Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment.
Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status.
Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer's Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents.
Results: In all, 68% (95% CI 62-74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25-38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently.
Conclusion: This study indicates that treatment effects should be better monitored.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294074 | PMC |
| http://dx.doi.org/10.2147/CIA.S188601 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prevalence and influencing factors of elder abuse tendency among Chinese caregivers working in Gansu Province nursing homes: A cross-sectional study.
Geriatr Nurs
December 2024
School of Nursing, Lanzhou University, Lanzhou, China. Electronic address:
Background: Elder abuse is a global public health and human rights concern that is predicted to increase with the rapid increase in the elderly population in China.
Objectives: To investigate the incidence of elder abuse tendency and factors related to such a tendency among caregivers working in nursing homes.
Methods: A cross-sectional study comprising 412 caregivers from nursing homes was conducted.
Introduction: Urinary incontinence is associated with social isolation, deconditioning, depression, falls and early mortality. It impairs quality of life, even in residents of nursing homes, and, in the community, increases the risk of institutionalisation. Care focused on the preservation of dignity during intimate care is important in the care of older adults.
View Article and Find Full Text PDFDevelopment and evaluation of a quality improvement educational video on joint contractures for care home staff.
BMJ Open Qual
December 2024
Bournemouth University, Faculty of Health and Social Sciences, Bournemouth, UK.
Background: Contractures are a debilitating problem for individuals living in long-term care settings. However, there is a lack of education and training among the care staff regarding the identification of risk factors related to contractures and the preventive strategies that can decrease their development or progression. Addressing this knowledge gap has the potential to improve the quality of care provided to residents in care homes.
View Article and Find Full Text PDFIncreasing trends of household secondhand smoke exposure and widening socioeconomic disparities in Hong Kong adolescents, 2010-2020.
Am J Prev Med
December 2024
School of Public Health, University of Hong Kong, Hong Kong SAR, China.
Introduction: To assess 10-year trends (2010-2020) in household secondhand smoke exposure (SHSe) from inside their own homes and from their neighbours in Hong Kong adolescents and analyse changes by socioeconomic status (SES).
Methods: Data from the 2010 to 2020 School-based Smoking Survey among Students (total responses were 228,623) were analysed in 2023. Weighted prevalence and temporal trends of SHSe were calculated across years.
Reusing routine electronic health record data for nationwide COVID-19 surveillance in nursing homes: barriers, facilitators, and lessons learned.
BMC Med Inform Decis Mak
December 2024
Nivel, Netherlands Institute for Health Services Research, Otterstraat 118, Utrecht, 3513 CR, The Netherlands.
Background: At the beginning of the COVID-19 pandemic in 2020, little was known about the spread of COVID-19 in Dutch nursing homes while older people were particularly at risk of severe symptoms. Therefore, attempts were made to develop a nationwide COVID-19 repository based on routinely recorded data in the electronic health records (EHRs) of nursing home residents. This study aims to describe the facilitators and barriers encountered during the development of the repository and the lessons learned regarding the reuse of EHR data for surveillance and research purposes.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!