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Article: Measuring pain presence and intensity in nursing home residents

TitleMeasuring pain presence and intensity in nursing home residents
Authors
KeywordsMDS
Nursing home
Pain intensity
Pain presence
Proxy respondents
Issue Date2006
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmda
Citation
Journal Of The American Medical Directors Association, 2006, v. 7 n. 3, p. 147-153 How to Cite?
AbstractObjective: To examine the extent of agreement between nursing home residents' (or their proxies') reports of pain presence and intensity as derived from an interview questionnaire and the Minimum Data Set (MDS) nearest to the interview date. Design: Cross-sectional comparison of the 2 data sources on pain measurements. Setting: Nursing homes included in evaluation projects of EverCare program and Minnesota Senior Health Options. Participants: Nursing home residents (n = 3100) were grouped based on the type of respondent answering the interview questionnaire: Resident, family proxy, or staff proxy. Measurements: We used kappa statistics and multinomial logit regression to examine agreement between the interview questionnaire and the MDS on pain presence and intensity. Results: Presence of pain was reported 1.3 to 1.8 times more often on the questionnaire, depending on the respondent group. Agreement on the presence of pain was slight to fair (kappa = 0.17 to 0.28) between the MDS and the questionnaire. There was slight agreement on pain intensity (kappa = 0.13 to 0.18). The family proxy respondent group showed the largest discrepancy between questionnaire and the MDS in reporting of pain presence and intensity. The staff proxy respondent group had better agreement on pain intensity than did the other respondent groups, but it achieved only slight agreement (kappa = 0.18). Conclusions: Detecting and quantifying pain in nursing home residents is complex. Pain information is best obtained directly from residents; observations should be standardized. The MDS should be revised accordingly. Copyright ©2006 American Medical Directors Association.
Persistent Identifierhttp://hdl.handle.net/10722/137020
ISSN
2015 Impact Factor: 6.616
2015 SCImago Journal Rankings: 1.551
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLin, WCen_HK
dc.contributor.authorLum, TYen_HK
dc.contributor.authorMehr, DRen_HK
dc.contributor.authorKane, RLen_HK
dc.date.accessioned2011-07-29T02:14:31Z-
dc.date.available2011-07-29T02:14:31Z-
dc.date.issued2006en_HK
dc.identifier.citationJournal Of The American Medical Directors Association, 2006, v. 7 n. 3, p. 147-153en_HK
dc.identifier.issn1525-8610en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137020-
dc.description.abstractObjective: To examine the extent of agreement between nursing home residents' (or their proxies') reports of pain presence and intensity as derived from an interview questionnaire and the Minimum Data Set (MDS) nearest to the interview date. Design: Cross-sectional comparison of the 2 data sources on pain measurements. Setting: Nursing homes included in evaluation projects of EverCare program and Minnesota Senior Health Options. Participants: Nursing home residents (n = 3100) were grouped based on the type of respondent answering the interview questionnaire: Resident, family proxy, or staff proxy. Measurements: We used kappa statistics and multinomial logit regression to examine agreement between the interview questionnaire and the MDS on pain presence and intensity. Results: Presence of pain was reported 1.3 to 1.8 times more often on the questionnaire, depending on the respondent group. Agreement on the presence of pain was slight to fair (kappa = 0.17 to 0.28) between the MDS and the questionnaire. There was slight agreement on pain intensity (kappa = 0.13 to 0.18). The family proxy respondent group showed the largest discrepancy between questionnaire and the MDS in reporting of pain presence and intensity. The staff proxy respondent group had better agreement on pain intensity than did the other respondent groups, but it achieved only slight agreement (kappa = 0.18). Conclusions: Detecting and quantifying pain in nursing home residents is complex. Pain information is best obtained directly from residents; observations should be standardized. The MDS should be revised accordingly. Copyright ©2006 American Medical Directors Association.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jmdaen_HK
dc.relation.ispartofJournal of the American Medical Directors Associationen_HK
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in <Journal title>. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in PUBLICATION, [VOL#, ISSUE#, (DATE)] DOI#-
dc.subjectMDSen_HK
dc.subjectNursing homeen_HK
dc.subjectPain intensityen_HK
dc.subjectPain presenceen_HK
dc.subjectProxy respondentsen_HK
dc.subject.meshInterviews as Topic - standards-
dc.subject.meshPain - diagnosis - epidemiology - psychology-
dc.subject.meshPain Measurement - methods - psychology - standards-
dc.subject.meshQuestionnaires - standards-
dc.subject.meshSeverity of Illness Index-
dc.titleMeasuring pain presence and intensity in nursing home residentsen_HK
dc.typeArticleen_HK
dc.identifier.emailLum, TY: tlum@hku.hken_HK
dc.identifier.authorityLum, TY=rp01513en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jamda.2005.08.005en_HK
dc.identifier.pmid16503307-
dc.identifier.scopuseid_2-s2.0-33244491007en_HK
dc.identifier.hkuros198935-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33244491007&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume7en_HK
dc.identifier.issue3en_HK
dc.identifier.spage147en_HK
dc.identifier.epage153en_HK
dc.identifier.isiWOS:000240314800003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLin, WC=8615080600en_HK
dc.identifier.scopusauthoridLum, TY=8615080500en_HK
dc.identifier.scopusauthoridMehr, DR=7004895346en_HK
dc.identifier.scopusauthoridKane, RL=35334634400en_HK

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