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Pain in the nursing home.

B A Ferrell1, B R Ferrell, D Osterweil

  • 1UCLA School of Medicine.

Journal of the American Geriatrics Society
|April 1, 1990
PubMed
Summary

Pain is a significant issue for nursing home residents, with 71% experiencing pain. Management strategies are limited, indicating a need for improved pain care in long-term facilities.

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Area of Science:

  • Geriatric Medicine
  • Pain Management
  • Long-Term Care

Background:

  • Pain is frequently understudied in geriatric medicine, particularly among nursing home residents.
  • Effective pain assessment and management are crucial for improving the quality of life for elderly individuals in long-term care settings.

Purpose of the Study:

  • To describe the prevalence and characteristics of pain in a long-term care facility.
  • To evaluate current pain management strategies and identify barriers to effective pain care.

Main Methods:

  • Interviewed 97 residents and reviewed charts in a 311-bed nursing home.
  • Assessed functional status, depression, and cognitive impairment alongside pain problems.

Main Results:

  • 71% of residents reported at least one pain complaint.
  • Low back pain (40%), arthritis (24%), and neuropathies (11%) were common pain sources.
  • Pain correlated with reduced social activity but not with depression or cognitive scores.
  • Only 15% of pain patients received medication in the prior 24 hours.

Conclusions:

  • Pain is a major, prevalent problem in long-term care facilities.
  • Current pain management strategies are limited in scope and application.
  • Barriers exist in reporting and managing pain effectively in this population.

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