scholarly journals Deficits in pain medication in older adults with chronic pain receiving home care: A cross-sectional study in Germany

PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229229 ◽  
Author(s):  
Juliana Schneider ◽  
Engi Algharably ◽  
Andrea Budnick ◽  
Arlett Wenzel ◽  
Dagmar Dräger ◽  
...  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Cheng Chen ◽  
Almut G. Winterstein ◽  
Roger B. Fillingim ◽  
Yu-Jung Wei

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Carlos Jordão de Assis Silva ◽  
Tarcísio Tércio das Neves Júnior ◽  
Eloisa Araújo de Carvalho ◽  
Valéria Gomes Fernandes da Silva ◽  
Sheyla Gomes Pereira de Almeida ◽  
...  

ABSTRACT Objective: to describe the profile of nursing diagnoses evidenced in indigenous elderly in the community. Methods: this is a cross-sectional study, carried out with 51 indigenous elderly people of Potiguara ethnicity, through a nursing consultation. The clinical data, obtained from the consultation, were analyzed following Risner’s diagnostic reasoning process and the NANDA-I Taxonomy (2018-2020). For greater accuracy, the diagnoses obtained underwent peer review by a specialist. Results: 37 diagnoses were identified, such as Impaired dentition (98.0%), Risk for impaired skin integrity (66.7%), Chronic pain (64.7%), Risk for deficient fluid volume (54.9%), Impaired swallowing (45.1%), Impaired walking (45.1%), Disturbed sleep pattern (43.1%), Stress urinary incontinence (41.2%), Risk for falls (35.3%), and Sexual dysfunction (33.3%). Conclusion: the diagnoses identified were predominantly from Safety/protection domain and result from factors that negatively influence indigenous elderly’s functional capacity.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecca Abey-Nesbit ◽  
Philip J. Schluter ◽  
Tim Wilkinson ◽  
John Hugh Thwaites ◽  
Sarah D. Berry ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261597
Author(s):  
Ryota Imai ◽  
Masakazu Imaoka ◽  
Hidetoshi Nakao ◽  
Mitsumasa Hida ◽  
Fumie Tazaki ◽  
...  

2020 ◽  
Vol 21 (6) ◽  
pp. 530-535 ◽  
Author(s):  
Pedro Otones Reyes ◽  
Eva García Perea ◽  
Milagros Rico Blázquez ◽  
Azucena Pedraz Marcos

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0236111 ◽  
Author(s):  
Ryota Imai ◽  
Masakazu Imaoka ◽  
Hidetoshi Nakao ◽  
Mitsumasa Hida ◽  
Fumie Tazaki ◽  
...  

2014 ◽  
Vol 17;1 (1;17) ◽  
pp. 81-94 ◽  
Author(s):  
Andreas Schwarzer

Background: Despite hints about the high incidence of pain patients misreporting their pain medication use, there are only a few non-controlled studies on the topic that focus solely on opioids. Objective: Using toxicological analyses in a cross-sectional study, we investigated patients’ reliability regarding their report of any current pain medication use. Study Design: A cross-sectional study. Setting: A comprehensive pain center and a surgical unit of a German University Hospital. Methods: Consecutive outpatients at their first visit to the pain clinic (PG, n = 243) and pre-surgical control patients (SG, n = 100) suffering from pain reported on their current pain medication. The patients’ reports were verified in serum and urine using specific toxicological methods. Two types of noncompliance were defined: under-reporting (detection of non-reported substances) and overreporting (reported substances undetectable). The impact of clinical parameters on compliance was investigated using binary logistic regression. Results: The incidence of noncompliance was significantly higher in the PG (43.3%) than in the SG (24%; P < 0.05). Under-reporting occurred similarly in both groups (31% PG; 23% SG), whereas over-reporting predominantly appeared in the PG (11% vs. 2%; P < 0.05). Opioids were not most frequently under-reported, but the highest proportion of under-reported drugs (underreported in relation to detection incidence) was found for non-opioid analgesics (NSAIDs: 29% PG; 25% SG; other: 42% PG; 32% SG) and psychotropic drugs (35% PG; 53% SG). In the PG, logistic regression revealed high depression scores to be predictive for noncompliance (odds ratio 2.12). Limitations: Due to lack of a structured follow-up interview motives of under- and over-reporting stay speculative. Conclusions: Under-reporting of non-opioid analgesics is the main type of noncompliance, a disquieting fact in light of their toxicity and adverse effects. Further research is required in terms of drug assessment and compliance improvement strategies in pain clinics; therefore, toxicological monitoring is indispensable. Clinical Trial: NCT01625065; Medi-3889-10 Key words: Medication compliance, adherence, chronic pain, toxicological analyses, urine drug testing, NSAID, opioids


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