title: Analgesic prescribing in care home residents: how epidemiological studies may inform clinical practice.
abstract: Care home residents are often frail with multiple comorbidities and cognitive impairment, most commonly caused by dementia. This population is under-represented in clinical trials, leading to a lack of valid and reliable evidence to inform clinicians' prescribing practice. This paper summarizes how epidemiological research conducted in similar populations can inform pain management by describing pain prevalence, risk factors, typical features and functional consequences. This evidence can help overcome the numerous barriers to optimal pain management in care home residents.
authors.affiliation: Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.|Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
authors.forename: Francesca
authors.initials: F
authors.lastname: La Frenais
authors.affiliation: Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
authors.forename: Patrick
authors.initials: P
authors.lastname: Stone
authors.affiliation: Marie Curie Palliative Care Research Department, Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.|Barnet Enfield & Haringey Mental Health Trust Liaison Team, North Middlesex University Hospital, Sterling Way, London, N18 1QX, UK.
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Sampson
mesh_terms: D000700:Analgesics / Q000627:therapeutic use*; D003704:Dementia / Q000150:complications; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010146:Pain / Q000150:complications / Q000188:drug therapy* / Q000453:epidemiology* / Q000523:psychology; D059408:Pain Management / Q000706:statistics & numerical data*
chemical_list: D000700:Analgesics
keywords: NSAIDs; acetaminophen; analgesics; dementia; nursing home; opioid; pain