1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Developing a Training for Certified Nursing Assistants to Recognize, Communicate, and Document Discomfort in Residents With Dementia.

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Nursing home residents with advanced dementia experience significant symptom burden and may be unable to articulate their needs. Observational tools, such as the Pain Assessment in Advanced Dementia (PAINAD) scale, are available to evaluate changes in behavior that may signify discomfort or pain. Studies proposing a short and effective curriculum, primarily for certified nursing assistants (CNAs) on how to use and incorporate the PAINAD in daily patient care, are scarce. This performance improvement project involves the design and implementation of a training curriculum for CNAs for using the PAINAD and discusses barriers to be considered for further projects. Certified nursing assistant perceptions of their experience with the training and the use of the tool were also assessed with a brief evaluation. Seventy-three initial PAINAD forms were completed along with 52 follow-up PAINAD forms. A paired t test (N = 52) showed a significant decrease in the PAINAD scores from initial (mean, 6.06) to follow-up (mean, 1.85) (P < .001), suggesting a reduction of patient discomfort. The process of collecting and examining these data was meant to reinforce the identification and reduction of behavioral distress through the application of this tool. The training was perceived as effective and the tool as easy to use, indicating it can be incorporated into daily care responsibilities of CNAs.

          Related collections

          Author and article information

          Journal
          J Hosp Palliat Nurs
          Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
          Ovid Technologies (Wolters Kluwer Health)
          1539-0705
          1522-2179
          Apr 2018
          : 20
          : 2
          Affiliations
          [1 ] Vanessa Rodriguez, MD, is assistant professor, Icahn School of Medicine at Mount Sinai Hospital, New York. Joann P. Reinhardt, PhD, is director of research, The New Jewish Home, New York. Ruth Spinner, MD, CMD, is associate medical director, The New Jewish Home, New York. Sharon Blake, RN, is nurse manager, The New Jewish Home, New York.
          Article
          00129191-201804000-00005
          10.1097/NJH.0000000000000424
          30063564
          2ee8de54-03c6-46fd-b141-fb6e5210596e
          History

          Comments

          Comment on this article