INTRODUCTION:

Pain can be complex or simple it all depends upon the reasons and causes behind the pain. The treatment of the pain is given by recognizing its underline causes. The below article highlights to explore the barriers related to pain management in residents in two different long term care settings. To overcome these barriers to implement effective pain management techniques in managing residents pain. An interprofessional approach is developed to recover the pain. The data in this case study is selected by two different long term care facilities using seven focused groups that includes health care providers. The major findings revealed barriers at the staff members/family, health care provider, residents and health care system. These barriers can eliminate their health problems related to pain and will enhance their physical, functional, physiological status of the residents. A six tier tool was developed to address the barriers to improve the implementation of pain management techniques in the long term care settings.

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Research Question: To develop an action-based approach to improve pain management in long-term settings. To explore barriers related to implementing pain management protocols in long-term settings.

Research type- In this article both qualitative and quantitative practices are used to investigate barriers to implementing pain management techniques. Purposive sampling technique is used to gather data from two different long term care facilities. Which includes seven focused groups for the health care providers.

Research question Importance: – Pain management in long-term care settings is becoming a rising concern that needs to be addressed to maintain the health status of the residents residing in long-term care. There is need to explore the barriers to pain management to improve the functional, mental, physiological status of the residents. To eliminate the barriers to improve the current pain management practices as well as future practices in the long term care.

Results: The findings of the research article highlights the major barriers in improving pain management in older adults residing in long-term settings is that residents were not able to provide report about their pain and their reluctance to report pain to the staff members as they think this is normal process of their ageing and they don’t want to be labelled them as complainers. Another commonly reported findings in this case study is less time for staff members to access pain of the residents which is a big barrier.

Areas of interest: –

The key main area of interest according to my opinion is the development of an Interdisciplinary model that is used to improve pain management in long-term care. In this model, resident represented as the focal point. Residents interact with health care providers and family members. In case residents are not able to report their pain to health are a team or staff members then family members are used as a proxy to manage pain in residents. The second area of interest is the importance of UCP’s in the pain management. As UCP’sare the first to notice and recognize the pain of the residents. UCP role is vital and they require more skills and knowledge for assessing pain of the residents.

Strengths: – In this study is involvement of family members in the pain management of residents. The contribution of family members in assessing the pain of the residents plays a vital role in overcoming the barriers related to pain management. Family members provide psychological and emotional support to residents facing the stress of pain. Involvement of family members makes it easier for residents and staff to achieve positive health outcomes. It is most helpful at the time of resident’s admission when providers were not much familiar with the residents. The residents who were unable to report their pain to staff member then family members would be used as a proxy.

Limitations: The first limitation is about participants there were only two physiotherapists and two pharmacists in the group.

The second limitation is sample size was selected from two long-term care settings was small. Moreover, there is need to add more health care team members such as therapeutic recreation specialist which play a vital role in improving and reducing the pain of the residents. Thirdly, occupational therapists can also be included in the focused group.

Implications:  First of all, to reduce the workload of staff members working in the long-term care settings as they may help them to have excess time to access and notice the pain of the residents. To provide more education, skills, and knowledge to the staff members to recognize the pain of the residents. Furthermore, the main emphasis on providing more knowledge and information must be on UCP’s because they are the first who recognize the pain of the residents. As they can help in managing the pain of the residents by using their knowledge and skills. Health information and education should be provided to residents so that they can report their pain and other problems to health care team members and the staff members of the long-term care, they may help to reduce the main obstacles of the implementation of the pain management protocols. Therefore, this may help in future practices also. Moreover, staff members should be more alert about the status of their residents.

CONCLUSION: In a nutshell, in this article, they are providing innovative methods to improve the pain administration in the long-term care settings. Apart from this, they are using both pharmacological and non-pharmacological methods for pain management. In qualitative methods there are three main barriers are presented such as family members/residents, health care providers, and system. They have less staff to assess the pain. Moreover, the staff has more workload. Unlicensed care providers playing a pivotal role in assessing and managing pain in the residents.  With additional concern given to pain management, it is expected that people who are suffering from extreme pain will be reduced. (Kevin Brazil, 2010)