2016
DOI: 10.1111/jgs.14512
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Frequency and Predictors of Analgesic Prescribing in U.S. Nursing Home Residents with Persistent Pain

Abstract: Through 2008, pain remained undertreated in NHs, especially in certain subpopulations, including cognitively impaired and older residents. Changes in pain management practice and policies may be necessary to target these vulnerable residents.

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Cited by 42 publications
(59 citation statements)
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“…[2,8,23,31,51] This included age (<65 years, 65–74 years, 75–84 years, >85 years), gender, race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, other), physical functioning, cognitive functioning, whether the resident rejected care in the previous 7 days (e.g., taking medications, activities of daily living [ADL] assistance), hospice use in the previous 14 days, and active comorbidities associated with pain (e.g., fractures, arthritis, osteoporosis). We categorized residents’ cognitive impairment using CMS definitions based on either the Brief Interview of Mental Status (BIMS; range 0–15) for residents who could self-report or the Cognitive Performance Scale (CPS; range 0–6) for those unable to self-report.…”
Section: Methodsmentioning
confidence: 99%
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“…[2,8,23,31,51] This included age (<65 years, 65–74 years, 75–84 years, >85 years), gender, race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, other), physical functioning, cognitive functioning, whether the resident rejected care in the previous 7 days (e.g., taking medications, activities of daily living [ADL] assistance), hospice use in the previous 14 days, and active comorbidities associated with pain (e.g., fractures, arthritis, osteoporosis). We categorized residents’ cognitive impairment using CMS definitions based on either the Brief Interview of Mental Status (BIMS; range 0–15) for residents who could self-report or the Cognitive Performance Scale (CPS; range 0–6) for those unable to self-report.…”
Section: Methodsmentioning
confidence: 99%
“…Although general pain management strategies should not differ by cancer status (e.g., residents should receive medication – with preference for scheduled analgesics – to manage persistent pain regardless of whether pain is due to cancer or not), we conducted these analyses to compare our results to prior studies that restricted sample to residents with malignant or nonmalignant pain. [2,8,31,51,52] Second, we conducted sensitivity analyses examining whether correlates of untreated and potentially undertreated pain remained after restricting our sample to those reporting moderate-to-severe/frequent pain only. We wanted to know if the potential burden of untreated and undertreated pain would be the same in this restricted population in the most pain and compare these results to a prior study that used a similar operational definition.…”
Section: Methodsmentioning
confidence: 99%
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