Chronic pain conditions and use of analgesics among nursing home patients with dementia.

Autor:	Myrenget ME; Department of Pain and Complex Disorders, Clinic of Anesthesia and Intensive Care, St. Olav's Hospital, Trondheim, Norway, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway., Borchgrevink PC; Department of Pain and Complex Disorders, Clinic of Anesthesia and Intensive Care, St. Olav's Hospital, Trondheim, Norway, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway., Rustøen T; Division of Emergencies and Critical Care, Department of Research and Development, Oslo University Hospital, Oslo, Norway.; Institute of Health and Society, University of Oslo, Oslo, Norway., Butler S; Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology, Uppsala University, Uppsala, Sweden., Thorsvik D; Department of Rehabilitation, Levanger Hospital, Levanger, Norway., Småstuen MC; Division of Emergencies and Critical Care, Department of Research and Development, Oslo University Hospital, Oslo, Norway.; Institute of Health and Society, University of Oslo, Oslo, Norway., Sandvik R; Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Jazyk:	angličtina
Zdroj:	Pain [Pain] 2023 May 01; Vol. 164 (5), pp. 1002-1011. Date of Electronic Publication: 2022 Dec 21.
DOI:	10.1097/j.pain.0000000000002794
Abstrakt:	Abstract: Pain management for patients with dementia is challenging because many experience pain while being unable to communicate their pain. The aim of this study was to describe pain, pain management, and to perform a thorough clinical examination of chronic pain conditions among patients with dementia. Residents (n = 498) from 12 nursing homes were assessed for dementia (Clinical Dementia Rating scale [CDR]) and for pain with the Mobilization-Observation-Behavior-Intensity-Dementia-2 (MOBID-2) assessment form. Of all examined nursing home patients with dementia, 68% had moderate or severe chronic pain. The final study population (n = 262) with a CDR score of ≥1 and a MOBID-2 score of ≥3 were examined by pain expert physicians for chronic pain and categorized according to the International Classification of Disease (ICD-10/-11) classification systems. More than half (54.6%) had chronic pain conditions without underlying disease classified as chronic primary pain by ICD-11. Chronic widespread pain was the most prevalent (14.5%) followed by nonspecific pain from the back (13.4%), whereas the most prevalent chronic secondary pain conditions were chronic pain caused by osteoarthritis (15.4%) and stroke (8.0%). One-fourth received opioids, which was significantly associated with severe pain ( P < 0.001) compared with moderate pain, although no significant association was found between opioid use and the type of pain condition. Although knowledge of the severity and specific types of pain conditions is recommended to direct the choice of treatment, these areas are not sufficiently explored in the nursing home populations with dementia and may hinder a better treatment of pain in this population. (Copyright © 2022 International Association for the Study of Pain.)
Databáze:	MEDLINE
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