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Abstract-Aim The aim of this study was to identify barriers to optimal pain management in long-term care (LTC) from a nursing perspective.
Method A quantitative, cross-sectional, descriptive design was used.
Results Patient-related barriers were seen as interfering more often with optimal pain management than organizational-related or caregiver-related barriers. Difficulty assessing pain due to problems with cognition, older patients’ inability to complete pain scales and communication difficulties as a result of sensory impairment were common barriers.
Conclusion A targeted approach to address the identified barriers would help improve pain management practices in LTC.

Data collection-The information received in this study was gathered from nursing staff in two private and three public long term care facilities. Questionnaires were sent to these respondents’ regarding barriers to pain control and the respondents’ demographic information.
Analysis of date-The questionnaire consisted of two sections. The first included questions regarding the staff personal feelings on what could possibly be a barrier to pain control in these facilities. The categories of barriers included patient, organizational and caregiver. The second section included information about the nursing staff including age, gender and education. A convenience sample was used in this study.
Limitations-The limitations in this study include the fact that convenience sampling was used and only five facilities were used. There were only 83 respondents in this study and not all of the questionnaires were returned to the researchers.
Implications-Patient related barriers were found to be the biggest obstacle to pain management in this study. The staff that did respond felt that the biggest barrier in this category was the difficulty of assessing pain in the geriatric population due to

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