Factors Associated With Function-Focused Care Among Hospitalized Older Adults Living With Dementia

Area of Science:

• Geriatric Medicine
• Neurology
• Pain Management

Background:

• Pain is prevalent in older hospitalized patients with dementia.
• Factors influencing pain in this population require further investigation.
• Understanding these factors is crucial for effective pain management.

Purpose of the Study:

• To describe the incidence of pain in older hospitalized patients with dementia.
• To evaluate factors associated with pain, including function, behavioral and psychological symptoms of dementia (BPSD), delirium, pain treatment, and care interventions.

Main Methods:

• A study was conducted to assess pain incidence and influencing factors.
• Data collected included patient function, BPSD, delirium, pain treatment, and care interactions.
• Statistical analysis was used to determine associations between these factors and pain.

Main Results:

• Patients with higher functional activity experienced less delirium.
• Increased functional activity and positive quality-of-care interactions were associated with reduced pain.
• A significant relationship was found between function, delirium, quality-of-care interactions, and pain.

Conclusions:

• Encouraging functional and physical activity in dementia patients may prevent or manage pain.
• Avoiding neutral or negative care interactions can help mediate delirium and pain.
• Maintaining patient function and ensuring quality care are key strategies for pain management in hospitalized dementia patients.