title: Regulatory components for treating persistent pain in long-term care.
abstract: Persistent or chronic pain is frequently reported by older adults and has the potential to dramatically influence quality of life. Estimates indicate that 25% to 50% of community-dwelling older adults experience this kind of pain. This rate is even higher in long-term care facilities, where 50% to 75% of residents have chronic pain syndromes that are untreated or undertreated. To promote optimal pain management and enumerate the responsibilities of skilled nursing facilities to effectively treat and prevent pain, the Centers for Medicare & Medicaid Services released a new pain management surveyor guidance, F-Tag 309, which endorses the presence of an interdisciplinary team approach to pain management that involves the resident. The guidance delineates pain management principles, the need for ongoing professional education in all components of pain management, and emphasizes the important role of appropriate pharmacological treatment in conjunction with nonpharmacological interventions to aggressively manage pain. This directive will help skilled nursing facilities achieve optimal pain management for their residents.
authors.affiliation: College of Nursing, Medical University of South Carolina, Charleston, South Carolina 29452-8900, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Planton
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Edlund
mesh_terms: D000368:Aged; D000698:Analgesia / Q000379:methods / Q000451:nursing / Q000592:standards; D014487:Centers for Medicare and Medicaid Services, U.S.; D002908:Chronic Disease; D004334:Drug Administration Schedule; D004347:Drug Interactions; D016903:Drug Monitoring / Q000451:nursing; D005161:Facility Regulation and Control / Q000458:organization & administration*; D005851:Geriatric Nursing / Q000193:education / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D009730:Nursing Assessment; D009735:Nursing Homes / Q000458:organization & administration*; D010146:Pain / Q000175:diagnosis* / Q000453:epidemiology; D059408:Pain Management; D010147:Pain Measurement; D010348:Patient Care Team / Q000458:organization & administration; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D014481:United States / Q000453:epidemiology