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Description
  • Objective: To identify pharmacological and nonpharmacological pain management approaches and associated factors in nursing home residents across Europe. Setting, Participants, and Measurements: Cross-sectional study with 4156 residents who were assessed using the interRAI instrument for Long Term Care Facilities (interRAI LTCF), including pharmacological and nonpharmacological pain management modalities. Those reporting pain were included in the analyses (n = 1900). A deeper analysis was performed for the subsample of residents who reported %22current pain,%22 defined as pain at least 1 day within the past 3 days (n = 838), and those who reported %22current pain of moderate to severe intensity%22 (n = 590). Results: Up to 24% of residents who reported pain did not receive any pain medication and up to 11% received it only PRN (as-needed basis), independent of current pain-intensity levels; 61% did not receive any nonpharmacological treatment and 21% received neither pharmacological nor nonpharmacological pain modalities. Considerable differences could be demonstrated across European countries. Factors positively associated with pharmacological pain management were being of female gender, reporting cancer, and having moderate or severe pain. High turnover rates of regular staff and low-to-moderate physicians' availability were negatively associated. Factors positively associated with nonpharmacological treatment were fractures and need of assistance in activities of daily living. Dementia, large nursing home facilities, above-average and high turnover rates of nursing staff, a low physicians' availability, and severe pain intensity were negatively associated. Conclusion: Despite some advances in recent years, pain treatment in European nursing home residents remains to be suboptimal and requires further improvement.
  • Objective: To identify pharmacological and nonpharmacological pain management approaches and associated factors in nursing home residents across Europe. Setting, Participants, and Measurements: Cross-sectional study with 4156 residents who were assessed using the interRAI instrument for Long Term Care Facilities (interRAI LTCF), including pharmacological and nonpharmacological pain management modalities. Those reporting pain were included in the analyses (n = 1900). A deeper analysis was performed for the subsample of residents who reported %22current pain,%22 defined as pain at least 1 day within the past 3 days (n = 838), and those who reported %22current pain of moderate to severe intensity%22 (n = 590). Results: Up to 24% of residents who reported pain did not receive any pain medication and up to 11% received it only PRN (as-needed basis), independent of current pain-intensity levels; 61% did not receive any nonpharmacological treatment and 21% received neither pharmacological nor nonpharmacological pain modalities. Considerable differences could be demonstrated across European countries. Factors positively associated with pharmacological pain management were being of female gender, reporting cancer, and having moderate or severe pain. High turnover rates of regular staff and low-to-moderate physicians' availability were negatively associated. Factors positively associated with nonpharmacological treatment were fractures and need of assistance in activities of daily living. Dementia, large nursing home facilities, above-average and high turnover rates of nursing staff, a low physicians' availability, and severe pain intensity were negatively associated. Conclusion: Despite some advances in recent years, pain treatment in European nursing home residents remains to be suboptimal and requires further improvement. (en)
Title
  • Treatment of Pain in European Nursing Homes: Results from the Services and Health for Elderly in Long TERm Care (SHELTER) Study
  • Treatment of Pain in European Nursing Homes: Results from the Services and Health for Elderly in Long TERm Care (SHELTER) Study (en)
skos:prefLabel
  • Treatment of Pain in European Nursing Homes: Results from the Services and Health for Elderly in Long TERm Care (SHELTER) Study
  • Treatment of Pain in European Nursing Homes: Results from the Services and Health for Elderly in Long TERm Care (SHELTER) Study (en)
skos:notation
  • RIV/00216208:11160/13:10146032!RIV14-MSM-11160___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(7E09071)
http://linked.open...iv/cisloPeriodika
  • 11
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 111745
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11160/13:10146032
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • long term care facilities; nursing home residents; European; occupational therapy; physical therapy; analgesic; treatment; pharmacological and nonpharmacological; therapy; Pain (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [50277D55114C]
http://linked.open...i/riv/nazevZdroje
  • Journal of the American Medical Directors Association
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
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http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 14
http://linked.open...iv/tvurceVysledku
  • Topinková, Eva
  • Fialová, Daniela
  • Bernabei, Roberto
  • Denkinger, Michael D.
  • Gindin, Jacob
  • Lukas, Albert
  • Mayer, Benjamin
  • Nikolaus, Thorsten
  • Onder, Graziano
http://linked.open...ain/vavai/riv/wos
  • 000326296000009
issn
  • 1525-8610
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.jamda.2013.04.009
http://localhost/t...ganizacniJednotka
  • 11160
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