Analgesic use and pain in residents with and without dementia in aged care facilities: a cross-sectional study

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dc.contributor.authorTan, E.
dc.contributor.authorVisvanathan, R.
dc.contributor.authorHilmer, S.
dc.contributor.authorVitry, A.
dc.contributor.authorEmery, T.
dc.contributor.authorRobson, L.
dc.contributor.authorPitkälä, K.
dc.contributor.authorIlomäki, J.
dc.contributor.authorBell, J.
dc.date.issued2016
dc.description.abstractAim: 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.
dc.description.statementofresponsibilityEdwin CK Tan, Renuka Visvanathan, Sarah N Hilmer, Agnes Vitry, Tina Emery, Leonie Robson, Kaisu Pitkala, Jenni Ilomaki, J Simon Bell
dc.identifier.citationAustralasian Journal on Ageing, 2016; 35(3):180-187
dc.identifier.doi10.1111/ajag.12295
dc.identifier.issn1440-6381
dc.identifier.issn1741-6612
dc.identifier.orcidVisvanathan, R. [0000-0002-1303-9479]
dc.identifier.urihttp://hdl.handle.net/2440/107794
dc.language.isoen
dc.publisherWiley-Blackwell
dc.rights© 2016 AJA Inc.
dc.source.urihttps://doi.org/10.1111/ajag.12295
dc.subjectAnalgesic; dementia; home for the aged; opioid; pain
dc.titleAnalgesic use and pain in residents with and without dementia in aged care facilities: a cross-sectional study
dc.typeJournal article
pubs.publication-statusPublished

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