Pain Assessment and Management Strategies for Elderly Patients

MacSorley, Robyn; White, Jill; Conerly, Vicki H.; Walker, Judith; Lofton, Susan; Ragland, Gaye; Davey, Debrynda B.; Robertson, Amy D.

doi:10.1097/nhh.0000000000000065

Cited by 12 publications

(9 citation statements)

References 17 publications

(27 reference statements)

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“…The difficulties in identifying and assessing pain, as well as residents' resistance to reporting pain, were identified as barriers to optimal pain management. Anon (2014), supports the findings on the importance of training in general and on cultural pain assessment and management in particular. Participants suggested that facility administrators create culturally appropriate pain guidelines.…”

Section: Discussionsupporting

confidence: 85%

Untitled

2024

NHSJ

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This work is licensed under CC BY-SA License.Pain is the most common medical issue that older people face in a long-term care facility. Registered nurses have a critical role in helping residents manage their pain. This research looked at measures to improve pain management practices in long-term care facilities in Ontario. The site for this research was a chosen long-term care facility in Ontario, Canada, a 160-bed nursing home for the elderly that provides various nursing and medical care services. Semi-structured focus group interviews lasting about an hour were done. This study's population consisted of 45 nurses. The researcher chose a sample of 25 registered nurses using a purposive sampling strategy. The data was reviewed using qualitative data analysis to detect recurring concerns. This research revealed the necessity of identifying measures to improve pain management and reinforcing good practices in long-term care homes; better pain management practices are necessary to manage pain in a long-term care home. This study demonstrated the importance of recognizing and overcoming measures to improve pain management and reinforce good practices in long-term care homes. Therefore, improved measures to improve pain management practices are required to manage pain in a long-term care home effectively. Education about safe pain management will help to prevent the undertreatment of pain and its negative consequences. The overall benefits of measures to improve pain management practices in long-term care homes expand nurses' clinical knowledge in the care of residents living in nursing homes.

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Section: Discussionsupporting

confidence: 85%

Untitled

2024

NHSJ

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“…Drug treatment in aging subjects is a critical issue since a complex balance between adequate pain treatment without medication overuse and adverse effects is needed to enhance the quality of life and functions [ 22 ]. The use of opioid drugs, such as morphine for treating OA pain, is controversial, due to several reported side effects [ 49 , 50 , 51 , 52 ]. Studies with the MIA rodent model indicated that morphine efficaciously relieved pain-related behaviors acutely and in a short-term treatment [ 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis Pain in Old Mice Aggravates Neuroinflammation and Frailty: The Positive Effect of Morphine Treatment

et al. 2022

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Knee osteoarthritis is a common cause of pain and disability in old subjects. Pain may predispose to the development of frailty. Studies on mechanisms underlying pain in osteoarthritis models during aging are lacking. In this work, we used the monosodium iodoacetate model of osteoarthritis in adult (11-week-old) and old (20-month-old) C57BL/6J mice to compare hypersensitivity, locomotion, neuroinflammation, and the effects of morphine treatment. After osteoarthritis induction in adult and old mice, weight-bearing asymmetry, mechanical allodynia, and thermal hyperalgesia similarly developed, while locomotion and frailty were more affected in old than in adult animals. When behavioral deficits were present, the animals were treated for 7 days with morphine. This opioid counteracts the behavioral alterations and the frailty index worsening both in adult and old mice. To address the mechanisms that underlie pain, we evaluated neuroinflammatory markers and proinflammatory cytokine expression in the sciatic nerve, DRGs, and spinal cord. Overexpression of cytokines and glia markers were present in osteoarthritis adult and old mice, but the activation was qualitatively and quantitatively more evident in aged mice. Morphine was able to counteract neuroinflammation in both age groups. We demonstrate that old mice are more vulnerable to pain’s detrimental effects, but prompt treatment is successful at mitigating these effects.

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“…Pain assessment starts from the first day of admission, and they mentioned various ways in which they conduct the assessment. According to Anon (2014), the health assessment must contain a complete medication history that includes current and old prescriptions and over-the-counter medications. Three categories emerged from the data: pain indicators, etiology of pain, and pain assessment tools.…”

Section: Resultsmentioning

confidence: 99%

“…The assessment and measurement of pain in long-term care homes require a tool that is appropriately worded and easily understood (Flaherty, 2012). The Numeric Rating Scale is a widely used pain rating scale in long-term care homes (Anon, 2014).…”

Section: "I Use Behavioural Painmentioning

confidence: 99%

Registered Nurses’ Response to Pain

Rojaye

2024

NHSJ

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Pain is the most common medical issue that older people face in a long-term care facility. Nurses have a critical role in responding to pain. This research looked at nurses' responses to pain in long-term care facilities. The site for this research was a chosen long-term care facility in Ontario, Canada, a 160-bed nursing home for the elderly that provides various nursing and medical care services. Semi-structured focus group interviews lasting about an hour were done. This study's population consisted of 45 nurses. The researcher chose a sample of 25 nurses using a purposive sampling strategy. The data was reviewed using qualitative data analysis to detect recurring concerns. This research revealed the necessity of identifying nurses’ responses to pain to effectively manage pain in long-term care homes. This study demonstrated the importance of recognising nurses’ responses to pain practices in long-term care homes. Therefore, improved nurses’ response to pain practices are required to manage pain in a long-term care home effectively. The overall benefits of nurses’ responses to pain practices in long-term care homes expand nurses' clinical knowledge in the care of residents living in nursing homes.

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Pain Assessment and Management Strategies for Elderly Patients

Cited by 12 publications

References 17 publications

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Untitled

Osteoarthritis Pain in Old Mice Aggravates Neuroinflammation and Frailty: The Positive Effect of Morphine Treatment

Registered Nurses’ Response to Pain

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