ReviewDrugs & aging2001
Pain in nursing home residents: management strategies.
Review in Drugs & aging, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- Systematic review of 29 self-report instruments for assessing quality of life in older adults receiving aged care services.BMJ open · 2021Pooled it
- The Influence of Pain on Frailty among the Elderly: Based on Korea Health Panel.Iranian journal of public health · 2020Article
- Do Nursing Home Residents With Dementia Receive Pain Interventions?American journal of Alzheimer's disease and other dementias · 2019Article
- Nonmalignant Pain Symptom Subgroups in Nursing Home Residents.Journal of pain and symptom management · 2019Article
- Effect of Exercise on Behavioral Symptoms and Pain in Patients With Dementia Living in Nursing Homes.American journal of Alzheimer's disease and other dementias · 2019Article
- Proportion of neuropathic pain in the back region in chronic low back pain patients -a multicenter investigation.Scientific reports · 2018Article
- Spinal Compression Fracture Management: A Review of Current Treatment Strategies and Possible Future Avenues.Global spine journal · 2017Review
- Pain and dementia: a diagnostic challenge.Zeitschrift fur Gerontologie und Geriatrie · 2012Review
- Culture change in long-term care: participatory action research and the role of the resident.The Gerontologist · 2011Article
- Review
- Economic impact of shifting the locus of care for neuropathic pain from specialists to general practitioners.The European journal of health economics : HEPAC : health economics in prevention and care · 2007Article
- Pharmacological management of renal colic in the older patient.Drugs & aging · 2007Review
- A record review of reported musculoskeletal pain in an Ontario long term care facility.BMC geriatrics · 2006Article
- Pharmacological treatments for persistent non-malignant pain in older persons.Drugs & aging · 2004Review
- Demographics, assessment and management of pain in the elderly.Drugs & aging · 2003Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Pain is prevalent and undertreated in nursing home residents, despite the existing wide array of effective pharmacological and nonpharmacological treatment modalities. In order to improve the quality of life of these vulnerable individuals, practitioners require education about the correct approach to assessment and management. Assessment should be comprehensive, taking into account the basic underlying pathology (e.g. osteoarthritis, osteoporosis, peripheral neuropathy, fibromyalgia, cancer) as well as other contributory pathology (e.g. muscle spasm, myofascial pain) and modifying comorbidities (e.g. depression, anxiety, fear, sleep disturbance). Pharmacological management should be guided by a stepped-care approach, modelled after that recommended by the World Health Organization for treatment of cancer pain. Nonopioid and opioid analgesics are the cornerstone of pharmacological pain management. Tricyclic antidepressants and anticonvulsants can be very effective for the treatment of certain types of neuropathic pain. In addition to treating the pain per se, attention should be given to prevention of disease progression and exacerbation, as maintaining function is of prime importance. Nursing home residents with severe dementia challenge the practitioner's pain assessment skills; an empirical approach to treatment may sometimes be warranted. The success of treatment should be measured by improvement in pain intensity as well as physical, psychosocial and cognitive function. Effective pain management may impact any or all of these functional domains and, therefore, substantially improve the nursing home resident's quality of life.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.