Evidence map›Paper›PMID 30758719›Full record

ArticleSchmerz (Berlin, Germany)2019

[Challenging behavior and pain in dementia : Experiences of nursing staff in an acute care hospital].

Melanie Bienas, Irmela Gnass, Benjamin Mayer, Lukas Radbruch, Albert Lukas

Abstract read
PubMed Publisher
In one paragraph

Article in Schmerz (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Melanie BienasMalteser Krankenhaus Seliger Gerhard, Bonn/Rhein-Sieg, Zentrum für Altersmedizin, Akademisches Lehrkrankenhaus, Universität Bonn, Von-Hompesch-Straße 1, 53123, Bonn, Deutschland.
Irmela GnassInstitut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich.
Benjamin MayerInstitut für Epidemiologie und Medizinische Biometrie, Universität Ulm, Ulm, Deutschland.
Lukas RadbruchMalteser Krankenhaus Seliger Gerhard, Bonn/Rhein-Sieg, Zentrum für Palliativmedizin, Akademisches Lehrkrankenhaus, Universität Bonn, Bonn, Deutschland.
Albert LukasMalteser Krankenhaus Seliger Gerhard, Bonn/Rhein-Sieg, Zentrum für Altersmedizin, Akademisches Lehrkrankenhaus, Universität Bonn, Von-Hompesch-Straße 1, 53123, Bonn, Deutschland. albert.lukas@malteser.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with dementia are receiving treatment in acute care hospitals at increasing rates. Most prominently, patients exhibiting behavioral and psychological symptoms of dementia (BPSD) are perceived as significant burdens for staff members. Non-detected pain is seen as one substantial reason for behavior that is seemingly unexplainable. In order to gather information about dealing with BPSD a survey was performed. The objective of this study was to enable a more cause-oriented treatment.

methodsThe procedure consisted of an anonymous survey of nurses, by semi-structured interviews with open and closed questions about BPSD: type, frequency, perceived burden, therapeutic countermeasures including pain recognition.

resultsA total of 46 nurses from 3 wards (internal, geriatric, surgery) were interviewed. 1. Nurses reported being heavily burdened by patients with BPSD. 2. A structured identification of possible causes as part of an established treatment process was not observed. 3. Offering to talk with the patient in order to identify possible causes for BPSD was seen as the first step in the right direction but is inhibited by the limitations of people with severe dementia. 4. Pain as one important cause for BPSD was known by the staff but was often measured by inadequate instruments. 5. Positioning and mobilization were the most commonly used attempts at treatment.

conclusionNurses are especially affected in their daily work by patients with BPSD. Clarifying the cause may play a crucial role in treating BPSD.

Indexed as

DementiaNursing StaffPainDelivery of Health CareHumansSurveys and QuestionnairesAcute care hospitalBPSDDementiaPainPain recognition

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.