Abstract
Pain, restriction of mobility and cognitive impairment are often present in old age and intensify each other. Is there arelationship between mobility, pain, cognitive capacity, diagnoses and number of prescribed medication for residents of nursing homes? Subgroup analysis of the baseline data from an intervention study for optimization of the medication safety of 120nursing home residents. Pain was presumed in 77.8% of the residents. Persons with cognitive impairment were more frequently affected. The results of the observational and self-reported pain assessment in cognitively impaired patients did not agree for two-thirds of the cases. A correlation between prevalence of pain, pain intensity and mobility could only be shown for persons without cognitive impairment. Half of the persons were unable to walk; 80% of the residents with analgesics as apermanent medication were more restricted in their mobility. Cognitive impairment is associated with pain and reduced mobility, whereby self-rated pain did not concur with the observational pain assessment for two-thirds of the residents with cognitive impairment. This illustrates the difficulty of observational pain assessment.
Highlights
Restriction of mobility and cognitive impairment are often present in old age and intensify each other
A correlation between prevalence of pain, pain intensity and mobility could only be shown for persons without cognitive impairment
Half of the persons were unable to walk; 80% of the residents with analgesics as a permanent medication were more restricted in their mobility
Summary
Eingeschränkte Mobilität und Minderung der kognitiven Leistungsfähigkeit sind häufige Phänomene im Alter [1, 21, 23], die oft auch gemeinsam auftreten [2], insbesondere bei Bewohnern von Altenhilfeeinrichtungen. Schmerz und kognitive Einschränkung treten vielfach gemeinsam auf [2, 10] und Schmerz wird aufgrund der verminderten Mitteilungsfähigkeit [4, 13, 19] nicht ausreichend erkannt und somit nur unzureichend oder gar nicht therapiert [4, 6, 17]. Schmerz sowie kognitive Einschränkung gehen häufig mit einer verminderten Mobilität einher; bei gemeinsamem Auftreten sind die Auswirkungen am stärksten [18]. Im vorliegenden Beitrag wird untersucht, ob es bei Bewohnern von Altenhilfeeinrichtungen einen Zusammenhang gibt zwischen Mobilität, Schmerz, kognitiver Leistungsfähigkeit, Diagnosen und der Anzahl verschriebener Medikamente. Die vorliegende Subgruppenanalyse dient der genaueren Betrachtung des Zusammenhangs zwischen Mobilität, Schmerz und kognitiver Leistungsfähigkeit
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