Implementing and sustaining evidence-based practices in long-term care.

Pain

The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the Assessment and Management of Pain Best Practice Guideline 3rd ed.. Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!

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Understanding Pain & Dementia: An Online Workshop and Toolkit - brainXchange - Website

The educational website contains:

  • A narrated presentation about pain and dementia
  • A downloadable resource pack for family members, and
  • A downloadable pain-log and the PAINAD assessment tool (Warden, Hurley, Volicer, 2003)

A facilitator's toolkit of background material, a planning guide, promotional material, and supplemental information for organizations who wish to conduct a workshop using he materials.

Retrieved from: http://brainxchange.ca/Public/Resource-Centre-Topics-A-to-Z/Pain.aspx

This link takes you to the CDRAKE and AKE combined activities to form an exciting new network.

Understanding Pain & Dementia: An Online Workshop and Toolkit (brainXchange Website)

AdvantAge Ontario Pain Management Program - Policy, Procedures and Training Package

This link will take you to the document developed by AdvantAge Ontario to support program objectives, policy, procedures and staff training materials and tools that meet minimum requirements of the LTCH Act and Regulation.

Retrieved from www.advantageontario.com 

Pain Management Program Policies, Procedures and Training Package December 2010

Geriatric Pain - Educational Resources for Providers

This link takes you to the resources that include pain assessment terminology and Power Point presentations.

Reference: Sigma Theta Tau International for the Center for Nursing Excellence in Long Term Care 2013. Pain assessment terminology and narrated power point presentations. Retrieved from http://www.geriatricpain.org

Geriatric Pain - Educational Resources for Providers
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Checklist of Nonverbal Pain Indicators (CNPI)

The Checklist of Nonverbal Pain Indicators (CNPI), was designed to observe and measure pain behaviors in cognitively impaired elders.

Retrieved from: https://www.caltcm.org/assets/Pain-file/checklist%20nonverbal%20pain%20indicators.pdf

Feldt KS. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs. 2000 Mar;1(1):13-21. Horgas AL. Assessing pain in persons with dementia. In: Boltz M, series ed. Try This: Best Practices in Nursing Care for Hospitalized Older Adults with Dementia. 2003 Fall;1(2). The Hartford Institute for Geriatric Nursing. www.hartfordign.org

Checklist of Nonverbal Pain Indicators (CNPI)
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Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC)

PACSLAC is a tool to observe and assess both common and subtle pain behaviours. Copyright © Shannon Fuchs-Lacelle and Thomas Hadjistavropoulos. The PACSLAC may not be reproduced without permission. For permission to reproduce the PACSLAC, please contact the copyright holders (Thomas.Hadjistavropoulos@uregina.ca).

Retrieved from: https://gerocentral.org/wp-content/uploads/2013/12/Pain-Assessment-Checklist-for-Seniors-with-Limited-Ability-to-Communicate-PASLAC.pdf

PDF icon Pain-Assessment-Checklist-for-Seniors-with-Limited-Ability-to-Communicate-PASLAC.pdf
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Brief Pain Inventory (BPI)

Purpose of the BPI tool is to assess the severity of pain and the impact of pain on daily functions. The tool can be used for patients with pain from chronic diseases or conditions such as cancer, osteoarthritis and low back pain, or with pain from acute conditions such as postoperative pain.

Assessment areas included are severity of pain, impact of pain on daily function, location of pain, pain medications and amount of pain relief in the past 24 hours or the past week.

The BPI copyright is held by Dr Charles S. Cleeland (1991). The copyright applies to the BPI and all it's derivatives in any language.

Retrieved from http://www.npcrc.org/files/news/briefpain_short.pdf 

Brief Pain Inventory (BPI)
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Policy and Procedures Pain Assessment and Management

This policy and procedure for pain assessment and management provides examples for inclusion of evidence –based recommendations in an organization’s policy to address acute and chronic pain. This document was created prior to the LTCHA (2007).
Toronto Best Practice in LTC Initiative. (2006). Policy and Procedure: Pain Assessment and Management. Retrieved 2013, from http://rgp.toronto.on.ca/torontobestpractice/Policyprocedurepainassessmentmanagement.pdf

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