The Experts below are selected from a list of 110112 Experts worldwide ranked by ideXlab platform
Stein Kaasa - One of the best experts on this subject based on the ideXlab platform.
-
Pain Assessment Tools in Palliative Cancer Care
Handbook of Pain and Palliative Care, 2011Co-Authors: Marianne Jensen Hjermstad, Dagny Faxvaag Haugen, Michael I. Bennett, Stein KaasaAbstract:Cancer Pain is a frequent and distressing symptom experienced by most patients at some point during the illness trajectory, particularly so in the advanced stages of disease. Systematic Pain Assessment is necessary to ensure adequate Pain management, regardless of the Pain origin. Pain Assessment should be performed in a standardized manner, with precise and validated Pain Assessment tools, preferably based on universally accepted definitions. Unfortunately, there is still little consensus on how to categorize or classify cancer Pain, but international collaborative efforts have led to new consensus-based suggestions. This chapter presents some of the background and development for the recent suggestions related to standardized methods for cancer Pain Assessment and classification. Specific focus is devoted to the following domains: Pain intensity, cancer breakthrough Pain, and neuropathic Pain, as these domains have been ranked as the most relevant for Pain Assessment in palliative cancer patients, by both experts and patients. Furthermore, this chapter points to central aspects related to the development of Assessment tools for self-report of Pain in advanced cancer patients.
-
Pain Assessment tools in palliative care: an urgent need for consensus:
Palliative medicine, 2008Co-Authors: Marianne Jensen Hjermstad, Jon Håvard Loge, Augusto Caraceni, Jane Gibbins, Dagny Faksvåg Haugen, Stein KaasaAbstract:At present, there is no universally accepted cancer Pain Assessment tool for use in palliative care (PC). The European Palliative Care Research Collaborative (EPCRC), therefore, aims to develop an international consensus-based computerised Pain Assessment tool. As part of this process, we have performed (1) a literature review on Pain Assessment tools for use in the PC and (2) an international expert survey to gain information on the relevant dimensions for Pain Assessment in PC. 230 publications were identified, only six met the inclusion criteria. Three further articles were identified through manual searching, totalling 11 different Pain Assessment tools. Nine tools were multidimensional. Pain intensity was assessed in seven, using various numerical/verbal rating scales (NRS/VRS); five tools focused on Pain management. Three publications did not identify the rationale for the need to develop a new tool, and the selection procedure for items/dimensions was not described in six tools. Patient and/or prof...
-
Doloplus-2, a valid tool for behavioural Pain Assessment?
BMC geriatrics, 2007Co-Authors: Jacob Chr. Hølen, Marianne Jensen Hjermstad, Jon Håvard Loge, Peter Fayers, Ingvild Saltvedt, Stein KaasaAbstract:Background The Doloplus-2 is used for behavioural Pain Assessment in cognitively impaired patients. Little data exists on the psychometric properties of the Doloplus-2. Our objectives were to test the criterion validity and inter-rater reliability of the Doloplus-2, and to explore a design for validations of behavioural Pain Assessment tools.
