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Outline an example of how pain can often be overlooked or go underreported when working in aged and disability care.

Question

Outline an example of how pain can often be overlooked or go underreported when working in aged and disability care.

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Solution

  1. Lack of Communication: Elderly and disabled individuals often have difficulty expressing their pain due to cognitive impairments, speech difficulties, or fear of being a burden. This can lead to their pain being overlooked as they may not be able to effectively communicate their discomfort.

  2. Misinterpretation of Symptoms: Pain in the elderly and disabled can manifest differently than in other populations. For example, they may show signs of pain through changes in behavior, mood, or appetite rather than verbalizing their discomfort. These signs can be easily misinterpreted or overlooked by caregivers.

  3. Normalization of Pain: There is a common misconception that pain is a normal part of aging or disability. This can lead to underreporting as individuals may feel their pain is to be expected and therefore, do not report it. Similarly, caregivers may dismiss pain symptoms as a normal part of the individual's condition.

  4. Fear of Treatment: Some elderly or disabled individuals may fear the consequences of reporting pain, such as the possibility of having to undergo medical procedures or being prescribed medication with side effects. This fear can lead to underreporting of pain.

  5. Lack of Regular Check-ups: In some cases, regular health check-ups may not be conducted thoroughly, leading to missed signs of pain or discomfort. This is especially true in overburdened care facilities where staff may not have the time to conduct detailed examinations.

  6. Insufficient Training: Caregivers may not have received adequate training in pain assessment and management for the elderly and disabled. This lack of training can lead to underrecognition and undertreatment of pain in these populations.

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Fry et al 2015(b) AustraliaTitle Emergency nurses'perceptions of the role offamily/carers in caring forcognitively impaired olderpersons in pain: adescriptive qualitativestudyQualitative descriptivestudyPurposive samplingSee above (Fry et al,2015a)To understand EDnurses' perceptions ofthe role offamily/carers for oldercognitively impairedpersons experiencingpain as a result of along bone fractureFocus groups (4)Nvivo 9.2Thematic analysis(Gibbs, 2007)ED nurses perceivethat family members:were valuable inassisting staff to buildthe clinical picture onarrival in the ED; canprovide criticalinformation thatwould otherwise beunknown; reducenegative impact of theED environment onpatientIf family memberswere not present, thisadded to the workloadof nurses who couldnot deliver the carethe person with CIrequiredWorry and stress forfamily members. EDnurses expect familymembers to provideFamily members arethe hidden workforce.Collaboration betweenfamily members andnurses needs furtherexploration. Role offamily members in EDis sometimes unclearMore research neededto determine familymembers' perceptionsof emergency care

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