Abstract

Patients are admitted to hospice care with a terminal illness to receive supportive care and management of symptoms, such as pain. An integral part of the nursing role is providing holistic care by assessing the patient's physical, mental, emotional, and overall functional state. To improve quality at end-of-life, a comprehensive assessment of the patient’s pain experience should occur during every visit. Inadequate pain assessment is a local and national problem resulting from the use of unidimensional pain assessment tools, such as the numerical pain rating scale and visual analog scale, which measures generalized pain rather than the overall pain experience. Currently, nurses at a local hospice company use a unidimensional approach to assess pain during routine visits. Literature recommend using a multidimensional pain assessment method to better understand the patient's total pain experience and increase comfort and patient satisfaction. The purpose of this planned project was to develop an evidence-based multidimensional pain assessment approach for hospice patients, including plans for implementation and evaluation.

Author Details

Congraleatha VaGayle Payne, DNP, MSN-Ed., BSN, RN

Sigma Membership

Epsilon Omega

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Clinical Practice Guideline(s)

Research Approach

Pilot/Exploratory Study

Keywords:

Hospice Care, Unidimensional Approach, Multidimensional Approach

Advisor

Lisa Gurley

Second Advisor

Andrea Collins

Degree

DNP

Degree Grantor

Samford University

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Full Text of Presentation

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Abstract.pdf (130 kB)

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