Pain Reports by Older Adults in Long-Term Care: A Pilot Study of Changes Over Time
| Autor: | Kim Hay, M. Gail Woodbury, Margaret C Gibson, Nancy Bol |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Aging
Canada medicine.medical_specialty Pain Pilot Projects Convenience sample Anxiety Neuropsychological Tests Cohort Studies Humans Medicine Longitudinal Studies Aged Pain Measurement Retrospective Studies Veterans Aged 80 and over Depressive Disorder lcsh:R5-920 business.industry Long-Term Care humanities Care facility Long-term care Cross-Sectional Studies Anesthesiology and Pain Medicine Neurology Chronic Disease Disease Progression Quality of Life Physical therapy Female lcsh:Medicine (General) business |
| Zdroj: | Pain Research and Management, Vol 10, Iss 3, Pp 159-164 (2005) |
| ISSN: | 1203-6765 |
| DOI: | 10.1155/2005/654192 |
| Popis: | PURPOSE: To document self-reported pain descriptions throughout residency in a long-term care facility for a convenience sample of older adults (Canadian war veterans).DESIGN AND METHODS: The present study was a longitudinal, fixed-cohort study with anticipated attrition. Participants (n=33) were assessed every three months from admission until attrition or end of study (three years). The assessments included standardized measures of psychosocial functioning and a comprehensive pain questionnaire for residents who reported a pain problem.RESULTS: On average, respondents completed five assessments before attrition and reported pain in 69% of assessments. The likelihood of pain report decreased as the number of assessments increased. Cross-sectional analysis indicated that, at admission, pain duration was greater and nonverbal pain expression less prominent than later in residency. Longitudinal analysis indicated greater than 50% within-subject variability across three consecutive pain reports for nonpharmacological pain relief, pain expression and functional impact of pain.CONCLUSION: The present study highlights the need for patient-centred, longitudinal investigations of both the natural progression of pain and environmental factors that mediate pain management in the interests of improving pain control for this population. |
| Databáze: | OpenAIRE |
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