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Statements

Subject Item
n2:RIV%2F00216208%3A11160%2F13%3A10146032%21RIV14-MSM-11160___
rdf:type
n7:Vysledek skos:Concept
rdfs:seeAlso
http://www.sciencedirect.com/science/article/pii/S1525861013002508
dcterms: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.
dcterms: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
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
skos:notation
RIV/00216208:11160/13:10146032!RIV14-MSM-11160___
n7:predkladatel
n8:orjk%3A11160
n3:aktivita
n16:P n16:I
n3:aktivity
I, P(7E09071)
n3:cisloPeriodika
11
n3:dodaniDat
n17:2014
n3:domaciTvurceVysledku
n9:3882756
n3:druhVysledku
n10:J
n3:duvernostUdaju
n19:S
n3:entitaPredkladatele
n15:predkladatel
n3:idSjednocenehoVysledku
111745
n3:idVysledku
RIV/00216208:11160/13:10146032
n3:jazykVysledku
n11:eng
n3:klicovaSlova
long term care facilities; nursing home residents; European; occupational therapy; physical therapy; analgesic; treatment; pharmacological and nonpharmacological; therapy; Pain
n3:klicoveSlovo
n4:European n4:nursing%20home%20residents n4:therapy n4:occupational%20therapy n4:pharmacological%20and%20nonpharmacological n4:treatment n4:analgesic n4:Pain n4:physical%20therapy n4:long%20term%20care%20facilities
n3:kodStatuVydavatele
US - Spojené státy americké
n3:kontrolniKodProRIV
[50277D55114C]
n3:nazevZdroje
Journal of the American Medical Directors Association
n3:obor
n12:FR
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
9
n3:projekt
n6:7E09071
n3:rokUplatneniVysledku
n17:2013
n3:svazekPeriodika
14
n3:tvurceVysledku
Lukas, Albert Fialová, Daniela Onder, Graziano Topinková, Eva Bernabei, Roberto Denkinger, Michael D. Gindin, Jacob Mayer, Benjamin Nikolaus, Thorsten
n3:wos
000326296000009
s:issn
1525-8610
s:numberOfPages
11
n21:doi
10.1016/j.jamda.2013.04.009
n20:organizacniJednotka
11160