-
Pain Assessment tools
Journal of pain and symptom management, 2006Co-Authors: Jacob Chr. Hølen, Marianne Jensen Hjermstad, Jon Håvard Loge, Peter Fayers, Augusto Caraceni, Franco De Conno, Karen Forbes, Carl Johan Fürst, Lukas Radbruch, Stein KaasaAbstract:Inadequate Pain Assessment prevents optimal treatment in palliative care. The content of Pain Assessment tools might limit their usefulness for proper Pain Assessment, but data on the content validity of the tools are scarce. The objective of this study was to examine the content of the existing Pain Assessment tools, and to evaluate the appropriateness of different dimensions and items for Pain Assessment in palliative care. A systematic search was performed to find Pain Assessment tools for patients with advanced cancer who were receiving palliative care. An ad hoc search with broader search criteria supplemented the systematic search. The items of the identified tools were allocated to appropriate dimensions. This was reviewed by an international panel of experts, who also evaluated the relevance of the different dimensions for Pain Assessment in palliative care. The systematic literature search generated 16 Assessment tools while the ad hoc search generated 64. Ten Pain dimensions containing 1,011 Pain items were identified by the experts. The experts ranked intensity, temporal pattern, treatment and exacerbating/relieving factors, location, and interference with health-related quality of life as the most important dimensions. None of the Assessment tools covered these dimensions satisfactorily. Most items were related to interference (231) and intensity (138). Temporal pattern (which includes breakthrough Pain), ranked as the second most important dimension, was covered by 29 items only. Many tools include dimensions and items of limited relevance for patients with advanced cancer. This might reduce compliance and threaten the validity of the Assessment. New tools should reflect the clinical relevance of different dimensions and be user-friendly.
-
Pain Assessment in cognitively impaired elderly patients
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin ny raekke, 2005Co-Authors: Silje Songe-møller, Jon Håvard Loge, Ingvild Saltvedt, Jacob Christian Hølen, Stein KaasaAbstract:Background Pain Assessment in nursing home patients is often challenging because of cognitive failure. Demented patients receive less optimal Pain treatment than those who are cognitively intact. Inappropriate Pain Assessment is likely to be an important reason for problems with proper diagnosis and treatment of Pain in the cognitively impaired. Self-report of Pain by standardized questionnaires is recommended for those with mild cognitive failure. For those who are unable to self-report, observational Assessment is an alternative. Materials and methods Structured Pain Assessment tools are reviewed, with emphasis on their feasibility in cognitively impaired patients. Results Several Assessment tools for observational Pain Assessment are available, but none of them is satisfactory validated. Observational tools are used by a trained observer who rates behaviour indicative of Pain according to pre-defined clues. The Checklist of Non-verbal Pain Indicators (CNPI) and the Doloplus-2 are both observational tools that are translated into Norwegian. The Norwegian CNPI is in an early phase of validation, while the Doloplus-2 is tested in a Norwegian pilot validation study with promising results. Interpretation It is important to establish a common standard for systematic Pain Assessment in the cognitively impaired, both clinically and in research. Further validation of the CNPI and the Doloplus-2 is recommended.
Robert N. Jamison - One of the best experts on this subject based on the ideXlab platform.
-
Electronic Pain Assessment in clinical practice.
Pain management, 2011Co-Authors: Lisa D. Marceau, Lauren D. Smith, Robert N. JamisonAbstract:SUMMARY The Assessment and treatment of chronic Pain remains an international challenge for healthcare providers among aging patients and rising healthcare costs. This article provides a brief overview of studies on the use of electronic Pain diaries and innovative software programs for Pain Assessment and monitoring among providers and persons with chronic Pain. The advent of software Pain monitoring programs on smart phones, personal digital assistants and internet-based tracking allow for the collection of large datasets of momentary data to better assist in the management of chronic Pain. Electronic tracking in the home and clinic can improve data quality and reduce the biases of recalled information compared with paper diaries and questionnaires. Furthermore, 3D Pain mapping programs can enable patients to represent the location and intensity of their Pain with greater accuracy. However, despite the benefits, there are a number of barriers to incorporating electronic Pain Assessment into daily clinic...
-
Electronic Pain Assessment in
2011Co-Authors: Lisa D. Marceau, Lauren D. Smith, Robert N. JamisonAbstract:SUMMARY The Assessment and treatment of chronic Pain remains an international challenge for healthcare providers among aging patients and rising healthcare costs. This article provides a brief overview of studies on the use of electronic Pain diaries and innovative software programs for Pain Assessment and monitoring among providers and persons with chronic Pain. The advent of software Pain monitoring programs on smart phones, personal digital assistants and internet-based tracking allow for the collection of large datasets of momentary data to better assist in the management of chronic Pain. Electronic tracking in the home and clinic can improve data quality and reduce the biases of recalled information compared with paper diaries and questionnaires. Furthermore, 3D Pain mapping programs can enable patients to represent the location and intensity of their Pain with greater accuracy. However, despite the benefits, there are a number of barriers to incorporating electronic Pain Assessment into daily clinical practice. Additional control trials and clinical investigations are needed to demonstrate the efficacy and benefit of electronic Pain Assessment over and above standard practices.
