Pain characterization in institutionalized elderly patients

Abstract

-The aim of the present study was to identify the prevalence and characteristics of pain chronic in relation to qualitative aspects and location in elderly (65 the 104 old) institutionalized in Jequié, Bahia, Brazil. This is a descriptive exploratory study with a transversal design and quantitative approach. The instrument used consisted of: data identification; mini-mental examination; pain-related aspects; and the McGill Pain Questionnaire. Half of the subjects were women, with a pain prevalence of 73.3%, 30% of whom had experienced pain for 1 to 5 years, 25% for more than 5 years, 28.3% did not cite pain duration and 16.6% reported having had pain for less than 1 year. With respect to quantification of pain, the most cited was moderate (25.7%). Many of the elderly were in the age group of 60 to 69 years, most painful complaint lodged mild and moderate, and places most affected were, knees and lumbar spine.Key Words: elderly, pain, prevalence, quality of life. Características de dor em pacientes idosos institucionalizadosResumo -o presente estudo teve por objetivo identificar a prevalência e características da dor crônica, quanto aos aspectos qualitativos e localização em idosos (65 a 104 anos) institucionalizados no município de Jequié/BA. Trata-se de pesquisa de caráter exploratório descritivo com delineamento transversal e abordagem quantitativa. o instrumento utilizado foi constituído de: dados de identificação; mini-mental; aspectos relacionados à dor; e Questionário de dor de McGill. Quanto ao sexo 50% era feminino, com prevalência de dor de 73,3%. 30% sente dor no intervalo de 1 a 5 anos, 25% há mais de 5 anos, 28,3% não citou e 16,6% tempo menor que 1 ano. Quanto à quantificação da dor, a mais citada foi a moderada, 25,7%. Grande parte dos idosos se encontrava na faixa etária de 60 a 69 anos, a maioria apresentou queixa dolorosa leve e moderada e os locais mais acometidos foram, joelhos e coluna lombar.PALAVrAs-CHAVe: idosos, dor, prevalência, qualidade de vida.

Prevalence of chronic musculoskeletal disorders in elderly Brazilians: a systematic review of the literature

“…Except for the Brazilian National Household Surveys, which recruited participants from all Federation Units [16]a, [16]b, [16]c], the included studies were conducted in seven different States: Bahia [12,13,21,25], Goiás [28], Minas Gerais [14,18,23], Paraná [5,11,20,29,30], Rio Grande do Sul [24,26], Santa Catarina [17,27] and São Paulo [9,10,15,19,22]. Eight studies were conducted in capital cities with population ranging from 421,000 (Florianópolis [27]) to 11.3 million inhabitants (São Paulo [19,22]) [31].…”

“…Three studies [10,12,27] recruited elders seeking care from a healthcare practitioner, and one [13] recruited institutionalized elders. One study recruited both institutionalized elders and elders seeking care in an Emergency Department [20].…”

“…One study [12] collected prevalence data from medical records. Two studies [13,26] used validated questionnaires to evaluate the presence and quality of chronic pain. In six studies the musculoskeletal diagnosis was given or confirmed by a healthcare practitioner after clinical or radiological examination [9,10,20,22,23,27].…”

“…Most studies (72.0%) investigated the report of present musculoskeletal disorders [9-13,15,16]a,[17,19-22,24,25,27-30], whereas other studies provided prevalence data based on recall periods that ranged from one week [23,26] to lifetime [14,16]b, [16]c, [18]. Six studies [9,14,16]a, [16]b, [16]c, [18] allowed the response to be reported by proxy (either another household member or caregiver).…”

“…Fifteen studies estimated the prevalence of chronic musculoskeletal pain [5,9,11-13,15,18,21,22,24-26,28-30]. Studies reporting on chronic musculoskeletal pain in any location found estimates ranging from 14.1% [22] to 85.5% [12].…”