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Regulatory components for treating persistent pain in long-term care.

Jonathan Planton¹, Barbara J Edlund

¹College of Nursing, Medical University of South Carolina, Charleston, South Carolina 29452-8900, USA.

Journal of Gerontological Nursing

|February 26, 2010

Summary

Older adults frequently experience chronic pain, impacting quality of life. New guidance for skilled nursing facilities emphasizes an interdisciplinary approach to pain management, combining medication and non-medication treatments.

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Area of Science:

Gerontology
Pain Management
Healthcare Policy

Background:

Chronic pain affects a significant portion of older adults, with higher prevalence in long-term care settings.
Many older adults in long-term care experience untreated or undertreated chronic pain syndromes.
Quality of life is substantially impacted by persistent pain in the elderly population.

Purpose of the Study:

To outline the responsibilities of skilled nursing facilities in managing and preventing pain in older adults.
To introduce the Centers for Medicare & Medicaid Services' F-Tag 309 guidance on pain management.
To promote optimal pain management strategies for residents in skilled nursing facilities.

Main Methods:

Implementation of the new pain management surveyor guidance (F-Tag 309).
Adoption of an interdisciplinary team approach involving residents in their pain management.
Integration of ongoing professional education for all aspects of pain management.

Main Results:

The guidance endorses a comprehensive approach to pain management.
Emphasis on the combined use of pharmacological and non-pharmacological interventions.
Skilled nursing facilities are directed towards achieving optimal pain management outcomes.

Conclusions:

The F-Tag 309 guidance provides a framework for skilled nursing facilities to improve resident pain management.
An interdisciplinary, resident-centered approach is key to effectively treating and preventing chronic pain.
Continuous education and a combination of treatment modalities are crucial for aggressive pain management.