Abstract
specializing in elderly care medicine in Dutch nursing homes and to determine factors that may influence clinical use of opioids in these facilities. Design.– A self-reported questionnaire was designed and distributed among ECPs (also those in training) via email, regional symposia and on all three academic training faculties for elderly care medicine. Results.– Three hundred and eighty-six ECPs and ECPs in training responded. The internal consistency (Cronbach’s alpha) of thequestionnairewas 0.75. The highest knowledge scoreswere achieved by ECPs. Those who felt their knowledge of opioids was poor scored lower than those who felt their knowledge was good. Three main barriers in clinical use of opioids were identified: – patients’ reluctance to take opioids (82.7%); – unknown degree of pain (78.8.%); – pain of unknown origin (51.6%). Conclusion.– The factors identified in this study may provide valuable information for better pain management of vulnerable elderly living in a long term care facility: patient information about the pros and cons of opioids are heavily needed, next to tools for better clinical assessment of pain in a multi-morbidity population.
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