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Pharmacological management of pain in Australian Aged Care Facilities

Citation

Veal, FC and Bereznicki, LR and Thompson, AJ and Peterson, GM, Pharmacological management of pain in Australian Aged Care Facilities, Age and Ageing, 43, (6) pp. 851-856. ISSN 1468-2834 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 the authors

DOI: doi:10.1093/ageing/afu072

Abstract

Background: up to 80% of residents in aged care facilities (ACFs) experience pain, and previous studies have found that older patients with pain are often undertreated. Few studies have been conducted in Australia evaluating the use of analgesic therapy in ACF residents.

Objective: to explore the use of analgesics among ACF residents, including independent predictors of analgesic use, evaluate analgesic use against pain management guidelines and identify potential medication management issues.

Methods: a retrospective analysis of 7,309 medicines reviews conducted on Australian ACF residents was undertaken. Medication use was compared with published guidelines relating to the management of pain in elderly patients or ACF residents. Multiple variable logistic regression was used to identify independent predictors of analgesic use.

Results: nearly 91% of residents were prescribed analgesics. Of those, 2,057 residents were taking regular opioids (28.1%). Only 50% of those taking regular opioids received regular paracetamol at doses of 34g/day. The concurrent use of sedatives was high, with 48.4% of those taking regular opioids also taking an anxiolytic/hypnotic.

Conclusion: there is a need to optimise the prescribing and administration of regular paracetamol as a first line and continuing therapy for pain management in ACF residents, to potentially improve pain management and reduce opioid requirements. Furthermore, with the risk of falls and fractures increased by concurrent use of opioids and sedatives, the widespread use of these drugs in a population already at high risk was concerning, indicating a need for better education of health professionals in this area.

Item Details

Item Type:Refereed Article
Keywords:pain, opioid, elderly, older people
Research Division:Medical and Health Sciences
Research Group:Pharmacology and Pharmaceutical Sciences
Research Field:Clinical Pharmacy and Pharmacy Practice
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
Author:Veal, FC (Ms Felicity Veal)
Author:Bereznicki, LR (Associate Professor Luke Bereznicki)
Author:Thompson, AJ (Mr Angus Thompson)
Author:Peterson, GM (Professor Gregory Peterson)
ID Code:92917
Year Published:2014
Web of Science® Times Cited:6
Deposited By:Pharmacy
Deposited On:2014-06-30
Last Modified:2016-10-05
Downloads:0

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