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Bibliography
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Pain in the Nursing Home: Assessment and Treatment in Different Types of Care Wards.Journal of Pain and Symptom Management 2007.Achterberg WP, Pot AM, Scherder EJ, and Ribbe MW.Abstract
The assessment and management of pain in nursing homes have been shown to be
suboptimal, but no study has evaluated differences in clinical setting within these homes. The
prevalence and management of pain in different care wards (psychogeriatric, somatic, and
rehabilitation) was studied in 562 newly admitted Dutch nursing home residents. Pain was
measured according to the Nottingham Health Profile (perceived pain) and the Minimum
Data Set pain observation items (frequency and intensity). Pain frequency differed
significantly across the different ward types: in psychogeriatric wards (n ¼ 247), it was
27.1%; in somatic wards (n ¼ 181), 53.9%; and in rehabilitation wards (n ¼ 129),
57.8%. Being admitted in a psychogeriatric ward was significantly related to less pain
compared to being admitted in a somatic ward, even when adjusted for possible confounders
such as age, gender, cognitive status, activities of daily living, pain-related disorders, and
depression (odds ratio [OR] 0.38 [95% confidence interval (CI) ¼ 0.23e0.62]). Patients
in psychogeriatric wards who had pain received less pain medication, adjusted for frequency
and intensity of pain (OR 0.37 [95% CI ¼ 0.23e0.59]), compared to patients in somatic
wards. We conclude that admission to a psychogeriatric care ward, independent of cognition, is
associated with lower pain prevalence, and also with lower levels of pain treatment.
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