Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons With Dementia. (16th December 2020)

• Record Type: Journal Article
• Authors: Resnick, Barbara; Boltz, Marie
• Is Part Of: Innovation in aging. Volume 4(2020)Supplement 1
• Page Start: 762
• Page End: 763
• Publication Date: 2020-12-16
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igaa057.2752
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: A better understanding of the relationships between pain and other syndromes in hospitalized persons with dementia (PWD) will help establish pain as a critical symptom to target. Secondary analyses from the Fam- FFC study describe the incidence and pharmacologic management of pain, and its association with physical function, delirium, and behavioral and psychological symptoms of dementia (BPSD). The sample (N=299) was mostly female (62%), non-Hispanic (98%), and Black (53%), with a mean age of 81.6 (SD=8.5); 166 (56%) received pain medication, whereas 40% (n=43) of 108 individuals who demonstrated pain did not receive analgesics. Regression analyses showed that, controlling for age, gender, cognition, and comorbidities, pain was associated with function (t= -.3.2, p=.001), delirium (t =5.0, p < .000), and BPSD severity (t = 2.3, p=.023). Findings suggest pain may be undertreated in hospitalized PWD but should be considered to optimize function, decrease delirium, and prevent or decrease BPSD.