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Improving Pain Management in Long-term Care: The Campaign Against Pain

Long, Carol O. PhD, RN, FPCN; Morgan, Bonnie M. MA, RN, CHPN, FPCN; Alonzo, Tena R. MA; Mitchell, Karen M. BSN, RN; Bonnell, Debra K. LPN, RAC-CT; Beardsley, Melissa E. BS, MGH

Journal of Hospice & Palliative Nursing: May-June 2010 - Volume 12 - Issue 3 - p 148-155
doi: 10.1097/NJH.0b013e3181d94f1b

Pain is often unrecognized and undertreated in long-term-care settings. The Beatitudes Campus Health Care Center created the Campaign Against Pain program to improve pain management for residents with chronic pain and short-stay residents with acute pain. The program included education; onsite consultation; individual work groups composed of staff, management, and residents; and the administrative commitment to address the needs of staff and persons residing in the facility within a quality improvement and best practices framework. Using the Minimum Data Set 2.0 Quality Measures for benchmarking, the impact of the training resulted in a drastic reduction in pain in the facility over five quarters for chronic (1.6%) and post-acute care (8.3%), suggesting that change was embedded and sustained over time. The facility met and exceeded the goals of the project and the Advancing Excellence in America's Nursing Home Campaign.

Author Affiliations: Carol O. Long, PhD, RN, FPCN, is Principal, Capstone Healthcare Group & Co-Director, Palliative Care for Advanced Dementia, Beatitudes Campus Health Care Center, Phoenix, AZ.

Bonnie M. Morgan, MA, RN, CHPN, FPCN, is Director of Education, Hospice of the Valley, Phoenix, AZ.

Tena R. Alonzo, MA, is Director of Dementia Programs, Beatitudes Campus Health Care Center, Phoenix, AZ.

Karen M. Mitchell, BSN, RN, is Director of Nursing, Beatitudes Campus Health Care Center, Phoenix, AZ.

Debra K. Bonnell, LPN, RAC-CT, is MDS Coordinator, Beatitudes Campus Health Care Center, Phoenix, AZ.

Melissa E. Beardsley, BS, MGH, is Social Service Director, Christian Care Health Center, Phoenix, AZ.

Grant funding was received from the Arizona Department of Health Services (HR821043).

Address correspondence to Carol O. Long, PhD, RN, FPCN, 3416 E Winona St, Phoenix, AZ 85044 (

© 2010 The Hospice and Palliative Nurses Association