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Centre for Policy on Ageing | |
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| Predictors of pain self-report in nursing home residents | | Author(s) | D K Weiner, B L Peterson, P Logue |
| Journal title | Aging: Clinical and Experimental Research, vol 10, no 5, October 1998 |
| Pages | pp 411-420 |
| Keywords | Pain ; Mental health [elderly] ; Residents [care homes] ; Nursing homes ; Australia ; United States of America. |
| Annotation | The validity and reliability of standard pain self-report tools in frail nursing home residents, many with impaired communication skills, is largely unknown. This study examined the influence of cognitive function and other biopsychosocial factors (age, race, gender, educational status, marital status, comorbidity, depression, social support, physical function and self-rated health) on test-retest reliability, four-week variance and intensity of self-reported pain measured with one of the most commonly used clinical assessment tools, the verbal 0 to 10 scale, and a pain thermometer. Pain was assessed twice on 3 days in week 1, and once each during weeks 2, 3 and 4. There was a quadratic association between cognitive function and test-retest agreement with the 0-10 scale. Residents with Folstein MMSE scores of 22-26 were more likely to show disagreement (50% of 44) than residents with scores <22 or >26 (7% of 71). Higher Folstein scores were associated with greater pain intensity for both pain scales. Baseline pain intensity was significantly related to pain variability (0-10 scale only). Clinicians should recognise these relationships when interpreting long-term care residents' expressions of pain. (RH). |
| Accession Number | CPA-990208230 A |
| Classmark | CT7: D: KX: LHB: 7YA: 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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