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Centre for Policy on Ageing | |
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| Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture | | Author(s) | Karen S Feldt, Muriel B Ryden, Steven Miles |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 9, September 1998 |
| Pages | pp 1079-1085 |
| Keywords | Pain ; Drugs ; Dementia ; Fractures ; United States of America. |
| Annotation | Little is known about post-operative pain treatment of cognitively impaired older patients. This study compared the experience of pain and treatment of pain in 53 cognitively impaired and 35 cognitively intact older adults after surgical repair of a hip fracture. Results showed that pain report and pain intensity did not differ significantly between the two groups. One-third of subjects in both groups rated pain as severe or worse. Cognitively impaired subjects scored significantly higher on the Checklist of Nonverbal Pain Indicators observed with movement (CNPI-m) than did cognitively intact subjects. Cognitively impaired subjects received significantly less opioid analgesics than cognitively intact subjects in the first and second 48 hours post-operatively. Both groups received less than 25% of the mean prescribed amount of opioid analgesics. The authors concluded that pain is treated poorly in older post-operative patients, and in particular in older patients with cognitive impairment. (AKM). |
| Accession Number | CPA-981210402 A |
| Classmark | CT7: LLD: EA: CUF: 7T |
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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