The purpose of this study was to investigate the extent to which psychological interventions are included in the established programs for pain management in Pennsylvania nursing home facilities. In a survey addressed to directors of nursing from 150 randomly selected Pennsylvania nursing facilities, information was elicited regarding the overall satisfaction with existing pain management programs, the frequency and effectiveness of utilized interventions, barriers to optimal pain management, and barriers that prevent a broader implementation of psychological interventions within the programs. Study results indicated utilization of fewer psychological interventions relative to the number of pharmacological and physical modalities included in existing pain programs, and those that were included were informal techniques requiring no specialized psychological training to administer. Respondents who utilized psychological interventions reported very similar ratings among the three modalities in the frequency with which they were chosen and in their effectiveness in managing pain. Although respondents rated the overall pain management of their facilities positively, they also reported assessment difficulties, insufficient training in pain management guidelines, and failure of residents to report pain as barriers to optimal pain management. Insufficient training in pain management guidelines was also reported as a barrier to more full inclusion of psychological interventions in the programs, along with time constraints, and lack of professional staff to provide the interventions.
|School Location:||United States -- Pennsylvania|
|Source:||DAI-B 72/05, Dissertation Abstracts International|
|Subjects:||Gerontology, Aging, Clinical psychology, Physiological psychology|
|Keywords:||Chronic pain, Nursing homes, Older adults, Pain management, Pennsylvania, Psychological interventions|
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