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[Pain in nursing homes].

N Nestler1, I Gnass, M Schuler

  • 1Institut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität, Strubergasse 21, 5020, Salzburg, Österreich, nadja.nestler@pmu.ac.at.

Schmerz (Berlin, Germany)
|February 22, 2015
PubMed
Summary

Pain management in nursing homes is challenging, especially for dementia patients. Effective pain assessment and coordinated interprofessional care, including nonpharmacological approaches, are crucial for improving residents' quality of life.

Area of Science:

  • Gerontology
  • Pain Management
  • Nursing Home Care

Background:

  • Nursing home residents frequently experience pain, impacting their quality of life.
  • Dementia syndrome affects a majority (60%) of nursing home residents, complicating pain presentation and management.
  • Inadequate pain therapy is common due to atypical pain symptoms and limitations of pharmacological treatments in multimorbid elderly individuals.

Purpose of the Study:

  • To highlight the challenges in pain management for nursing home residents.
  • To emphasize the importance of nursing pain assessment and interprofessional coordination.
  • To underscore the need for further research into nonpharmacological pain therapy's effectiveness in this population.

Main Methods:

  • Review of existing studies on pain therapy in nursing homes.

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  • Analysis of factors contributing to inadequate pain management.
  • Discussion of the role of nursing assessment and interprofessional collaboration.

    • Main Results:

    • Pain is prevalent and often undertreated in nursing homes.
    • Pharmacological pain management is limited by patient multimorbidity and side effect risks.
    • The impact of nonpharmacological pain interventions requires further investigation.

    Conclusions:

    • Effective pain management in nursing homes requires interprofessional coordination.
    • Nursing pain assessment is a critical component of comprehensive care.
    • Further research is needed to optimize both pharmacological and nonpharmacological pain therapies for nursing home residents, particularly those with dementia.