2020
DOI: 10.1371/journal.pone.0229229
|View full text |Cite
|
Sign up to set email alerts
|

Deficits in pain medication in older adults with chronic pain receiving home care: A cross-sectional study in Germany

Abstract: Objective To analyze the pattern and appropriateness of pain medications in older adults receiving home care. Methods We performed a prospective cross-sectional study in patients �65 years old having chronic pain and receiving home care in Berlin, Germany. Data on prescribed pain medications were collected using self-reported information, nursing documents, and medication plans during interviews at home. Pain intensity was determined with the numeric rating scale (NRS) and the Pain Assessment In Advanced demen… Show more

Help me understand this report
View preprint versions

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

0
12
0
1

Year Published

2020
2020
2023
2023

Publication Types

Select...
8
1

Relationship

2
7

Authors

Journals

citations
Cited by 17 publications
(13 citation statements)
references
References 51 publications
(66 reference statements)
0
12
0
1
Order By: Relevance
“…The current analysis is a planned pre-specified subanalysis of the ACHE study (“Development of a Model for PAin Management in Older Adults ReCeiving Home CarE”) in Germany. Briefly, ACHE was an observational cross-sectional analysis of a population-based cohort of older adults which focused on pain management in home care and has been described previously in detail ( Schneider et al, 2020 ). Ethical approval was obtained by the local ethical committee of the Charité, Universitätsmedizin Berlin (EA1/368/14).…”
Section: Methodsmentioning
confidence: 99%
“…The current analysis is a planned pre-specified subanalysis of the ACHE study (“Development of a Model for PAin Management in Older Adults ReCeiving Home CarE”) in Germany. Briefly, ACHE was an observational cross-sectional analysis of a population-based cohort of older adults which focused on pain management in home care and has been described previously in detail ( Schneider et al, 2020 ). Ethical approval was obtained by the local ethical committee of the Charité, Universitätsmedizin Berlin (EA1/368/14).…”
Section: Methodsmentioning
confidence: 99%
“…However, OA-related pain and disability are often underdiagnosed and undertreated, especially in the elderly; for example, 72% of hip fracture patients receive no prehospital treatment for pain [ 47 ]. Patients and their caregivers often regard pain as a common natural occurrence of aging or because elderly patients are thought to feel less pain, be cognitively impaired, or be reluctant to report pain for stoicism [ 47 , 48 , 49 ]. A negative attitude toward treating pain in the elderly is favored by a lack of studies on the efficacy and safety of pharmacological treatments of OA pain in the elderly [ 50 , 51 , 52 , 53 , 54 , 55 , 56 ].…”
Section: Painmentioning
confidence: 99%
“…People with primary dementia diagnosisreceive pain treatment less often than those with secondary diagnosis (29). In home care settings people with dementia were not even treated adequately with analgesics if they suffered already from pain previously (76). Moreover people with dementia experience pain even if treated against it (73).…”
Section: Painmentioning
confidence: 99%