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Related Experiment Videos

Pain and cognitive status in the institutionalized elderly: perceptions & interventions

S Kaasalainen1, J Middleton, S Knezacek

  • 1Department, McMaster University, Burlington, Ontario, Canada.

Journal of Gerontological Nursing
|October 23, 1998
PubMed
Summary

Nurses

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Area of Science:

  • Gerontology
  • Nursing
  • Pharmacology

Background:

  • Pain management in elderly long-term care residents is complex.
  • Cognitive status can influence pain assessment and treatment.
  • Adequate pain medication administration is crucial for resident well-being.

Purpose of the Study:

  • To investigate the correlation between nurses' pain ratings and actual pain medication administration in elderly residents.
  • To explore the relationship between residents' cognitive status and their pain medication orders and administration.
  • To identify potential disparities in pain management for cognitively impaired versus cognitively intact elderly individuals.

Main Methods:

  • Retrospective chart review of 83 elderly long-term care residents (aged 60+).

Related Experiment Videos

  • Comparison of pain medication orders (scheduled vs. p.r.n.) and administration between cognitively impaired and intact groups.
  • Correlation analysis between registered nurses' (RNs) pain ratings (visual analogue scale) and medication administration.

    • Main Results:

    • No significant correlation was found between RNs' pain ratings and pain medication administration.
    • Cognitively impaired residents received significantly less scheduled pain medication compared to cognitively intact residents.
    • Overall, cognitively impaired residents received less pain medication (scheduled and p.r.n.) than their cognitively intact counterparts.

    Conclusions:

    • Current pain assessment by nurses may not directly translate to medication administration in this population.
    • Cognitive impairment appears to be associated with under-prescription and under-administration of pain medication.
    • Further research and improved clinical practices are needed to ensure equitable pain management for all elderly residents, regardless of cognitive status.