The Role of Nurses' Uncertainty in Decision-Making Process of Pain Management in People with Dementia

Pain Research and Treatment
Mohammad Rababa

Abstract

Pain in people with dementia (PWD) is underassessed and undertreated. Treatment of pain in people with dementia goes awry because of poor assessment, poor treatment, and factors related to nursing decision-making skills. Several theoretical models addressed the role of nurses' critical thinking and decision-making skills in pain treatment, like the cognitive continuum theory (CCT) and the adaptive pain management (APT). Only the Response to Certainty of Pain (RCP) model was the first model to posit relationships between nurses' uncertainty, pain assessment, and patient outcomes. Gilmore-Bykovskyi and Bowers developed the RCP, which incorporates the concept of uncertainty and how it relates to the problem of unrelieved pain in PWD. The RCP model has the potential to provide good understanding of the problem of unrelieved pain in people with dementia. It also could help to develop a research study that brings comfort to an often neglected and vulnerable population.

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Citations

Dec 31, 2020·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Mohammad Rababa, Sami Al-Rawashdeh
Mar 21, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Scott A StrasselsUlrike Muench
Dec 19, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Thorbjorg Jonsdottir, Esther Christina Gunnarsson

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