Addressing methodological challenges in implementing the nursing home pain management algorithm randomized controlled trial.

ABSTRACT:

Background

Unrelieved pain among nursing home (NH) residents is a well-documented problem. Attempts have been made to enhance pain management for older adults, including those in NHs. Several evidence-based clinical guidelines have been published to assist providers in assessing and managing acute and chronic pain in older adults. Despite the proliferation and dissemination of these practice guidelines, research has shown that intensive systems-level implementation strategies are necessary to change clinical practice and patient outcomes within a health-care setting. One promising approach is the embedding of guidelines into explicit protocols and algorithms to enhance decision making.

Purpose

The goal of the article is to describe several issues that arose in the design and

SUBMITTER: Ersek M 

PROVIDER: S-EPMC4426859 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature