Evaluation of Chronic Pain Management in the Elderly Living in a Nursing Home Assessment of Age and Chronic Pain

Yıl 2022, Cilt: 8 Sayı: 4, 615 - 623, 30.11.2022

Dudu Alptekin , Hamide Şişman , Refiye Akpolat , Derya Gezer , Esma Gökçe , Sevban Arslan

https://doi.org/10.19127/mbsjohs.1148946

Öz

Objective: There is a decrease in sensitivity to painful stimuli in the elderly. This study was conducted to determine the pain management status of the elderly living in nursing homes.
Methods: This descriptive study was conducted in the Nursing Home Elderly Care and Rehabilitation Center Directorate. Elderly Information Form, Mini-Mental Scale, and McGill Pain Scale were used. . Data were considered statistically significant at the p < 0.05 level. Parametric methods were used for normally distributed data.
Results: 82.9% of the elderly had a chronic disease and were using drugs continuously, and the number of drugs used by 42.9% was between 1-3. According to McGill's Pain severity assessment, 34.3% of them experienced mild pain. Between the gender of the elderly and the McGill Melzeck pain severity averages they experienced, the average pain score of the female gender was found to be significantly higher than the pain average of the male gender (t(68)=-1.99, p=0.05). When the behaviors of the elderly against pain were examined, 62.9% reported that they preferred to talk, 72.9% to rest, 52.9% to plan rest periods, and 55.7% to get support from their religious belief
Conclusion: In this study, the severity of pain and behaviors of the elderly against pain were evaluated.

Anahtar Kelimeler

Nursing Home, Aging, Pain, Pain Management, Evaluation, Nursing Home, Aging, Pain, Pain Management, Evaluation

