N Nestler1, L Krisch2, A Mahlknecht3, M Flamm3, J Osterbrink2. 1. Institut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität, Strubergasse 21, 5020, Salzburg, Österreich. nadja.nestler@pmu.ac.at. 2. Institut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität, Strubergasse 21, 5020, Salzburg, Österreich. 3. Institut für Allgemein‑, Familien- und Präventivmedizin, Paracelsus Medizinische Privatuniversität, Strubergasse 21, 5020, Salzburg, Österreich.
Abstract
BACKGROUND: Pain, restriction of mobility and cognitive impairment are often present in old age and intensify each other. OBJECTIVES: Is there a relationship between mobility, pain, cognitive capacity, diagnoses and number of prescribed medication for residents of nursing homes? METHODS: Subgroup analysis of the baseline data from an intervention study for optimization of the medication safety of 120 nursing home residents. RESULTS: Pain was presumed in 77.8% of the residents. Persons with cognitive impairment were more frequently affected. The results of the observational and self-reported pain assessment in cognitively impaired patients did not agree for two-thirds of the cases. A correlation between prevalence of pain, pain intensity and mobility could only be shown for persons without cognitive impairment. Half of the persons were unable to walk; 80% of the residents with analgesics as a permanent medication were more restricted in their mobility. CONCLUSIONS: Cognitive impairment is associated with pain and reduced mobility, whereby self-rated pain did not concur with the observational pain assessment for two-thirds of the residents with cognitive impairment. This illustrates the difficulty of observational pain assessment.
BACKGROUND:Pain, restriction of mobility and cognitive impairment are often present in old age and intensify each other. OBJECTIVES: Is there a relationship between mobility, pain, cognitive capacity, diagnoses and number of prescribed medication for residents of nursing homes? METHODS: Subgroup analysis of the baseline data from an intervention study for optimization of the medication safety of 120 nursing home residents. RESULTS:Pain was presumed in 77.8% of the residents. Persons with cognitive impairment were more frequently affected. The results of the observational and self-reported pain assessment in cognitively impairedpatients did not agree for two-thirds of the cases. A correlation between prevalence of pain, pain intensity and mobility could only be shown for persons without cognitive impairment. Half of the persons were unable to walk; 80% of the residents with analgesics as a permanent medication were more restricted in their mobility. CONCLUSIONS:Cognitive impairment is associated with pain and reduced mobility, whereby self-rated pain did not concur with the observational pain assessment for two-thirds of the residents with cognitive impairment. This illustrates the difficulty of observational pain assessment.
Entities:
Keywords:
Cognitive impairment; Mobility; Number of prescribed medication; Pain in the elderly
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