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Centre for Policy on Ageing | |
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Pain in care home residents with dementia
— an exploration of frequency, prescribing and relatives' perspectives | | Author(s) | Heather E Barry, Carole Parsons, A Peter Passmore, Carmel M Hughes |
| Journal title | International Journal of Geriatric Psychiatry, vol 30, no 1, January 2015 |
| Publisher | Wiley Blackwell, January 2015 |
| Pages | pp 55-63 |
| Source | www.orangejournal.org |
| Keywords | Dementia ; Care homes ; Pain ; Drugs ; Attitude. |
| Annotation | This study aims to determine pain frequency amongst care home residents with dementia, to investigate variables associated with pain, to explore analgesic use among residents and to seek relatives' views on provision of care and management of pain by the care home. Structured face-to-face interviews were conducted with residents, nursing staff and relatives from nine dementia care homes in Northern Ireland between May 2010 and March 2012. Demographic information was collected from participants, neuropsychiatric tests were used to assess residents' cognitive functioning, medication use was determined from care home records and residents' pain was assessed using a verbal descriptor scale. Relatives' views were sought on care provision and management of pain. 42 residents, 16 nurses/care assistants and 35 relatives participated, although the participation rate of residents was low (27.6%). Most residents were suffering moderate-severe dementia, and some residents (26.2%) were unable to provide a self-report of pain. A significantly higher proportion of relatives (57.1%) deemed residents to be experiencing pain at the time of the interview, compared with residents (23.8%) and nurses/care assistants (42.9%). Most residents (88.1%) were prescribed with analgesia; non-opioid analgesics were most commonly prescribed. A high proportion of residents were prescribed with psychoactive medications. Antipsychotic drug use was associated with the presence of pain. This study reinforces the challenge of assessing and managing pain in this resident population and highlights issues to be addressed by long-term care providers and clinicians. Participation of people with dementia and their families in healthcare research needs to be improved. (JL) |
| Accession Number | CPA-150529270 A |
| Classmark | EA: KW: CT7: LLD: DP |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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