Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic

Iva Holmerová,1 Stefanie R Auer,2,3 Anna Beránková,1 Margit Höfler,2 Paulina Ratajczak,2 Michal &Scaron;teffl4 1Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic; 2Danube University Kr...

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Autores principales:	Holmerová I, Auer SR, Beránková A, Höfler M, Ratajczak P, Šteffl M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	pain anxiety dementia analgesics anxiolytics Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/1637f2a160e34308bd5ab52e24fda7a3
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spelling	oai:doaj.org-article:1637f2a160e34308bd5ab52e24fda7a32021-12-02T02:25:21ZCognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic1178-1998https://doaj.org/article/1637f2a160e34308bd5ab52e24fda7a32018-12-01T00:00:00Zhttps://www.dovepress.com/cognitive-status-and-use-of-analgesics-and-anxiolytics-in-residents-of-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Iva Holmerová,1 Stefanie R Auer,2,3 Anna Beránková,1 Margit Höfler,2 Paulina Ratajczak,2 Michal &Scaron;teffl4 1Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic; 2Danube University Krems, 3500 Krems, Austria; 3MAS Alzheimerhilfe, 4820 Bad Ischl, Austria; 4Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment. Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status. Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer’s Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents. Results: In all, 68% (95% CI 62–74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25–38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently. Conclusion: This study indicates that treatment effects should be better monitored. Keywords: pain, anxiety, dementia, analgesics, anxiolytics Holmerová IAuer SRBeránková AHöfler MRatajczak PŠteffl MDove Medical PressarticlepainanxietydementiaanalgesicsanxiolyticsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2511-2515 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	pain anxiety dementia analgesics anxiolytics Geriatrics RC952-954.6
spellingShingle	pain anxiety dementia analgesics anxiolytics Geriatrics RC952-954.6 Holmerová I Auer SR Beránková A Höfler M Ratajczak P Šteffl M Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
description	Iva Holmerová,1 Stefanie R Auer,2,3 Anna Beránková,1 Margit Höfler,2 Paulina Ratajczak,2 Michal &Scaron;teffl4 1Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic; 2Danube University Krems, 3500 Krems, Austria; 3MAS Alzheimerhilfe, 4820 Bad Ischl, Austria; 4Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment. Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status. Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer’s Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents. Results: In all, 68% (95% CI 62–74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25–38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently. Conclusion: This study indicates that treatment effects should be better monitored. Keywords: pain, anxiety, dementia, analgesics, anxiolytics
format	article
author	Holmerová I Auer SR Beránková A Höfler M Ratajczak P Šteffl M
author_facet	Holmerová I Auer SR Beránková A Höfler M Ratajczak P Šteffl M
author_sort	Holmerová I
title	Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
title_short	Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
title_full	Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
title_fullStr	Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
title_full_unstemmed	Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic
title_sort	cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the czech republic
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/1637f2a160e34308bd5ab52e24fda7a3
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Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic

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