Systematic pain management reduced agitation in nursing home residents with dementia
Hirsch comments on a study by Husebo et al examining whether systematic use of analgesics reduce agitation in nursing home residents with moderate-to-severe dementia. Results show that in nursing home residents with moderate-to-severe dementia, systematic use of analgesics reduced agitation during t...
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Veröffentlicht in: | Annals of internal medicine 2011-11, Vol.155 (10), p.JC5 |
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description | Hirsch comments on a study by Husebo et al examining whether systematic use of analgesics reduce agitation in nursing home residents with moderate-to-severe dementia. Results show that in nursing home residents with moderate-to-severe dementia, systematic use of analgesics reduced agitation during treatment but not after treatment was stopped. Here, he stresses that given the limited efficacy and potential harm associated with antipsychotic drugs, safer ways to control agitation are needed. Empirical administration of pain medication, even when based on pain assessments, should not be a substitute for a broader, systematic evaluation of unmet needs, such as that described in the Serial Trial Intervention. |
doi_str_mv | 10.7326/0003-4819-155-10-201111150-02009 |
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Results show that in nursing home residents with moderate-to-severe dementia, systematic use of analgesics reduced agitation during treatment but not after treatment was stopped. Here, he stresses that given the limited efficacy and potential harm associated with antipsychotic drugs, safer ways to control agitation are needed. Empirical administration of pain medication, even when based on pain assessments, should not be a substitute for a broader, systematic evaluation of unmet needs, such as that described in the Serial Trial Intervention.</description><subject>Analgesics</subject><subject>Clinical trials</subject><subject>Dementia</subject><subject>Nursing homes</subject><subject>Pain management</subject><issn>0003-4819</issn><issn>1539-3704</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNo9kEtLAzEQgIMoWKv_IXjyEs1jd5PclOILCh6s5zAm2TbF3a1JFum_N2ulA8Mkk28m8CF0w-itFLy5o5QKUimmCatrwijhlE1RU0I5pfoEzVgtNBGSVqdodsTP0UVK2-mquJqh1fs-Zd9BDhbvIPS4gx7WvvN9xtG70XqHYR1yAYYel_d-jCn0a7wZOl-IFFxBE_4JeYPd31yAS3TWwlfyV_91jj6eHleLF7J8e35dPCyJFVxmUgOA5oprxa3m4C1XbVPDpxZeSOldU8lGS6EcdxQYOF-Dp9K6qrXlBErM0fVh7y4O36NP2WyHMfblS6OpkiXFBN0fIBuHlKJvzS6GDuLeMGomlWaSYSY3pqicukeV5k-l-AVMf2kz</recordid><startdate>20111115</startdate><enddate>20111115</enddate><creator>Hirsch, Calvin</creator><general>American College of Physicians</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20111115</creationdate><title>Systematic pain management reduced agitation in nursing home residents with dementia</title><author>Hirsch, Calvin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-5aaa9282982c92aec28f65ab93e377ed64769738d2d0a1ade5ae07cd4fc5aea83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Analgesics</topic><topic>Clinical trials</topic><topic>Dementia</topic><topic>Nursing homes</topic><topic>Pain management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirsch, Calvin</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Annals of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirsch, Calvin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic pain management reduced agitation in nursing home residents with dementia</atitle><jtitle>Annals of internal medicine</jtitle><date>2011-11-15</date><risdate>2011</risdate><volume>155</volume><issue>10</issue><spage>JC5</spage><pages>JC5-</pages><issn>0003-4819</issn><eissn>1539-3704</eissn><abstract>Hirsch comments on a study by Husebo et al examining whether systematic use of analgesics reduce agitation in nursing home residents with moderate-to-severe dementia. Results show that in nursing home residents with moderate-to-severe dementia, systematic use of analgesics reduced agitation during treatment but not after treatment was stopped. Here, he stresses that given the limited efficacy and potential harm associated with antipsychotic drugs, safer ways to control agitation are needed. Empirical administration of pain medication, even when based on pain assessments, should not be a substitute for a broader, systematic evaluation of unmet needs, such as that described in the Serial Trial Intervention.</abstract><cop>Philadelphia</cop><pub>American College of Physicians</pub><doi>10.7326/0003-4819-155-10-201111150-02009</doi></addata></record> |
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subjects | Analgesics Clinical trials Dementia Nursing homes Pain management |
title | Systematic pain management reduced agitation in nursing home residents with dementia |
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