Measuring pain presence and intensity in nursing home residents

Journal of the American Medical Directors Association
Wen-Chieh LinRobert L Kane

Abstract

To examine the extent of agreement between nursing home residents' (or their proxies') reports of pain presence and intensity as derived from an interview questionnaire and the Minimum Data Set (MDS) nearest to the interview date. Cross-sectional comparison of the 2 data sources on pain measurements. Nursing homes included in evaluation projects of EverCare program and Minnesota Senior Health Options. Nursing home residents (n = 3100) were grouped based on the type of respondent answering the interview questionnaire: resident, family proxy, or staff proxy. We used kappa statistics and multinomial logit regression to examine agreement between the interview questionnaire and the MDS on pain presence and intensity. Presence of pain was reported 1.3 to 1.8 times more often on the questionnaire, depending on the respondent group. Agreement on the presence of pain was slight to fair (kappa = 0.17 to 0.28) between the MDS and the questionnaire. There was slight agreement on pain intensity (kappa = 0.13 to 0.18). The family proxy respondent group showed the largest discrepancy between questionnaire and the MDS in reporting of pain presence and intensity. The staff proxy respondent group had better agreement on pain intensity than did t...Continue Reading

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Citations

Sep 1, 2006·Photomedicine and Laser Surgery
Oct 9, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mary P CadoganDebra Saliba
Feb 10, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Jye WangLing-Hui Chang
Jan 29, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Maria Orlando Edelen, Debra Saliba
Mar 19, 2014·Journal of the American Medical Directors Association·Kali S ThomasVincent Mor
Jul 31, 2012·Journal of Pain and Symptom Management·Kate L LapaneMyoung S Kim
Jun 7, 2011·Journal of the American Medical Directors Association·Sandra M G ZwakhalenM D Najim
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Feb 19, 2008·Journal of Pain and Symptom Management·Kimberly S ReynoldsKaren E Steinhauser
Jun 30, 2009·Journal of the American Geriatrics Society·Adam D HermanPatricia A Parmelee
May 20, 2008·European Journal of Pain : EJP·Sandra M G ZwakhalenJan P H Hamers
Jul 23, 2016·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Pratika SatghareMythily Subramaniam
Apr 23, 2017·Journal of the American Medical Directors Association·Genevieve N ThompsonCarole A Estabrooks
Jan 19, 2012·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·S Zijlstra-ShawT Roberts
Apr 21, 2009·British Journal of Nursing : BJN·Kathy Hager, Dorothy Brockopp
Mar 17, 2018·BMC Palliative Care·Genevieve N ThompsonKathleen Klaasen
Jul 14, 2020·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Lelia BarksGail Powell-Cope

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