PAIN ASSESSMENT AND MANAGEMENT IN NURSING HOME RESIDENTS WITH ADRD: INSIGHTS FROM INTERDISCIPLINARY TEXT MESSAGES
2024

Pain Assessment in Nursing Home Residents with Dementia

Sample size: 414 publication Evidence: moderate

Author Information

Author(s): Woods Ashley, Farmer Matthew, Popescu Mihail, Powell Kimberly

Primary Institution: University of Missouri

Hypothesis

The study evaluates the relationship between pain assessment and management in text messages about older adults with and without Alzheimer's Disease and Related Dementias.

Conclusion

Pain is underrepresented in communications regarding residents with Alzheimer's Disease and Related Dementias, potentially contributing to disparities in pain assessment and management.

Supporting Evidence

  • Significant differences were found in pain assessment mentions between residents with and without ADRD.
  • ADRD residents had fewer mentions of pain assessment and management in text messages.
  • The analysis included 694 transfer events involving 414 residents.

Takeaway

The study looked at how often pain is talked about in messages about nursing home residents with dementia, and found that it’s mentioned less for those with dementia.

Methodology

A retrospective cohort study analyzing 21,000 text messages using natural language processing and statistical models.

Potential Biases

Potential bias in the representation of pain assessment in communications regarding different demographic groups.

Limitations

The study is limited to text messages exchanged among healthcare team members and may not capture all aspects of pain assessment.

Participant Demographics

39% of the residents studied had Alzheimer's Disease and Related Dementias, with variations in age and race.

Statistical Information

P-Value

0.02

Statistical Significance

p=0.02

Digital Object Identifier (DOI)

10.1093/geroni/igae098.4040

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