Analgesic use among nursing homes residents, with and without dementia, in Poland

Agnieszka Neumann-Podczaska,1 Tomasz Nowak,2 Aleksandra Suwalska,3 Dorota Łojko,4 Roma Krzymińska-Siemaszko,2 Elżbieta Kozak-Szkopek,5 Katarzyna Wieczorowska-Tobis2 1Department of Geriatrics and Gerontology, 2Department of Palliative Medicine, Laboratory of Geriatrics, 3Department of Psychiatry, La...

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Autores principales:	Neumann-Podczaska A, Nowak T, Suwalska A, Łojko D, Krzymińska-Siemaszko R, Kozak-Szkopek E, Wieczorowska-Tobis K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	pain the elderly analgesics Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/e10b464dce484296b25ebffb52723066
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spelling	oai:doaj.org-article:e10b464dce484296b25ebffb527230662021-12-02T04:40:19ZAnalgesic use among nursing homes residents, with and without dementia, in Poland1178-1998https://doaj.org/article/e10b464dce484296b25ebffb527230662016-03-01T00:00:00Zhttps://www.dovepress.com/analgesic-use-among-nursing-homes-residents-with-and-without-dementia--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Agnieszka Neumann-Podczaska,1 Tomasz Nowak,2 Aleksandra Suwalska,3 Dorota Łojko,4 Roma Krzymińska-Siemaszko,2 Elżbieta Kozak-Szkopek,5 Katarzyna Wieczorowska-Tobis2 1Department of Geriatrics and Gerontology, 2Department of Palliative Medicine, Laboratory of Geriatrics, 3Department of Psychiatry, Laboratory of Neuropsychobiology, 4Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, 5Department of Geriatrics, Medical University of Warsaw, Warsaw, Poland Abstract: Many age-associated diseases are accompanied by pain. There is no doubt that pain is underrecognized among elderly nursing home residents and the diagnosing of pain is a real challenge in subjects with dementia. The aim of the study was to characterize analgesic use among nursing home residents and to delineate the putative associations between pain management and cognitive functions of elderly persons. The study involved 392 subjects (males:females – 81:311) with a mean age of 83.6±5.9 years. The residents’ medical files in relation to diagnoses and drug consumption were analyzed, and the screening of cognitive functions was performed using the Mini-Mental State Examination (MMSE). One hundred and thirteen residents (28.8%) received some analgesics. Among them 84 (21.4%) used them routinely, 25 (6.4%) – pro re nata (PRN) and four (1.0%) – both routinely and PRN. Non-opioid analgesics were taken routinely by 53 residents, weak opioids by nine subjects, and one person was receiving strong opioids. Additionally, three individuals were taking a combination preparation of tramadol and acetaminophen. The rate of subjects who were not receiving any pain treatment was higher in residents with MMSE between 0 and 9 points than in those with MMSE between 24 and 30 points (P=0.0151). Furthermore, ten residents (9.1%) with severe dementia were treated with analgesics PRN. The results of our study point to a remarkably low use of analgesics in nursing home residents in Poland and indicate a need to introduce pain evaluation and monitoring of drug treatment appropriateness as a standard procedure in the geriatric assessment in nursing homes. Keywords: pain, the elderly, analgesics, dementia, Mini-Mental State Examination, multimorbidityNeumann-Podczaska ANowak TSuwalska AŁojko DKrzymińska-Siemaszko RKozak-Szkopek EWieczorowska-Tobis KDove Medical Pressarticlepainthe elderlyanalgesicsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 335-340 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	pain the elderly analgesics Geriatrics RC952-954.6
spellingShingle	pain the elderly analgesics Geriatrics RC952-954.6 Neumann-Podczaska A Nowak T Suwalska A Łojko D Krzymińska-Siemaszko R Kozak-Szkopek E Wieczorowska-Tobis K Analgesic use among nursing homes residents, with and without dementia, in Poland
description	Agnieszka Neumann-Podczaska,1 Tomasz Nowak,2 Aleksandra Suwalska,3 Dorota Łojko,4 Roma Krzymińska-Siemaszko,2 Elżbieta Kozak-Szkopek,5 Katarzyna Wieczorowska-Tobis2 1Department of Geriatrics and Gerontology, 2Department of Palliative Medicine, Laboratory of Geriatrics, 3Department of Psychiatry, Laboratory of Neuropsychobiology, 4Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, 5Department of Geriatrics, Medical University of Warsaw, Warsaw, Poland Abstract: Many age-associated diseases are accompanied by pain. There is no doubt that pain is underrecognized among elderly nursing home residents and the diagnosing of pain is a real challenge in subjects with dementia. The aim of the study was to characterize analgesic use among nursing home residents and to delineate the putative associations between pain management and cognitive functions of elderly persons. The study involved 392 subjects (males:females – 81:311) with a mean age of 83.6±5.9 years. The residents’ medical files in relation to diagnoses and drug consumption were analyzed, and the screening of cognitive functions was performed using the Mini-Mental State Examination (MMSE). One hundred and thirteen residents (28.8%) received some analgesics. Among them 84 (21.4%) used them routinely, 25 (6.4%) – pro re nata (PRN) and four (1.0%) – both routinely and PRN. Non-opioid analgesics were taken routinely by 53 residents, weak opioids by nine subjects, and one person was receiving strong opioids. Additionally, three individuals were taking a combination preparation of tramadol and acetaminophen. The rate of subjects who were not receiving any pain treatment was higher in residents with MMSE between 0 and 9 points than in those with MMSE between 24 and 30 points (P=0.0151). Furthermore, ten residents (9.1%) with severe dementia were treated with analgesics PRN. The results of our study point to a remarkably low use of analgesics in nursing home residents in Poland and indicate a need to introduce pain evaluation and monitoring of drug treatment appropriateness as a standard procedure in the geriatric assessment in nursing homes. Keywords: pain, the elderly, analgesics, dementia, Mini-Mental State Examination, multimorbidity
format	article
author	Neumann-Podczaska A Nowak T Suwalska A Łojko D Krzymińska-Siemaszko R Kozak-Szkopek E Wieczorowska-Tobis K
author_facet	Neumann-Podczaska A Nowak T Suwalska A Łojko D Krzymińska-Siemaszko R Kozak-Szkopek E Wieczorowska-Tobis K
author_sort	Neumann-Podczaska A
title	Analgesic use among nursing homes residents, with and without dementia, in Poland
title_short	Analgesic use among nursing homes residents, with and without dementia, in Poland
title_full	Analgesic use among nursing homes residents, with and without dementia, in Poland
title_fullStr	Analgesic use among nursing homes residents, with and without dementia, in Poland
title_full_unstemmed	Analgesic use among nursing homes residents, with and without dementia, in Poland
title_sort	analgesic use among nursing homes residents, with and without dementia, in poland
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/e10b464dce484296b25ebffb52723066
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Analgesic use among nursing homes residents, with and without dementia, in Poland

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