Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes
Catherine E Dube, Reynolds A Morrison, Deborah S Mack, Bill M Jesdale, Anthony P Nunes, Shao-Hsien Liu, Kate L Lapane Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USACorrespondence: Kate L LapaneDivisi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-10-01
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| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/prevalence-of-pain-on-admission-by-level-of-cognitive-impairment-in-nu-peer-reviewed-article-JPR |
| _version_ | 1818257286030688256 |
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| author | Dube CE Morrison RA Mack DS Jesdale BM Nunes AP Liu SH Lapane KL |
| author_facet | Dube CE Morrison RA Mack DS Jesdale BM Nunes AP Liu SH Lapane KL |
| author_sort | Dube CE |
| collection | DOAJ |
| description | Catherine E Dube, Reynolds A Morrison, Deborah S Mack, Bill M Jesdale, Anthony P Nunes, Shao-Hsien Liu, Kate L Lapane Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USACorrespondence: Kate L LapaneDivision of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 398 Plantation Street, Worcester, MA 01655, USATel +1 508-856-8965Fax +1 508-856-8993Email kate.lapane@umassmed.eduPurpose: To provide contemporary estimates of pain by level of cognitive impairment among US nursing home residents without cancer.Methods: Newly admitted US nursing home residents without cancer assessed with the Minimum Data Set 3.0 at admission (2010– 2016) were eligible (n=8,613,080). The Cognitive Function Scale was used to categorize level of cognitive impairment. Self-report or staff-assessed pain was used based on a 5-day look-back period. Estimates of adjusted prevalence ratios (aPR) were derived from modified Poisson models.Results: Documented prevalence of pain decreased with increased levels of cognitive impairment in those who self-reported pain (68.9% no/mild, 32.9% severe) and those with staff-assessed pain (50.6% no/mild, 37.2% severe staff-assessed pain). Relative to residents with no/mild cognitive impairment, pharmacologic pain management was less prevalent in those with severe cognitive impairment (self-reported: 51.3% severe vs 76.9% in those with no/mild; staff assessed: 52.0% severe vs 67.7% no/mild).Conclusion: Pain was less frequently documented in those with severe cognitive impairment relative to those with no/mild impairments. Failure to identify pain may result in untreated or undertreated pain. Interventions to improve evaluation of pain in nursing home residents with cognitive impairment are needed.Keywords: pain, nursing homes, cognitive impairment, dementia |
| first_indexed | 2024-12-12T17:41:14Z |
| format | Article |
| id | doaj.art-c1dc0a08fca9429f9ca08715fec9d0d2 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-12T17:41:14Z |
| publishDate | 2020-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-c1dc0a08fca9429f9ca08715fec9d0d22022-12-22T00:17:04ZengDove Medical PressJournal of Pain Research1178-70902020-10-01Volume 132663267258347Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing HomesDube CEMorrison RAMack DSJesdale BMNunes APLiu SHLapane KLCatherine E Dube, Reynolds A Morrison, Deborah S Mack, Bill M Jesdale, Anthony P Nunes, Shao-Hsien Liu, Kate L Lapane Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USACorrespondence: Kate L LapaneDivision of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 398 Plantation Street, Worcester, MA 01655, USATel +1 508-856-8965Fax +1 508-856-8993Email kate.lapane@umassmed.eduPurpose: To provide contemporary estimates of pain by level of cognitive impairment among US nursing home residents without cancer.Methods: Newly admitted US nursing home residents without cancer assessed with the Minimum Data Set 3.0 at admission (2010– 2016) were eligible (n=8,613,080). The Cognitive Function Scale was used to categorize level of cognitive impairment. Self-report or staff-assessed pain was used based on a 5-day look-back period. Estimates of adjusted prevalence ratios (aPR) were derived from modified Poisson models.Results: Documented prevalence of pain decreased with increased levels of cognitive impairment in those who self-reported pain (68.9% no/mild, 32.9% severe) and those with staff-assessed pain (50.6% no/mild, 37.2% severe staff-assessed pain). Relative to residents with no/mild cognitive impairment, pharmacologic pain management was less prevalent in those with severe cognitive impairment (self-reported: 51.3% severe vs 76.9% in those with no/mild; staff assessed: 52.0% severe vs 67.7% no/mild).Conclusion: Pain was less frequently documented in those with severe cognitive impairment relative to those with no/mild impairments. Failure to identify pain may result in untreated or undertreated pain. Interventions to improve evaluation of pain in nursing home residents with cognitive impairment are needed.Keywords: pain, nursing homes, cognitive impairment, dementiahttps://www.dovepress.com/prevalence-of-pain-on-admission-by-level-of-cognitive-impairment-in-nu-peer-reviewed-article-JPRpainnursing homescognitive impairmentdementia |
| spellingShingle | Dube CE Morrison RA Mack DS Jesdale BM Nunes AP Liu SH Lapane KL Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes Journal of Pain Research pain nursing homes cognitive impairment dementia |
| title | Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes |
| title_full | Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes |
| title_fullStr | Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes |
| title_full_unstemmed | Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes |
| title_short | Prevalence of Pain on Admission by Level of Cognitive Impairment in Nursing Homes |
| title_sort | prevalence of pain on admission by level of cognitive impairment in nursing homes |
| topic | pain nursing homes cognitive impairment dementia |
| url | https://www.dovepress.com/prevalence-of-pain-on-admission-by-level-of-cognitive-impairment-in-nu-peer-reviewed-article-JPR |
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