The prevalence of pain in nursing home residents with dementia measured using an observational pain scale.
until further notice
SourceEuropean Journal of Pain, 13, 1, (2009), pp. 89-93
Article / Letter to editor
Display more detailsDisplay less details
Primary and Community Care
Centre for Quality of Care Research
European Journal of Pain
SubjectNCEBP 7: Effective primary care and public health
BACKGROUND: Studies on pain and pain prevalence in older people with dementia are limited compared to those on cognitively intact older people. Pain prevalence rates in older people with dementia are estimated to be between 28% and 83%. AIMS: This study aimed to explore pain prevalence in nursing home residents with dementia using observational scale PACSLAC-D, and to identify the association between pain prevalence and (dementia) demographic parameters such as cognitive status, gender, analgesic use and co-morbidity. METHODS: Using an observational study design, 117 residents were observed and assessed for pain during personal morning care. Prevalence data were calculated and regression analyses applied. RESULTS: This study showed that almost half of the participants (47%) experienced pain to some extent. However, overall pain intensity scores were relatively mild. Among the independent variables, co-morbidities, analgesic use and the adjusted interaction term 'co-morbidities+analgesic use' had the strongest associations with pain and were thus shown to be valid significant predictors. CONCLUSION: With its relatively new approach of measuring pain using an observational scale, this study confirms the expectation gleaned from other studies on less impaired older populations: namely, that pain prevalence in older residents with dementia in Dutch nursing homes is high.
This item appears in the following Collection(s)
- Academic publications 
- Electronic publications 
- Faculty of Medical Sciences 
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.