The impact of a pain assessment intervention on pain score and analgesic use in older nursing home residents with severe dementia: A cluster randomised controlled trial

International Journal of Nursing Studies
Hanne Marie RostadLiv Halvorsrud

Abstract

Pain is highly prevalent in older adults, especially those in institutional settings such as nursing homes. The presence of dementia may increase the risk of underdiagnosed and undertreated pain. Pain assessment tools are not regularly used in clinical practice, however, there are indications that the regular use of pain assessments tools may influence the recognition of pain by nursing staff and thereby affect pain management. To assess whether regular pain assessment using a pain assessment tool is associated with changes in i) pain scores and ii) analgesic use in nursing home residents with severe dementia. Cluster-randomised controlled trial. The study was conducted in 16 nursing homes in four counties in Norway. A total of 112 nursing home residents aged 65 years and older with dementia who lacked the capacity for self-reporting pain or were non-verbal. The experimental group were regularly assessed pain with a standardised pain scale (the Doloplus-2) twice a week for a 12-week intervention period. The control group received usual care. The primary outcome was pain score measured with the Doloplus-2, and the secondary outcome was analgesic use (oral morphine equivalents and milligram/day paracetamol). Data on the outcomes ...Continue Reading

Citations

Apr 12, 2019·American Journal of Alzheimer's Disease and Other Dementias·Taeko NakashimaWan-Hsiang Hsu
Sep 15, 2020·Der Schmerz·Wilco AchterbergKeela Herr
Feb 20, 2020·Pain Reports·Wilco AchterbergKeela Herr
Apr 2, 2021·Journal of Pain and Symptom Management·Pauli J LamppuKaisu H Pitkälä
Jan 11, 2022·Pain Management·Mohammad RababaNahedh Alawneh

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