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Revealed pain management practices with older people were deficient due to:
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Ely's thematic analysis (1991) revealed three potential action cycles:
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Limited/absent pain assessment.
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}
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Action cycle one: pain assessment and practice.
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Inflexible analgesic prescriptions.
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Limited use of non-pharmacological strategies.
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}
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Action cycle two: Organisation of care.
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Family and Physician opinion on use of analgesics.
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Fear of addiction.
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}
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Action cycle three: Knowledge and insight to deal with problematic pain.
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Patients not being believed.
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Patients having decisions made 'for' rather than 'with' them.
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