Pain in nursing home residents with dementia and its association to quality of life

Helvik, Anne-Sofie; Bergh, Sverre; Benth, Jūratė Šaltytė; Selbæk, Geir; Husebø, Bettina S.; Tevik, Kjerstin Elisabeth

doi:10.1080/13607863.2021.1947968

Cited by 22 publications

(29 citation statements)

References 67 publications

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“…9 Pain is a common symptom among people with dementia living in nursing homes. [10][11][12][13] In a recent study, van Dam et al found that…”

Section: Introductionmentioning

confidence: 99%

“… 10 Helvik et al state that 35.5% of their participants had clinically relevant pain on admittance to a nursing home. 11 A review conducted by Corbett et al indicates that 50% of people with dementia regularly experience pain and that the prevalence of pain in nursing home patients might be higher. 12 Pain in this patient group is often related to musculoskeletal, gastrointestinal and cardiac conditions, genitourinary infections, and wounds.…”

Section: Introductionmentioning

confidence: 99%

“…Pain is a common symptom among people with dementia living in nursing homes 10–13. In a recent study, van Dam et al found that 43.3% of participants with dementia had clinically relevant pain scores 10.…”

Section: Introductionmentioning

confidence: 99%

“…In a recent study, van Dam et al found that 43.3% of participants with dementia had clinically relevant pain scores 10. Helvik et al state that 35.5% of their participants had clinically relevant pain on admittance to a nursing home 11. A review conducted by Corbett et al indicates that 50% of people with dementia regularly experience pain and that the prevalence of pain in nursing home patients might be higher 12.…”

Section: Introductionmentioning

confidence: 99%

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Process of pain assessment in people with dementia living in nursing homes: a scoping review protocol

Overen

Larsson

et al. 2022

BMJ Open

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IntroductionPain is a common symptom in people with dementia; untreated, it reduces quality of life and causes suffering. People with dementia living in nursing homes most often have dementia in moderate to severe stages. The cognitive impairment, including language and communication difficulties, challenges pain assessment. Since pain is a subjective experience, self-reporting is the gold standard of assessment methods. Healthcare professionals are advised to help people with dementia communicate about their pain. The proposed scoping review is the first step in the development of a systematic pain assessment model for people with dementia living in nursing homes. The scoping review aims to identify, categorise and summarise knowledge on how pain assessment processes in this population are described in the literature, with a special focus on self-reporting.Methods and analysisThe scoping review will be conducted following the six-stage framework developed by Arksey and O’Malley, in addition to recent methodological developments. Systematic searches in CINAHL, Embase, Medline and PsycInfo will be conducted. The protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklists, and the scoping review will adhere to the PRISMA-ScR checklist. The review will include research that concerns assessment of pain in people with dementia living in nursing homes. Studies will be evaluated for quality and ethical standards. The analysis process will follow Bradbury-Jones et al’s PAGER framework. Patterns will be formed using thematic analysis. An overview of advances, gaps, evidence for practice and research recommendations associated with each pattern will be prepared. The research questions and results will be presented to and discussed in a reference group comprising nursing home residents, relatives, healthcare professionals and nursing home managers.Ethics and disseminationThe scoping review aims to collect and summarise data from available publications and does not require ethical approval. The final manuscript will be submitted to a peer-reviewed, open-access journal.Registration in open science frameworkhttps://osf.io/8kaf5/

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“…9 Pain is a common symptom among people with dementia living in nursing homes. [10][11][12][13] In a recent study, van Dam et al found that…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Process of pain assessment in people with dementia living in nursing homes: a scoping review protocol

Overen

Larsson

et al. 2022

BMJ Open

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show abstract

“…Pain is not only an unpleasant experience but also found to be quite prevalent in NH residents with dementia. A prevalence up to 80% has been reported in these NH residents but it is reported to vary considerably [10][11][12][13][14][15][16][17][18][19][20], which may be due to differences in participant characteristics, pain treatment, definition of pain, and methodology used in the studies [15].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and persistent prescription of analgesic drugs in persons admitted with dementia to a nursing home – A longitudinal study

et al. 2022

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The overall aim was to explore the prevalence and persistent regular prescription of opioids and paracetamol among nursing home (NH) residents with dementia at admission and over time. A total of 996 residents with dementia, mean (SD) age 84.5 (7.6) years and (36.1% men), were included at admission (A1). Yearly assessments were performed for two years (A2 and A3) or until death. Pain was assessed using the Mobilization-Observation-Behavior-Intensity-Dementia-2 (MOBID-2) Pain Scale. Information regarding prescription of analgesics, general physical health, personal activities of daily living, severity of dementia, neuropsychiatric symptoms, and prescription of psychotropic drugs was collected. A generalized linear mixed model was used to explore whether pain severity was associated with persistent and persistent prescription of opioids and/or paracetamol across timepoints. At A1, 495 of 996 (49.7%) NH residents were prescribed analgesics and prevalence increased at the follow-ups (A2: n = 630, 65.1%; A3: n = 382, 71.2%). Paracetamol was the most frequently prescribed analgesic at all assessments (A1: 45.5%; A2: 59.5%; A3: 67.1%). Opioid prescriptions were quite prevalent (A1: 18.1%; A2: 25.1%; A3: 28.3%), with odds approximately 13 times (OR = 13.3, 95% CI 6.8–26.0) and 9 times (OR = 8.6, 95% CI 3.7–20.3) higher for prescription at follow-up A2 and A3, respectively, relative to prescription at A1. In adjusted analyses, higher pain intensity and poor physical health were associated with prescription and persistent prescription of opioids and paracetamol. In conclusion, prevalence and persistent prescription of analgesics were high in NH residents with dementia. The odds for the prescription of opioids at follow-up were high if prescribed at baseline. Interdisciplinary collaboration, routine assessment of pain at admission and regularly thereafter, and systematic drug reviews are essential to adequately assess and treat pain in NH residents with dementia.

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Algorithm-based pain management for people with dementia in nursing homes

Manietta

Labonté

Thiesemann³

et al. 2022

Cochrane Database of Systematic Reviews

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Pain in nursing home residents with dementia and its association to quality of life

Abstract: Word Count: ca 4400 words (numbered references, APA reference style increases the word count)

Cited by 22 publications

References 67 publications

Process of pain assessment in people with dementia living in nursing homes: a scoping review protocol

Process of pain assessment in people with dementia living in nursing homes: a scoping review protocol

Prevalence and persistent prescription of analgesic drugs in persons admitted with dementia to a nursing home – A longitudinal study

Algorithm-based pain management for people with dementia in nursing homes

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