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Copyright © 2018 American Academy of Hospice and Palliative Medicine. Techniques to improve documentation and treatment of pain in nursing home residents with cognitive impairment are needed. In nursing home residents with cancer, pain was less frequently documented in those with severe cognitive impairment, which may lead to less frequent use of treatments for pain. 74.9% in those with no/mild cognitive impairment). Pharmacologic pain management was less prevalent in those with severe cognitive impairment (59.4% vs. Greater cognitive impairment was associated with reduced prevalence of any pain (adjusted prevalence ratio severe vs. Pain was common in those able to self-report (67.9% no/mild, 55.9% moderate, and 41.8% severe cognitive impairment). For those with staff-assessed pain, pain prevalence was 55.5% with no/mild cognitive impairment and 50.5% in those severely impaired. Adjusted prevalence ratios with 95% CI were estimated from robust Poisson regression models. Minimum Data Set 3.0 admission assessment was used to evaluate pain/pain management in the past five days and cognitive impairment (assessed via the Brief Interview for Mental Status or the Cognitive Performance Scale for 91.6% and 8.4%, respectively). Using a cross-sectional study, we identified all newly admitted U.S. To evaluate whether the documentation and management of pain varies by level of cognitive impairment among nursing home residents with cancer. The prevalence of pain and its management has been shown to be inversely associated with greater levels of cognitive impairment. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.Ĭognitive Impairment and Pain Among Nursing Home Residents With Cancer.ĭubé, Catherine E Mack, Deborah S Hunnicutt, Jacob N Lapane, Kate L the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period) was 37.5%. the most frequent risk factors for respiratory aspiration were: dysphagia (54.2%) and impaired physical mobility (41.7%). The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA). This review allowed the identification of new elements not included in NANDA International Taxonomy and may contribute to the development of taxonomy and nursing knowledge.Ĭlinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident.Ĭavalcante, Tahissa Frota de Araújo, Thelma Leite Moreira, Rafaella Pessoa Guedes, Nirla Gomes Lopes, Marcos Venicios de Oliveira da Silva, Viviane Martins

Regarding the 14 related factors that are classified, 9 were identified in the sample and 12 were not included in the NANDA International taxonomy. Among the 6 defining characteristics classified at NANDA International, 3 were identified in the search results, but 13 were not included in the classification. Integrative literature review based on the following guiding question: Are there more defining characteristics and factors related to the nursing diagnosis impaired walking than those included in NANDA International classification taxonomy in elderly patients? Search conducted in 2007-2013 on international and Portuguese databases. The impaired walking nursing diagnosis has been included in NANDA International classification taxonomy in 1998, and this review aims to identify the defining characteristics and related factors in elderly patients in recent literature. Marques-Vieira, Cristina Maria Alves de Sousa, Luís Manuel Mota de Matos Machado Carias, João Filipe Caldeira, Sílvia Maria Alves