Evidence map›Paper›PMID 40360333›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2026

Pain Assessment and Management Among Nursing Home Residents Living With Dementia.

Barbara Resnick, Elizabeth Galik, Rachel McPherson, Nayeon Kim, Sorah Levy, Shijun Zhu

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Nurses' Pain Management Competency in Nursing Home Residents With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  2. Nursing Home Profit Status and Pain Among Residents Living With Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, MD. Electronic address: resnick@umaryland.edu.
Elizabeth GalikUniversity of Maryland School of Nursing, Baltimore, MD.
Rachel McPhersonUniversity of Maryland School of Nursing, Baltimore, MD.
Nayeon KimUniversity of Maryland School of Nursing, Baltimore, MD.
Sorah LevyUniversity of Maryland School of Nursing, Baltimore, MD.
Shijun ZhuUniversity of Maryland School of Nursing, Baltimore, MD.

Funding

Testing the Pain-CPG-EITRF1AG082676 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2025 to 2025
$1.3M
Testing the Pain-CPG-EITR01AG082676 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA · 2023 to 2024
$852k
NIA NIH HHS R01 AG082676NIA NIH HHS RF1 AG082676
6 · The paper itself

Abstract

purposeThe purpose of this study was to describe adherence to survey guidance for the assessment, diagnosis and management of pain across four nursing home communities.

designThis was a descriptive study using baseline data from the study, Testing the Implementation of the Pain Clinical Practice Guideline Using the Evidence Integration Triangle (Pain-CPG-EIT).

methodsCommunity level data were obtained from Care Compare. Resident data were obtained from the electronic medical record and direct assessments of cognitive status based on the Brief Interview for Mental Status (BIMS) and the Pain Assessment in Advanced Dementia scales.

resultsThe study included 88 residents with a mean age of 81(SD = 9) and mean BIMS score of 5(SD = 5). The majority was female (72%), white (70%), and non-Hispanic (90%). For 74% of participants, the appropriate assessment tool was not used based on the individual's cognitive status. The majority (93%) of residents had pain addressed in their care plans although these were generic and not person-centered. Overall, 35% of the residents were exposed to nonpharmacologic interventions for pain, 59% were exposed to pharmacologic interventions, and only 2.9(SD = 3.6) out of 10 items were completed for appropriate use of opioids.

conclusionsPain assessment for residents living with dementia did not meet survey guidance and continues to be a challenge for nursing home staff. CLINICAL IMPLICATIONS: Ongoing work is needed to monitor that interventions are appropriate, effective and safe and that care plans are individualized. Increased adherence to survey guidance for the assessment and management of pain in residents living with dementia will decrease risk to the communities and improve pain assessment and management for residents.

Indexed as

DementiaPain ManagementPain MeasurementAgedAged, 80 and overFemaleHumansMaleNursing HomesSurveys and QuestionnairesAcute careAre painDementiaOlder adults

Identifiers

PMID40360333
PMCPMC12354327

What OpenQuestion holds

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Registered trials

None linked

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.