Pain Assessment, Management, and Impact Among Older Adults in Assisted Living

Barbara Resnick, Marie P. Boltz, Elizabeth Galik, Sarah Holmes, Erin Vigne, Steven Fix, Shijun Zhu

Research output: Contribution to journalReview article

Abstract

Objectives: The purpose of this study was to describe the incidence, pharmacologic management, and impact of pain on function, agitation, and resistiveness to care among assisted living residents. Design: This was a descriptive study. Data Sources: Baseline data from 260 residents in the second cohort of the study Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle. Review/Analysis Methods: Descriptive analyses for the Pain Assessment in Advanced Dementia (PAINAD), Visual Descriptor Scale (VDS), and use of medication for pain management and hypothesis testing using linear regression analyses were performed. Results: The majority of the sample was female (71%) and white (96%) with a mean age of 87 (standard deviation = 7). Fifty-two out of the 260 residents (20%) reported pain based on either the PAINAD or the VDS. Out of the total 260 residents, 75 (29%) received pain medication. Twenty-two out of the 52 individuals (42%) reporting pain were not getting pain medication. Controlling for age, gender, and cognition, the PAINAD was significantly associated with agitation, function, and resistiveness to care and the VDS was only associated with function. Conclusions: The incidence of pain was low among participants based on the PAINAD or the VDS. Pain measured by the PAINAD was significantly associated with function, agitation, and resistiveness to care.

Original languageEnglish (US)
Pages (from-to)192-197
Number of pages6
JournalPain Management Nursing
Volume20
Issue number3
DOIs
StatePublished - Jun 1 2019

Fingerprint

Pain Measurement
Pain Management
Dementia
Pain
Information Storage and Retrieval
Incidence
Cognition
Linear Models
Cohort Studies
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Advanced and Specialized Nursing

Cite this

Resnick, Barbara ; Boltz, Marie P. ; Galik, Elizabeth ; Holmes, Sarah ; Vigne, Erin ; Fix, Steven ; Zhu, Shijun. / Pain Assessment, Management, and Impact Among Older Adults in Assisted Living. In: Pain Management Nursing. 2019 ; Vol. 20, No. 3. pp. 192-197.
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abstract = "Objectives: The purpose of this study was to describe the incidence, pharmacologic management, and impact of pain on function, agitation, and resistiveness to care among assisted living residents. Design: This was a descriptive study. Data Sources: Baseline data from 260 residents in the second cohort of the study Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle. Review/Analysis Methods: Descriptive analyses for the Pain Assessment in Advanced Dementia (PAINAD), Visual Descriptor Scale (VDS), and use of medication for pain management and hypothesis testing using linear regression analyses were performed. Results: The majority of the sample was female (71{\%}) and white (96{\%}) with a mean age of 87 (standard deviation = 7). Fifty-two out of the 260 residents (20{\%}) reported pain based on either the PAINAD or the VDS. Out of the total 260 residents, 75 (29{\%}) received pain medication. Twenty-two out of the 52 individuals (42{\%}) reporting pain were not getting pain medication. Controlling for age, gender, and cognition, the PAINAD was significantly associated with agitation, function, and resistiveness to care and the VDS was only associated with function. Conclusions: The incidence of pain was low among participants based on the PAINAD or the VDS. Pain measured by the PAINAD was significantly associated with function, agitation, and resistiveness to care.",
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Pain Assessment, Management, and Impact Among Older Adults in Assisted Living. / Resnick, Barbara; Boltz, Marie P.; Galik, Elizabeth; Holmes, Sarah; Vigne, Erin; Fix, Steven; Zhu, Shijun.

In: Pain Management Nursing, Vol. 20, No. 3, 01.06.2019, p. 192-197.

Research output: Contribution to journalReview article

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T1 - Pain Assessment, Management, and Impact Among Older Adults in Assisted Living

AU - Resnick, Barbara

AU - Boltz, Marie P.

AU - Galik, Elizabeth

AU - Holmes, Sarah

AU - Vigne, Erin

AU - Fix, Steven

AU - Zhu, Shijun

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