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Prevalence of pain and pharmacological pain and treatment among old people in nursing homes in 2007 and 2013
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Pharmacology.
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
Umeå University, Faculty of Medicine, Department of Nursing.
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2018 (English)In: European Journal of Clinical Pharmacology, ISSN 0031-6970, E-ISSN 1432-1041, Vol. 74, no 4, p. 483-488Article in journal (Refereed) Published
Abstract [en]

Purpose: Many elderly people living in nursing homes experience pain and take analgesic medication. The aim of this study was to analyze the prevalence of pain and pharmacological pain treatment among people living in nursing homes in Sweden, in two large, comparable, samples from 2007 to 2013.

Methods: Cross-sectional surveys were performed in 2007 and 2013, including all residents in nursing homes in the county of Västerbotten, Sweden. A total of 4933 residents (2814 and 2119 respectively) with a mean age of 84.6 and 85.0 years participated. Of these, 71.1 and 72.4% respectively were cognitively impaired. The survey was completed by the staff members who knew the residents best.

Results: The prescription of opioids became significantly more common while the use of tramadol decreased significantly. The staff reported that 63.4% in 2007 and 62.3% in 2013 had experienced pain. Of those in pain, 20.2% in 2007 and 16.8% in 2013 received no treatment and 73.4 and 75.0% respectively of those with pain, but no pharmacological treatment, were incorrectly described by the staff as being treated for pain.

Conclusions: There has been a change in the pharmacological analgesic treatment between 2007 and 2013 with less prescribing of tramadol and a greater proportion taking opioids. Nevertheless, undertreatment of pain still occurs and in many cases, staff members believed that the residents were prescribed analgesic treatment when this was not the case.

Place, publisher, year, edition, pages
Springer, 2018. Vol. 74, no 4, p. 483-488
Keywords [en]
pain, elderly, nursing home, analgesic drugs, dementia
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-144537DOI: 10.1007/s00228-017-2384-2ISI: 000427468600011PubMedID: 29260276OAI: oai:DiVA.org:umu-144537DiVA, id: diva2:1180555
Available from: 2018-02-06 Created: 2018-02-06 Last updated: 2019-11-25Bibliographically approved

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Hemmingsson, Eva-StinaGustavsson, MariaIsaksson, UlfKarlsson, StigSandman, Per-OlofLövheim, Hugo

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Hemmingsson, Eva-StinaGustavsson, MariaIsaksson, UlfKarlsson, StigSandman, Per-OlofLövheim, Hugo
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Geriatric MedicinePharmacologyDepartment of NursingArctic Research Centre at Umeå University
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CiteExportLink to record
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