Hengo Haljamäe - One of the best experts on this subject based on the ideXlab platform.
-
Clinical competence in Pain Assessment
Intensive & critical care nursing, 2000Co-Authors: Björn Sjöström, Eva Jakobsson, Hengo HaljamäeAbstract:Abstract Our knowledge about the content of the clinical knowledge used by nurses in a surgical recovery unit for Assessment of postoperative Pain is fairly limited. The aim of the present study was to analyse and describe the variations of nurses’ conceptions of the impact of clinical experience on competence in post-operative Pain Assessment. The informants consist of critical care nurses. A phenomenographical approach has been applied to tape-recorded interview data. The results reveal that clinical competence in Pain Assessment was described in three categories: (a) to be able to see; (b) to be able to differentiate; (c) to be able to give. The observations articulate what nurses perceive that they have learnt from experience in performing many clinical Pain Assessments and point to some difficulties in using a single-data source for the development of valid and truthful professional knowledge. In the development of professional experience, it is of the utmost importance to be able to change perspective from what is most frequent and general to what is special and unique, to base one’s standpoint on the individual patient’s experience and integrate this with previous professional experience.
-
Strategies in postoperative Pain Assessment: validation study
Intensive & critical care nursing, 1999Co-Authors: Björn Sjöström, Lars Owe Dahlgren, Hengo HaljamäeAbstract:Pain Assessment and management are major clinical problems that many categories of healthcare professionals have to deal with. Although there are many potentially successful approaches available for Pain management, there is still a shortage of knowledge about the strategies used by staff members for the actual Assessment of Pain and how reliable these strategies are. The fact that patients often undergo a great deal of suffering from Pain and lack of adequate Pain relief may be considered an indicator of this shortage of knowledge. Clinical studies from different parts of the world reveal that the incidence of Pain reported by patients is still high, with about 75% reporting moderate Pain and an additional 15% severe Pain. The aim of the present study was to validate different categories used in acute Pain Assessment and their accuracy in a new clinical sample and to explore further different dimensions of how staff members experience Pain Assessment. Intensive care nurses (n = 10) were carrying out Pain Assessment of postoperative patients (n = 30). Each Pain Assessment was followed by a detailed interview and indicating the estimated Pain intensity on a visual analogue scale (VAS, 0-10 cm). The Pain ratings by the nurses were compared to those of the patients to assess the accuracy of the Pain Assessments of the staff members. A previously developed category system for describing the initial empirical material regarding criteria the nurses relied on when assessing Pain, combined with what experience has taught them in this respect, was used to assess the validity of previous observations. The results indicate that similar approaches were still used by the nurses but the accuracy of Pain Assessment had considerably improved.
Björn Sjöström - One of the best experts on this subject based on the ideXlab platform.
-
Pain Assessment in the perspective of action science.
Research and theory for nursing practice, 2006Co-Authors: Hesook Suzie Kim, Björn Sjöström, Donna Schwartz-barcottAbstract:Pain Assessment is examined in the perspective of action science with the aim to discover espoused theories and theories-in-use for Pain Assessment. In action science there are 2 sets of theories of action: espouse theories and theories-in-use, which often exist in practice inconsistently with each other resulting in haphazard actions. Espoused theories of Pain and Pain Assessment and a set of theories-in-use were revealed. Alignments between the espoused theories and the theories-in-use, and disparities between these theories were found in the Pain Assessment situations. The findings point to possible explanations regarding problems in Pain Assessment, and provide insights into our understanding of nursing practice especially in relation to Pain Assessment.
