Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21771
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dc.contributor.authorRodger, Kirsty T Men_UK
dc.contributor.authorGreasley-Adams, Corinneen_UK
dc.contributor.authorHodge, Zoeen_UK
dc.contributor.authorReynish, Emmaen_UK
dc.date.accessioned2017-06-10T01:35:33Z-
dc.date.available2017-06-10T01:35:33Z-
dc.date.issued2015-04-29en_UK
dc.identifier.other56en_UK
dc.identifier.urihttp://hdl.handle.net/1893/21771-
dc.description.abstractBackground: Hospitalised older patients are complex. Comorbidity and polypharmacy complicate frailty. Significant numbers have dementia and/or cognitive impairment. Pain is highly prevalent. The evidence base for pain management in cognitively impaired individuals is sparse due to methodological issues. A wealth of expert opinion is recognised potentially providing a useful evidence base for guiding clinical practice. The study aimed to gather expert opinion on pain management in cognitively impaired hospitalised older people. Methods: Consultant Geriatricians listed as dementia leads in the National Dementia Audit were contacted electronically and invited to respond. The questionnaire sought information on their role, confidence and approach to pain management in cognitively impaired hospitalised patients. Responses were analysed using a mixed methods approach. Results: Respondents considered themselves very confident in the clinical field. Awareness of potential to do harm was highly evident. Unequivocally responses suggested paracetamol is safe and should be first choice analgesic, newer opiates should be used preferentially in renal impairment and nefopam is unsafe. A grading of the safety profile of specific medications became apparent, prompting requirement for further evaluation and holistic assessment. Conclusion: The lack of consensus reached highlights the complexity of this clinical field. The use of paracetamol first line, newer opiates in renal impairment and avoidance of nefopam are immediately transferrable to clinical practice. Further review, evaluation and comparison of the risks associated with other specific analgesics are necessary before a comprehensive clinical guideline can be produced.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationRodger KTM, Greasley-Adams C, Hodge Z & Reynish E (2015) Expert opinion on the management of pain in hospitalised older patients with cognitive impairment: A mixed methods analysis of a national survey. BMC Geriatrics, 15, Art. No.: 56. https://doi.org/10.1186/s12877-015-0056-6en_UK
dc.rights© 2015 Rodger et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectPainen_UK
dc.subjectDementiaen_UK
dc.subjectCognitive impairmenten_UK
dc.subjectAnalgesiaen_UK
dc.subjectSafetyen_UK
dc.titleExpert opinion on the management of pain in hospitalised older patients with cognitive impairment: A mixed methods analysis of a national surveyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12877-015-0056-6en_UK
dc.identifier.pmid25928876en_UK
dc.citation.jtitleBMC Geriatricsen_UK
dc.citation.issn1471-2318en_UK
dc.citation.volume15en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailemma.reynish@stir.ac.uken_UK
dc.contributor.affiliationNHS Fifeen_UK
dc.contributor.affiliationASS Management and Support Team - LEGACYen_UK
dc.contributor.affiliationNHS Fifeen_UK
dc.contributor.affiliationApplied Social Scienceen_UK
dc.identifier.isiWOS:000353875400001en_UK
dc.identifier.scopusid2-s2.0-84928723112en_UK
dc.identifier.wtid598594en_UK
dc.contributor.orcid0000-0002-1862-4116en_UK
dc.contributor.orcid0000-0002-9076-3911en_UK
dc.date.accepted2015-04-22en_UK
dcterms.dateAccepted2015-04-22en_UK
dc.date.filedepositdate2015-05-14en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorRodger, Kirsty T M|en_UK
local.rioxx.authorGreasley-Adams, Corinne|0000-0002-1862-4116en_UK
local.rioxx.authorHodge, Zoe|en_UK
local.rioxx.authorReynish, Emma|0000-0002-9076-3911en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2015-05-14en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2015-05-14|en_UK
local.rioxx.filenameRodger et al_BMC Geriatrics_2015.pdfen_UK
local.rioxx.filecount1en_UK
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