Persistent Nonmalignant Pain and Analgesic Prescribing Patterns in Elderly Nursing Home Residents

Won, Aida; Lapane, Kate L.; Vallow, S.; Schein, Jeff; Morris, John N.; Lipsitz, Lewis A.

doi:10.1111/j.1532-5415.2004.52251.x

Cited by 222 publications

(199 citation statements)

References 34 publications

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“…This was consistent with a study conducted by Miro et al 9 which states that women complain of pain more than men, and the sites of grievances are joint, lower extremities, spine and neck. 9 Additionally, paracetamol is the most prescribed analgesic in older adult patients at Puskesmas Tanjungsari in 2013, this is in accordance with a study conducted by Won et al 10 which states that of the administration of analgesic drugs, the most common are paracetamol (37.2%), propoxyphene (18.2%), hydrocodone (6.8%), and tramadol (5.4%). 10 This is strengthened also by a study conducted by Barber et al 11 which states that paracetamol is an analgesic drug that tends safe to be consumed because it has low side effects on gastric and kidneys function.…”

Section: Discussionsupporting

confidence: 73%

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias

Putro¹,

Sastramihardja²,

Dwipa³

2017

amj

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Background: Various analgesics prescriptions for elderly are not appropriate according to the guideline and can cause the increase of side effects such as gastric problems. Puskesmas as a public health center in Indonesia has an important role in anticipating this problem. The objectives of this study was to identify the analgesic usage in elderly patients at the public health center. Methods: This retrospective descriptive study was conducted for 3 months at Tanjungsari public health center, Sumedang, West Java, Indonesia, using total sampling. The data was taken from 417 medical records from 2013. The data taken from medical records were: sex, analgesic drug, diagnosis, and drug for gastric problem. Results: From the collected data, the most analgesics prescribed for the elderly patients was paracetamol, followed by Piroxicam, Mefenamic acid, and Ibuprofen. Not all of the elderly patients who received NSAIDs, were given gastric drug. Conclusions:The most prescribed analgesic drug given to elderly patients at the public health center is paracetamol. [AMJ.2017;4(1):16-9]

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Section: Discussionsupporting

confidence: 73%

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias

Putro¹,

Sastramihardja²,

Dwipa³

2017

amj

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“…Won et al [37] reported that persistent pain was very high in those with musculoskeletal pain and those with a history of falls, fracture or surgery. This therefore suggests that these may be important variables to better identify those who are at greater risk of experiencing pain within a care home.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrent strengths across the evidence-base were that the studies clearly presented a research question (n=23), recruitment was clearly presented and appropriately recruited in all but three studies [24,29,35], the assessment of musculoskeletal pain was clearly presented and followed an accurate method in all but 10 studies [10,21,22,24,25,28,33,34,37,39]. Whilst studies also reported the results to the previous evidence, and provided results and reporting of findings to permit the generalisability of these to the general population in seven papers (Table 3).…”

Section: Methodological Qualitymentioning

confidence: 99%

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The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

et al. 2015

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Purpose: To systematically review the literature describing the prevalence, impact and current management of musculoskeletal pain in older people living in care homes. All studies assessing the prevalence, impact and management of musculoskeletal disorders in older people living in care homes was included. Literature was appraised using the CASP cohort and qualitative critical appraisal tools. Data were analysed using descriptive statistical approaches, meta-analysis and meta-ethnography techniques. Materials andPrinciple Results: Twenty-four papers reporting the results of 263,775 care home residents in 12 countries were identified. The evidence-base was moderate in quality. Prevalence of musculoskeletal pain for people in care homes was 30.2% (95% confidence intervals: 29.9% to 30.5%; n=105,463). Care home residents reported that musculoskeletal pain had a significant impact on their perceived independence and overall ability to participate in everyday activities of daily living. Three papers which presented data on interventions demonstrated that whilst multi-component assessment and management packages did not significantly change clinical outcomes, these empowered care home staff to feel more confident in managing these patients.Major Conclusions: Musculoskeletal pain is a common problem in care homes worldwide and residents report significant impact on their lives. However there is uncertainty regarding how to assess and manage such pain.

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“…Their responsibilities include knowing when and why to give or withhold certain high-risk medications. Nurses who treat individuals with chronic pain for example, which is prevalent in 4984% of nursing home residents, must follow strict guidelines with patient safety the priority [Bureau of Health Professions, 2010;Won et al 2004]. Nurses also commonly encounter problems that can affect compliance such as residents having difficulty swallowing or refusing the medication.…”

Section: Communication At the Interfaces Of Carementioning

confidence: 99%

Medication safety in residential aged-care facilities: a perspective

Wilson

March

Sambrook

et al. 2010

Therapeutic Advances in Drug Safety

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Medication safety must be tailored to the distinctive issues in residential aged-care facilities (RACFs). The health and functional characteristics of their residents are different to those of hospital inpatients and community-dwelling older adults, and there are unique staffing and management issues. Understanding the aetiology and epidemiology of drug-related problems is vital in developing methods to improve patient safety. In this perspective review, we discuss tools that are used to quantify exposure to 'high-risk' medications and their evaluation in residential aged-care settings. Drug withdrawal interventions are described as a potential way to reduce adverse drug events in RACFs. Multidisciplinary professional interventions, education programs and improved communication between health professionals have been shown to improve medication safety in RACFs. Technological advances and other administrative strategies may also improve resident safety. This perspective addresses issues in medication safety facing RACFs and methods to improve the safety of medicines for their residents.

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Persistent Nonmalignant Pain and Analgesic Prescribing Patterns in Elderly Nursing Home Residents

Cited by 222 publications

References 34 publications

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias

The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review

Medication safety in residential aged-care facilities: a perspective

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