiklar söktes i följande databaser: Academic Search Elite, Cinahl, High Wire Press, Pub Med och i Science Direct. Dessa databaser valdes relaterat till att de är erkända och hade ett relativt stort utbud på relevanta artiklar inom ämnet.Designen i denna studie var beskrivande litteraturstudie där resultatet baseras på vetenskapliga artiklar. Totalt 31 artiklar var relevanta för studien och togs med i resultatet, av dessa var 24 kvalitativa, 4 kvantitativa och 3 artiklar var både kvalitativa och kvantitativa. Granskningen av kvaliteten av artiklarna som ingår i studien visade att den metodologiska kvaliteten var relativt hög.Resultatet visade att det fanns en del olika indikatorer som bedöms vid smärtskattning.Till de vanligaste indikatorerna hör ansiktsuttryck, smärtord och smärtljud men personer med demens och smärta kan även reagera med att dra sig undan, bli tysta eller ibland bli aggressiva och agiterade.Det fanns ett flertal smärtskattningsinstrument och observationsskalor med olika upplägg och kombinationer av bedömningskriterier. Smärtbedömning hos äldre med demens försvåras av att deras kognitiva förmåga liksom den verbala förmågan tenderar att försämras med deras sjukdom. Studien visade också att smärtskattning hos personer med kognitiv svikt är ett komplicerat och viktigt arbete för personal inom sjukvården.

Abstract [en]

The purpose of this literature review was to describe the pain, in older people who have been diagnosed with dementia, experience can be identified and the available aids, the pain of those who have been diagnosed with dementia. Furthermore, the purpose was to describe the criteria/characteristics used to make pain assessments on persons with dementia.Articles were found in the following databases: Academic Search Elite, Cinahl, High Wire Press, Pub Med and Science Direct. These databases were choosen because they are recognized and had a relatively wide range of relevant articles on the subject. The design of this study was descriptive literature review, where the outcome is based on scientific articles. In total, 31 articles were relevant to the study and were included in the result, of these articles, 24 were qualitative, 4 quantitative and 3 articles were both qualitative and quantitative. The review of articles included in the study, showed that the methodological quality was relatively high.The results indicated that there were different indicators considered while doing the pain assessment. The most common indicators include facial expression, pain words and sounds of pain, but persons with dementia and pain can also react with withdrawal, become quite or even become aggressive and agitated.There were several of pain-assessment instruments and observation scales with different set-ups and combinations of criteria. Pain assessment on elderly people with dementia is complicated, thus, their cognitive ability tends to deteriorate with their illness.The study also showed that pain assessment on persons with cognitive impairment is a complex and important work for health care staff.

Place, publisher, year, edition, pages
2009. , p. 50
Keywords [en]
Dementia, Pain, Pain Assessment, Cognitive impairment.
Keywords [sv]
Demens, Smärta, Bedömningsinstrument, Kognitiv förmåga.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-5057Archive number: SPECVÄ/vt09nr5OAI: oai:DiVA.org:hig-5057DiVA, id: diva2:231939
Presentation
(English)
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Available from: 2009-08-24 Created: 2009-08-18 Last updated: 2009-08-24Bibliographically approved

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