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Qualitative study - other
Pain-related palliative care challenges in people with advanced dementia call for education and practice development in all care settings
  1. Marie Ernsth Bravell
  1. School of Health and Welfare, Institute of Gerontology, Jonkoping University, Jonkoping, Sweden
  1. Correspondence to Associate Professor Marie Ernsth Bravell, Institute of Gerontology, Jonkoping University, Box 1026, Jonkoping 551 11, Sweden; erma{at}

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Commentary on: De Witt Jansen B, Brazil K, Passmore P, et al. Nurses’ experiences of pain management for people with advanced dementia approaching the end of life: a qualitative study. J Clin Nurs 2017;26:1234–1244.

Implications for practice and research

  • Patient-related challenges in pain management were universal across settings, indicating a need for education and practice development at all care settings.

  • Nurse-related and organisational factors influencing pain management vary across different care settings, implying a need for different approaches to improve nurse–physician relations and learning opportunities.

  • Patient-related challenges imply a need for research on administration of medications among persons with dementia to ensure pain relief in end stage.


The increasing life expectancy in Europe and in developed countries worldwide indicates improved health and social conditions. However, it also means that people are older when they receive end-of-life care and are at increased risk of suffering from …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.