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Type: Journal article
Title: Analgesic use and pain in residents with and without dementia in aged care facilities: a cross-sectional study
Author: Tan, E.
Visvanathan, R.
Hilmer, S.
Vitry, A.
Emery, T.
Robson, L.
Pitkälä, K.
Ilomäki, J.
Bell, J.
Citation: Australasian Journal on Ageing, 2016; 35(3):180-187
Publisher: Wiley-Blackwell
Issue Date: 2016
ISSN: 1440-6381
Statement of
Edwin CK Tan, Renuka Visvanathan, Sarah N Hilmer, Agnes Vitry, Tina Emery, Leonie Robson, Kaisu Pitkala, Jenni Ilomaki, J Simon Bell
Abstract: Aim: To investigate analgesic use and pain in people with and without dementia in Australian residential aged are facilities. Methods: A cross-sectional study of 383 residents of six residential aged are facilities was conducted. Nurses assessed self-reported and clinician-observed pain. Analgesic use data were extracted from medication charts. Logistic regression was used to investigate factors associated with analgesic use. Results: Analgesics were administered to 291 (76.0%) residents in the previous 24 hours. The prevalence of analgesic use was similar among residents with and without dementia (79.3% vs 73.4%, P = 0.20). Residents with dementia had a higher prevalence of self-reported pain than those without dementia but similar prevalence of clinician-observed pain. In residents with dementia, high care residence and dementia severity were associated with analgesic use. Conclusion: The prevalence of analgesic use was similar among residents with and without dementia. Both self- reported and clinician-observed measures are needed in regular pain assessments.
Keywords: Analgesic; dementia; home for the aged; opioid; pain
Rights: © 2016 AJA Inc.
DOI: 10.1111/ajag.12295
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