Browsing by Subject "Theory of Unpleasant Symptoms"

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    Post-Craniotomy Pain in the Brain Tumor Patient: An Integrative Review
    (Wiley, 2016-06) Guilkey, Rebecca Elizabeth Foust; Von Ah, Diane; Carpenter, Janet; Stone, Cynthia; Draucker, Claire B.; Department of Nursing, IU School of Nursing
    Aim To conduct an integrative review to examine evidence of pain and associated symptoms in adult (≥21 years of age), postcraniotomy, brain tumour patients hospitalized on intensive care units. Background Healthcare providers believe craniotomies are less painful than other surgical procedures. Understanding how postcraniotomy pain unfolds over time will help inform patient care and aid in future research and policy development. Design Systematic literature search to identify relevant literature. Information abstracted using the Theory of Unpleasant Symptoms’ concepts of influencing factors, symptom clusters and patient performance. Inclusion criteria were indexed, peer-reviewed, full-length, English-language articles. Keywords were ‘traumatic brain injury’, ‘pain, post-operative’, ‘brain injuries’, ‘postoperative pain’, ‘craniotomy’, ‘decompressive craniectomy’ and ‘trephining’. Data sources Medline, OVID, PubMed and CINAHL databases from 2000–2014. Review method Cooper's five-stage integrative review method was used to assess and synthesize literature. Results The search yielded 115 manuscripts, with 26 meeting inclusion criteria. Most studies were randomized, controlled trials conducted outside of the United States. All tested pharmacological pain interventions. Postcraniotomy brain tumour pain was well-documented and associated with nausea, vomiting and changes in blood pressure, and it impacted the patient's length of hospital stay, but there was no consensus for how best to treat such pain. Conclusion The Theory of Unpleasant Symptoms provided structure to the search. Postcraniotomy pain is experienced by patients, but associated symptoms and impact on patient performance remain poorly understood. Further research is needed to improve understanding and management of postcraniotomy pain in this population.
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    SYMPTOM CORRELATES OF CAREGIVER BURDEN IN SPOUSES OF PERSONS WITH DEMENTIA
    (Office of the Vice Chancellor for Research, 2012-04-13) Malan, Jamee S.; McLennon, Susan M.
    Caregiver burden is a key predictor of institutionalization of persons with dementia. Using the Lenz et al. (1997), Theory of Unpleasant Symptoms as a guide, the purpose of this study was to determine whether pain, fatigue, or depressive symptoms are associated with caregiver burden among spouses of persons with dementia. A secondary analysis of an existing database of a cross-sectional, descriptive study of 83 spouses of persons with dementia was conducted. Spouses were predominately female (60%) and Caucasian (76%) with a mean age of 77 years. Symptom data were collected using items from the SF-36v2. Burden data was collected using the abridged Zarit Burden Interview. Data were analyzed using descriptive, correlational, and multiple regression statistical analyses. Spouse caregiver pain, fatigue, and depressive symptoms were significantly associated with caregiver burden