Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia

Tomasz Nowak,1 Agnieszka Neumann-Podczaska,2 Ewa Deskur-Śmielecka,1 Arkadiusz Styszyński,1 Katarzyna Wieczorowska-Tobis1 1Laboratory of Geriatrics, Department of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland; 2Department of Geriatric Medicine and Gerontology, Poznan Uni...

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Autores principales:	Nowak T, Neumann-Podczaska A, Deskur-Śmielecka E, Styszyński A, Wieczorowska-Tobis K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	pain analgesics nursing home residents older individuals Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5353a7e7873b4475803b0e85e67e777c
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spelling	oai:doaj.org-article:5353a7e7873b4475803b0e85e67e777c2021-12-02T09:49:11ZPain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia1178-1998https://doaj.org/article/5353a7e7873b4475803b0e85e67e777c2018-05-01T00:00:00Zhttps://www.dovepress.com/pain-as-a-challenge-in-nursing-home-residents-with-behavioral-and-psyc-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tomasz Nowak,1 Agnieszka Neumann-Podczaska,2 Ewa Deskur-Śmielecka,1 Arkadiusz Styszyński,1 Katarzyna Wieczorowska-Tobis1 1Laboratory of Geriatrics, Department of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland; 2Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poznań, Poland Introduction: In patients with dementia, observational scales are recommended for use in the assessment of pain. Unfortunately, their application is rare, and as a consequence pain is frequently underdiagnosed and undertreated in these types of subjects. Thus, the aim of the study was to assess analgesic treatment in nursing home residents with cognitive impairment and to delineate the relationship between pain and behavioral and psychological symptoms of dementia.Patients and methods: The research was conducted in 2 nursing home facilities in Wielkopolska, Poland. The analyzed group consisted of 96 residents (78 female) with moderate and severe cognitive impairment in whom pain was assessed with the Abbey Pain Scale (APS) and agitation with the Cohen–Mansfield Agitation Inventory (CMAI). Thereafter, medical files related to drug prescriptions were analyzed.Results: Analgesics were consumed by 33 individuals (34%); 24 (25%) received regular pain treatment and 7 individuals (7%) - as when needed pain treatment. A relationship was found between the APS and CMAI (r=0.45, p<0.0001). Subjects with a higher CMAI received sedative drugs more frequently (p<0.001), and despite having a higher APS (p=0.001), this did not correlate with higher analgesia.Conclusion: Our study suggests that pain can be an important underlying cause of behavioral disturbances in older subjects with dementia. In order to reduce their frequency and to avoid excessive usage of sedatives, proper pain assessment and management are essential. Keywords: pain, analgesics, nursing home residents, older individuals, Abbey Pain Scale, CMAINowak TNeumann-Podczaska ADeskur-Śmielecka EStyszyński AWieczorowska-Tobis KDove Medical Pressarticlepainanalgesicsnursing home residentsolder individualsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1045-1051 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	pain analgesics nursing home residents older individuals Geriatrics RC952-954.6
spellingShingle	pain analgesics nursing home residents older individuals Geriatrics RC952-954.6 Nowak T Neumann-Podczaska A Deskur-Śmielecka E Styszyński A Wieczorowska-Tobis K Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
description	Tomasz Nowak,1 Agnieszka Neumann-Podczaska,2 Ewa Deskur-Śmielecka,1 Arkadiusz Styszyński,1 Katarzyna Wieczorowska-Tobis1 1Laboratory of Geriatrics, Department of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland; 2Department of Geriatric Medicine and Gerontology, Poznan University of Medical Sciences, Poznań, Poland Introduction: In patients with dementia, observational scales are recommended for use in the assessment of pain. Unfortunately, their application is rare, and as a consequence pain is frequently underdiagnosed and undertreated in these types of subjects. Thus, the aim of the study was to assess analgesic treatment in nursing home residents with cognitive impairment and to delineate the relationship between pain and behavioral and psychological symptoms of dementia.Patients and methods: The research was conducted in 2 nursing home facilities in Wielkopolska, Poland. The analyzed group consisted of 96 residents (78 female) with moderate and severe cognitive impairment in whom pain was assessed with the Abbey Pain Scale (APS) and agitation with the Cohen–Mansfield Agitation Inventory (CMAI). Thereafter, medical files related to drug prescriptions were analyzed.Results: Analgesics were consumed by 33 individuals (34%); 24 (25%) received regular pain treatment and 7 individuals (7%) - as when needed pain treatment. A relationship was found between the APS and CMAI (r=0.45, p<0.0001). Subjects with a higher CMAI received sedative drugs more frequently (p<0.001), and despite having a higher APS (p=0.001), this did not correlate with higher analgesia.Conclusion: Our study suggests that pain can be an important underlying cause of behavioral disturbances in older subjects with dementia. In order to reduce their frequency and to avoid excessive usage of sedatives, proper pain assessment and management are essential. Keywords: pain, analgesics, nursing home residents, older individuals, Abbey Pain Scale, CMAI
format	article
author	Nowak T Neumann-Podczaska A Deskur-Śmielecka E Styszyński A Wieczorowska-Tobis K
author_facet	Nowak T Neumann-Podczaska A Deskur-Śmielecka E Styszyński A Wieczorowska-Tobis K
author_sort	Nowak T
title	Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
title_short	Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
title_full	Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
title_fullStr	Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
title_full_unstemmed	Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
title_sort	pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/5353a7e7873b4475803b0e85e67e777c
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Pain as a challenge in nursing home residents with behavioral and psychological symptoms of dementia

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