Chronic pain in a sample of nursing home residents: Prevalence, characteristics, influence on quality of life (QoL)

Zanocchi, Mauro; Maero, Barbara; Nicola, Elena; Martinelli, Elisa; Luppino, Angela; Gonella, Mafalda; Gariglio, Federico; Fissore, Laura; Bardelli, Benedetta; Obialero, Rossella; Molaschi, M

doi:10.1016/j.archger.2007.07.003

Cited by 118 publications

(84 citation statements)

References 29 publications

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“…[42,43] Vü- %47-67.8 oranında ağrı kesici kullandıkları ve bu yöntemleri çok yararlı buldukları belirtilmektedir. [21,34,42] Yaşlı bireylerin %46'sı aktivite kısıtlamasını kullandığını ve bu yöntemi çok yararlı bulduğunu bildirilmektedir. [21,32] Yapılan çalışmalarda kognitif baş etme %36 oranında ve biraz yararlı olarak tanımlanırken; azim %52 ve duygusal destek %50 oranında yararlı bulunmuştur.…”

Section: Discussionunclassified

“…Yaşlı bireylerin ağrı yönetiminde %58 non opioid [8,32,33] Kronik ağrısı olan yaşlı bireylerin %19.5'nin dizde, %16.5'inin kalçada ve %11.5'inin ağrı yaşadığı belirtilmiştir. [34] Yaşlılar ağrı özelliklerini %59.8 oranında sızlıyor gibi, %50 yorucu, %75.6 hassas, %52.4 zonklayan ve %11 kasılır tarzda şeklinde tanımlamıştır (Tablo 3). Yıldız ve ark.nın [5] (2009) çalışmasında yaşlıların %36.4'ü sızlayıcı ağrı, %3.6'sı da künt ağrı hissettiklerini belirtmişlerdir.…”

Section: Bulgularunclassified

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Pain Management of Elderly in Nursing Homes

Özel¹,

Yıldırım²,

Fadıloğlu³

2014

Agri

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Section: Discussionunclassified

Section: Bulgularunclassified

Pain Management of Elderly in Nursing Homes

Özel¹,

Yıldırım²,

Fadıloğlu³

2014

Agri

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“…The type of care home was described in 14 studies. This was categorised as residential home in one study [21] and as a nursing home in 13 [1,10,22,25,[26][27][28][29][30][31][32][33][34]. No studies itemised the reasons for admission to the care home.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two studies were undertaken in the Netherlands [21,32], Canada [40,41], and China [29,42]. There was a single study from each of the following countries: Turkey [27], Taiwan [28], Japan [24], Norway [26], Italy [30], the United Kingdom (UK) [10], Australia [33] and Singapore [34].…”

Section: Study Characteristicsmentioning

confidence: 99%

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The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

et al. 2015

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Purpose: To systematically review the literature describing the prevalence, impact and current management of musculoskeletal pain in older people living in care homes. All studies assessing the prevalence, impact and management of musculoskeletal disorders in older people living in care homes was included. Literature was appraised using the CASP cohort and qualitative critical appraisal tools. Data were analysed using descriptive statistical approaches, meta-analysis and meta-ethnography techniques. Materials andPrinciple Results: Twenty-four papers reporting the results of 263,775 care home residents in 12 countries were identified. The evidence-base was moderate in quality. Prevalence of musculoskeletal pain for people in care homes was 30.2% (95% confidence intervals: 29.9% to 30.5%; n=105,463). Care home residents reported that musculoskeletal pain had a significant impact on their perceived independence and overall ability to participate in everyday activities of daily living. Three papers which presented data on interventions demonstrated that whilst multi-component assessment and management packages did not significantly change clinical outcomes, these empowered care home staff to feel more confident in managing these patients.Major Conclusions: Musculoskeletal pain is a common problem in care homes worldwide and residents report significant impact on their lives. However there is uncertainty regarding how to assess and manage such pain.

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Effects of pain treatment on sleep in nursing home patients with dementia and depression: A multicenter placebo‐controlled randomized clinical trial

Blytt

Bjorvatn

Husebø

et al. 2017

Int J Geriat Psychiatry

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ObjectiveTo investigate the effects of pain treatment on sleep in nursing home (NH) patients with dementia and depression.MethodsA multicenter, 2‐armed, double‐blinded, placebo‐controlled, randomized clinical trial conducted between August 2014 and September 2016. One hundred six long‐term patients from 47 NHs in Norway with dementia and depression according to the Mini‐Mental State Examination and the Cornell Scale for Depression in Dementia were included. Patients received stepwise pain treatment in which those who did not use analgesics were randomized to receive either paracetamol (3 g/day) or placebo tablets; those who already used pain treatment were allocated to buprenorphine transdermal system (max. 10 μg/h/7 days) or placebo transdermal patches. Sleep was assessed continuously for 14 days by actigraphy, 1 week of baseline measurement, and 1 week of ongoing treatment. The following sleep parameters were evaluated: total sleep time, sleep efficiency (SE), sleep onset latency (SOL), wake after sleep onset, early morning awakening (EMA), and number of wake bouts.ResultsIn the intervention group (paracetamol/buprenorphine), SE (70%‐72%), SOL (32‐24 min), and EMA (50‐40 min) improved compared with the control group (SE, 70%‐67%; SOL, 47‐60 min; EMA, 31‐35 min). Treatment effects were significant (P < .01, P < .05, and P < .05, respectively).ConclusionCompared with placebo, pain treatment improved sleep as measured with actigraphy. This implies that sleep, pain, and depression in NH patients should be critically evaluated and that pain treatment should be considered to be a potentially beneficial treatment.

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Chronic pain in a sample of nursing home residents: Prevalence, characteristics, influence on quality of life (QoL)

Cited by 118 publications

References 29 publications

Pain Management of Elderly in Nursing Homes

Pain Management of Elderly in Nursing Homes

The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

Effects of pain treatment on sleep in nursing home patients with dementia and depression: A multicenter placebo‐controlled randomized clinical trial

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