title: Older adults with hip fractures. Treatment of pain following hospitalization.
abstract: This study examined pain experiences and treatment for older adults in long-term care or rehabilitation settings 3 week after surgical repair of a hip fracture. Pain report and pain treatment for cognitively intact residents were compared with cognitively impaired residents. Two thirds of all participants reported pain. Most rated pain as slight or mild in severity. Pain report was similar for cognitively impaired and intact participants. Pain was reported as severe or worse by 17% of the residents. Nursing care plans documented comfort as a goal for fewer than half the participants. Almost 40% (n = 23) of the participants were receiving no pain medication 3 weeks postoperatively, five of these rated their pain as moderate or severe. Pain documentation, including effective non-pharmacological treatments, needs to be improved for cognitively impaired and intact older adults who are recovering from hip fracture surgery.
authors.affiliation: University of Minnesota School of Nursing, and Gerontological Nurse Practitioner, Partnering Care, Healthpartners, St. Paul, Minnesota, USA.
authors.forename: Karen S
authors.initials: KS
authors.lastname: Feldt
authors.forename: Michael
authors.initials: M
authors.lastname: Finch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008134:Long-Term Care / Q000523:psychology / Q000592:standards; D008297:Male; D008609:Mental Status Schedule; D020380:Needs Assessment; D024802:Nurse's Role; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D017060:Patient Satisfaction; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012866:Skilled Nursing Facilities; D011795:Surveys and Questionnaires