Kaynakça

• 1- Erten SN, Akpınar TS. Approach to pain in the elderly. Turkiye Klinikleri Journal of Geriatrics Special. 2015;1(1):82-90.
• 2- TÜİK. Population Projections, 2018-2080. Access Address: https://cse.google.com/cse?q=ya%FEl%FD+n%FCfusu. Access Date:29.12.2018.
• 3- Aslan FE, Uzun Ö. Pain in the Elderly. Aslan FE, editor. Pain Nature and Control. 2nd Edition. Ankara: Academician Medical Bookstore. 2014;357-74.
• 4- Kaye AD, Baluch A, Scott J. Pain management in the elderly population: A review. The Ochsner Journal. 2010;10(3):179-87.
• 5- Gündüzoğlu NÇ, Karadakovan A. Pain management in the elderly. Geriatric Neuropsychiatry. 2011;2(2-3):41-8.
• 6- Aslan FE, Uzun Ö. Pain in the Elderly. Aslan FE, editor. Pain Nature and Control. 2nd Edition. Ankara: Academician Medical Bookstore. 2016:357-74.
• 7- Molton IR, Terrill AL. Overview of persistent pain in older adults. Psychol. 2014;69(2):197-207.
• 8- Schofield P. Assessment and management of pain in older adults: current perspective sand future directions. Scot Universities Med J. 2014;3(3):1-7.
• 9- Çilingir, D, Bulut, E. Approach to Pain in Elderly Individuals. Journal of Anatolia Nursing and Health Sciences. 2017:(2).
• 10- Kress HG, Ahlbeck K, Dominic A, Alon E, Coaccioli S, Coluzzi F, et al. Managing chronic pain in elderly patients requires a change of approach. Curr Med Res Opin. 2014;30(6):1153-64.
• 11- Özel F, Yıldırım Y, Fadıloğlu Ç. Pain management in the elderly living in a nursing home. Journal of Pain. 2014;26(2):57-64.
• 12- Folstein MF, Folstein S, Mc Hugh PR. "Mini Mental State" A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
• 13- Melzack R. The Short-Form McGill Pain Questionnaire. Pain. 1987;30(2):191-197.
• 14- Davis G, Atwood JR. The development of the pain Management Inventory for patients with arthritis. Journal of Advanced Nursing. 1996;24(2), 236-243.
• 15- Parlar S, Fadiloglu C, Argon G, Tokem Y, Keser G. The effects of self-pain management on the intensity of pain and pain management methods in arthritic patients. Pain Manag. Nurs. 2013;14(3):133-42
• 16- Çilingir D, Bulut E. Approach to pain in elderly individuals. Anatolian Journal of Nursing and Health Sciences. 2017;20(2):145-153.
• 17- Tanriverdi G, Okanli A, Cetin H, Özyazıcıoğlu N. Pain in the elderly population. Turkish Journal of Geriatrics. 2009;12(4):190-7.
• 18- Usta Ö, Karadakovan A. Narlıdere. The Frequency of Falls in Elderly People Living in Rest and Nursing Homes and Factors Affecting Falls. Turkish Journal of Geriatrics. 2005;8(2):72-77.
• 19- Eyigor S, Karapolat, H, Durmaz. Evaluation of the relationship between quality of life and depression findings in elderly women admitted to a university clinic. Turkish Journal of Geriatrics. 2006;9(3):130-135.
• 20- Yazgan Ç, Kora, K, Topçuoğlu V, Kuşçu K. Factors affecting the quality of life in elderly people without dementia living in nursing homes. Turkish Journal of Geriatrics. 2006;9(3):143-149.
• 21- Saka SD, Gözüm S. Pain prevalence and pain self-management practices in the elderly living in the community. Cukurova Medical Journal. 2020;45(2):595-603.
• 22- Yıldız A, Erol S, Ergün A. The risk of pain and depression in the elderly living in a nursing home. Turkish Journal of Geriatrics. 2009;12:156-64.
• 23- Miro J, Paredes S, Rull M, Queral R, Miralles R, Nieto R. Pain in older adults. A prevalence study in the Meditarranean region of Catalonia. Eur J Pain. 2007;11: 83-92.
• 24- Ferrell BA, Ferrell BR, Rivera L. Pain in Cognitively İmpaired Nursing Home Patients. Journal of Pain and Symptom Management. 1995;10 (8):591-598.
• 25- Sezer O, Devran D, Dagdeviren HN. Evaluation of Chronic Pain Status and Affecting Factors in the Elderly. Turkish Journal of Family Medicine. 2021; 25(3):76-83.
• 26- Clough-Gorr KM, Blozik E, Gillmann G, Beck JC, Ferrell BA, Anders J, et al. The self-administered 24- item Geriatric Pain Measure (GPM-24-SA): psychometric properties in three European populations of community-dwelling older adults. Pain Med. 2008;9:695-703
• 27- Şimşek TT, Tütün Yumin E, Öztürk A, Sertel M, Yumin M. The relationship between pain and health status, mobility and activity level of daily living in elderly individuals living at home. Turkish Journal of Physiotherapy Rehab. 2011;57:216-220.
• 28- Şahin Ş. Pain and gender. Pain 2004;16(2):17-25.
• 29- Kara, H. Evaluation of pain in individuals living in nursing homes and determination of factors affecting pain (Master's thesis, Institute of Health Sciences) 2011.
• 30- Civi S, Tanrıkulu Z. An epidemiological study to determine the prevalence of chronic diseases and dependency and physical disability levels in the elderly. Turkish Journal of Geriatrics. 2000;3:85-90.
• 31- Güler G, Güler N, Kocataş S, Akgül N. Health care needs of the elderly. Cumhuriyet Medical Journal. 2009;31(4):367-373.
• 32- Hwang U, Richardson LD, Harris B, Morrison RS. The quality of emergency department pain care for older adult patients. J Am Geriatr Soc. 2010;58(11):2122-2128.
• 33- Ünsal A, Demir G, Özkan AC, Arslan GG. Chronic Disease Frequency and Drug Use in the Elderly in Nursing Homes. Journal of ADU Faculty of Medicine. 2011;12(3):5-10.
• 34- Stewart C, Leveille SG, Shmerling RH, Samelson EJ, Bean JF, Schofield P. Management of persistent pain in older adults: The Mobilize Boston Study. J Am Geriatr Soc. 2012;60(11):2081-6
• 35- Tse M, Wan VT, Wong AM. Pain and Pain-Related Situations Surrounding Community-Dwelling Older Persons. J Clin Nurs. 2013;22(13-14):1870-1879