-
Clinical competence in Pain Assessment
Intensive & critical care nursing, 2000Co-Authors: Björn Sjöström, Eva Jakobsson, Hengo HaljamäeAbstract:Abstract Our knowledge about the content of the clinical knowledge used by nurses in a surgical recovery unit for Assessment of postoperative Pain is fairly limited. The aim of the present study was to analyse and describe the variations of nurses’ conceptions of the impact of clinical experience on competence in post-operative Pain Assessment. The informants consist of critical care nurses. A phenomenographical approach has been applied to tape-recorded interview data. The results reveal that clinical competence in Pain Assessment was described in three categories: (a) to be able to see; (b) to be able to differentiate; (c) to be able to give. The observations articulate what nurses perceive that they have learnt from experience in performing many clinical Pain Assessments and point to some difficulties in using a single-data source for the development of valid and truthful professional knowledge. In the development of professional experience, it is of the utmost importance to be able to change perspective from what is most frequent and general to what is special and unique, to base one’s standpoint on the individual patient’s experience and integrate this with previous professional experience.
-
Strategies in postoperative Pain Assessment: validation study
Intensive & critical care nursing, 1999Co-Authors: Björn Sjöström, Lars Owe Dahlgren, Hengo HaljamäeAbstract:Pain Assessment and management are major clinical problems that many categories of healthcare professionals have to deal with. Although there are many potentially successful approaches available for Pain management, there is still a shortage of knowledge about the strategies used by staff members for the actual Assessment of Pain and how reliable these strategies are. The fact that patients often undergo a great deal of suffering from Pain and lack of adequate Pain relief may be considered an indicator of this shortage of knowledge. Clinical studies from different parts of the world reveal that the incidence of Pain reported by patients is still high, with about 75% reporting moderate Pain and an additional 15% severe Pain. The aim of the present study was to validate different categories used in acute Pain Assessment and their accuracy in a new clinical sample and to explore further different dimensions of how staff members experience Pain Assessment. Intensive care nurses (n = 10) were carrying out Pain Assessment of postoperative patients (n = 30). Each Pain Assessment was followed by a detailed interview and indicating the estimated Pain intensity on a visual analogue scale (VAS, 0-10 cm). The Pain ratings by the nurses were compared to those of the patients to assess the accuracy of the Pain Assessments of the staff members. A previously developed category system for describing the initial empirical material regarding criteria the nurses relied on when assessing Pain, combined with what experience has taught them in this respect, was used to assess the validity of previous observations. The results indicate that similar approaches were still used by the nurses but the accuracy of Pain Assessment had considerably improved.
Susana Abe Miyahira - One of the best experts on this subject based on the ideXlab platform.
-
FUZZ-IEEE - Tridimensional fuzzy Pain Assessment
2011 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE 2011), 2011Co-Authors: Ernesto Araujo, Susana Abe MiyahiraAbstract:A tridimensional fuzzy Pain Assessment for representing professional, social, and sexual aspects concerned to the fifth vital sign of medical condition is proposed in this paper. According to the 3D fuzzy Pain Assessment herein, Pain is not only caused by activity in nociceptive information in the brain. The proposed approach embodies such sensorial information simultaneously that contextualize it within cultural aspects that permeate the human life. This paper extends both previous unidimensional fuzzy Pain intensity scale and the accepted professional-social-sexual Pain Assessment to fuzzy inference systems. The fuzzy professional-social-sexual Pain Assessment is able to represent the inherent physiological, psychological characteristics by taking into account the emotional, complex perceptual, subjective, and personal phenomenon involving all domains of an individual meanwhile can deal with cultural mechanisms within individual life experience. According to the proposed approach, not only fuzzy set theory but fuzzy systems can also direct and immediately improve medicine and healthcare in general, and Pain Assessment, in particular, in a subjective and multi-dimensional model.
