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Healthcare professionals’ reports of cancer pain cues among older people with delirium: A qualitative-quantitative content analysis

Journal of Pain and Symptom Management Feb 16, 2020

Graham CA, Chaves G, Harrison R, et al. - Researchers sought to determine the pain cues that healthcare professionals (HCP) use for judging pain in patients with delirium. Further, they investigated if whether the pain cues differed based on patient cognitive status and delirium subtype. Using the mixed qualitative-quantitative design, they recruited doctors and nurses and inquired them for their practices and beliefs regarding pain assessment and management with older patients who are cognitively intact and patients with delirium. For intact vs delirium patients, more often pain cue self-report was stated χ2 (1, N = 106) = 22.56. HCPs reported yelling χ2 (2, N = 159) = 11.14, when detailing pain in hyperactive vs hypoactive and mixed delirium patients; and significantly more HCPs reported grimace χ2 (2, N = 159) = 6.88, when detailing pain in hypoactive vs hyperactive and mixed patients.
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