JAMDA
Volume 7, Issue 4 , Pages 246-253 , May 2006

Quality Improvement Initiative for Chronic Pain Assessment and Management in the Nursing Home: A Pilot Study

  • Gwendolen T. Buhr, MD, MHSc

      Affiliations

    • Department of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, NC
    • Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC
    • Corresponding Author InformationAddress correspondence to Gwendolen T. Buhr, MD, MHSc, Department of Medicine, Division of Geriatrics, Box 3003, Duke University Medical Center, Durham, NC 27710
    • ,
  • Heidi K. White, MD, MHSc, CMD

      Affiliations

    • Department of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, NC
    • Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC

References 

  1. Ferrell BA . Pain evaluation and management in the nursing home . Ann Intern Med . 1995;123:681–687
  2. Teno JM , Weitzen S , Wetle T , Mor V . Persistent pain in nursing home residents . JAMA . 2001;285:2081
  3. Smith MT , Haythornthwaite JA . How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature . Sleep Med Rev . 2004;8:119–132
  4. Ersser S , Wiles A , Taylor H , Wade S , Walsh R , Bentley T . The sleep of older people in hospital and nursing homes . J Clin Nurs . 1999;8:360–368
  5. Gentili A , Weiner DK , Kuchibhatil M , Edinger JD . Factors that disturb sleep in nursing home residents . Aging (Milano) . 1997;9:207–213
  6. Casten RJ , Parmelee PA , Kleban MH , Lawton MP , Katz IR . The relationships among anxiety, depression, and pain in a geriatric institutionalized sample . Pain . 1995;61:271–276
  7. Cohen-Mansfield J , Marx MS . Pain and depression in the nursing home (Corroborating results) . J Gerontol . 1993;48:P96–P97
  8. Parmelee PA , Katz IR , Lawton MP . The relation of pain to depression among institutionalized aged . J Gerontol . 1991;46:P15–P21
  9. Magni G , Marchetti M , Moreschi C , Merskey H , Luchini SR . Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination. I. Epidemiologic follow-up study . Pain . 1993;53:163–168
  10. Bookwala J , Harralson TL , Parmelee PA . Effects of pain on functioning and well-being in older adults with osteoarthritis of the knee . Psychol Aging . 2003;18:844–850
  11. Cipher DJ , Clifford PA . Dementia, pain, depression, behavioral disturbances, and ADLs (Toward a comprehensive conceptualization of quality of life in long-term care) . Int J Geriatr Psychiatry . 2004;19:741–748
  12. Kenefick AL . Pain treatment and quality of life (reducing depression and improving cognitive impairment) . J Gerontol Nurs . 2004;30:22–29
  13. Won A , Lapane K , Gambassi G , Bernabei R , Mor V , Lipsitz LA . Correlates and management of nonmalignant pain in the nursing home. SAGE Study Group. Systematic Assessment of Geriatric drug use via Epidemiology . J Am Geriatr Soc . 1999;47:936–942
  14. Ferrell BA , Ferrell BR , Osterweil D . Pain in the nursing home . J Am Geriatr Soc . 1990;38:409–414
  15. James FR , Large RG . Chronic pain and the use of health services . N Z Med J . 1992;105:196–198
  16. Mapel DW , Shainline M , Paez K , Gunter M . Hospital, pharmacy, and outpatient costs for osteoarthritis and chronic back pain . J Rheumatol . 2004;31:573–583
  17. Engel CC , von Korff M , Katon WJ . Back pain in primary care (Predictors of high health-care costs) . Pain . 1996;65:197–204
  18. Fortner BV , Okon TA , Ashley J , et al.   The Zero Acceptance of Pain (ZAP) Quality Improvement Project (Evaluation of pain severity, pain interference, global quality of life, and pain-related costs) . J Pain Symptom Manage . 2003;25:334–343
  19. Cramer GW , Galer BS , Mendelson MA , Thompson GD . A drug use evaluation of selected opioid and nonopioid analgesics in the nursing facility setting . J Am Geriatr Soc . 2000;48:398–404
  20. Bernabei R , Gambassi G , Lapane K , et al.   Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology . JAMA . 1998;279:1877–1882
  21. The management of persistent pain in older persons . J Am Geriatr Soc . 2002;50(6 Suppl):S205–S224
  22. American Medical Directors Association Consensus Panel . Chronic Pain Management in the Long-Term Care Setting Clinical Practice Guideline . Columbia, MD: American Medical Directors Association; 1999;
  23. Deming WE . The New Economics (For Industry, Government, Education) . 2nd ed.. Cambridge, MA: First MIT Press; 2000;
  24. Institute for Healthcare Improvement . How to Improve . 2004; Available at: http://www.ihi.org/ihi/topics/improvement/improvementmethods/howtoimprove. Accessed November 19
  25. Chronic Pain in Geriatrics (Management) . Shavertown, PA: Geriatric Video Productions; 1997; [videocassette]
  26. Chronic Pain in Geriatrics (Assessment) . Shavertown, PA: Geriatric Video Productions; 1997; [videocassette]
  27. Cadogan MP , Schnelle JF , Yamamoto-Mitani N , Cabrera G , Simmons SF . A minimum data set prevalence of pain quality indicator (Is it accurate and does it reflect differences in care processes?) . J Gerontol A Biol Sci Med Sci . 2004;59:281–285
  28. Rhode Island Partnership to Improve End-of-Life Care. Home page. Available at: http://as800.chcr.brown.edu/commstate. Accessed November 19, 2004.
  29. Baier RR , Gifford DR , Patry G , et al.   Ameliorating pain in nursing homes (A collaborative quality-improvement project) . J Am Geriatr Soc . 2004;52:1988–1995
  30. Resnick B , Quinn C , Baxter S . Testing the feasibility of implementation of clinical practice guidelines in long-term care facilities . J Am Med Dir Assoc . 2004;5:1–8
  31. Hirano PC , Laurent DD , Lorig K . Arthritis patient education studies, 1987–1991 (A review of the literature) . Patient Educ Couns . 1994;24:9–54
  32. Ferrell BR , Rhiner M , Ferrell BA . Development and implementation of a pain education program . Cancer . 1993;72(11 Suppl):3426–3432
  33. Wells N , Hepworth JT , Murphy BA , Wujcik D , Johnson R . Improving cancer pain management through patient and family education . J Pain Symptom Manage . 2003;25:344–356

PII: S1525-8610(05)00640-7

doi: 10.1016/j.jamda.2005.11.002

JAMDA
Volume 7, Issue 4 , Pages 246-253 , May 2006

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