Ameliorating pain in nursing homes: A collaborative quality-improvement project

Journal of the American Geriatrics Society

Volumn 52, Issue 12, 2004, Pages 1988-1995

  Baier, Rosa R ^a,c   Gifford, David R ^a,b,c   Patry, Gail ^c   Banks, Sara M ^c   Rochon, Therese ^a   DeSilva, Debra ^a   Teno, Joan M ^a  

^a BROWN UNIVERSITY   (United States)

^b BROWN UNIVERSITY   (United States)

^c Quality Partners of Rhode Island   (United States)

Author keywords

Nursing homes; Pain management; Quality improvement

Indexed keywords

GERIATRIC CARE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HUMAN; NURSING HOME; PAIN; PAIN ASSESSMENT; PRESCRIPTION; REVIEW; TREATMENT OUTCOME; AGED; ARTICLE; CLINICAL TRIAL; FEMALE; HOME FOR THE AGED; MALE; METHODOLOGY; MULTICENTER STUDY; STANDARD; UNITED STATES;

AGED; AGED, 80 AND OVER; FEMALE; HOMES FOR THE AGED; HUMANS; MALE; NURSING HOMES; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PAIN; QUALITY ASSURANCE, HEALTH CARE; RHODE ISLAND;

EID: 16644386195     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2004.52553.x     Document Type: Review

References (37)

1. Centers for Medicare & Medicaid Services National Nursing Home Quality Initiative (NHQI). Nursing home compare [on-line]. Available at www.medicare.gov/nhcompare/home.asp Accessed February 23, 2004.
2. Allcock N, McGarry J, Elkan R. Management of pain in older people within the nursing home: A preliminary study. Health Soc Care Community 2002;10: 464-471.
3. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain 2002;95:75-82.
4. Ferrell BR, Dean GE, Grant M et al. An institutional commitment to pain management. J Clin Oncol 1995;13:2158-2165.
5. Sengstaken EA, King SA. The problems of pain and its detection among geriatric nursing home residents. J Am Geriatr Soc 1993;41:541-544.
6. Bernabei R, Gambassi G, Lapane K et al. Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology. JAMA 1998;279:1877-1882.
7. Feldt KS, Ryden MB, Miles S. Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture. J Am Geriatr Soc 1998;46:1079-1085.
8. Chronic Pain Management in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: American Medical Directors Association, 1999.
9. The management of chronic pain in older persons: AGS Panel on Chronic Pain in Older Persons. American Geriatrics Society. J Am Geriatr Soc 1998;46:635-651.
10. Melding PS. Can we improve pain management in nursing homes? Med J Aust 2002;177:5-6.
11. Berlowitz DR, Young GJ, Hickey EC et al. Clinical practice guidelines in the nursing home. Am J Med Qual 2001;16:189-195.
12. Sloss EM, Solomon DH, Shekell PG et al. Selecting target conditions for quality of care improvement in vulnerable older adults. J Am Geriatr Soc 2000;48:363-369.
13. California Nursing Homes Care Problems Persist Despite Federal and State Oversight [on-line]. Washington, DC: U.S. General Accounting Office. U.S. Senate. Available at www.gao.gov/archive/1998/he98202.pdf Accessed February 23, 2004.
14. Nursing Home Care Enhanced HCFA Oversight of State Programs Would Better Ensure Quality [on-line]. Washington, DC: U.S. General Accounting Office. U.S. Senate. Available at www.gao.gov/new.items/he00006.pdf Accessed February 23, 200-4.
15. Wilson T, Berwick DM, Cleary PD. What do collaborative improvement projects do? Experience from seven countries. Jt Comm Qual Saf 2003;29:85-93.
16. Berwick DM. Disseminating innovations in health care. JAMA 2003;289: 1969-1975.
17. Davis DA, Thomson MA, Oxman AD et al. Changing physician performance: A systematic review of the effect of continuing medical education strategies. JAMA 1995;274:1836-1837.
18. How a Collaborative Works [on-line] Available at www.ihi.org/ collaboratives/howitworks.asp Accessed February 23, 2004.
19. Øvretveit K, Bate P, Cleary P et al. Quality collaboratives: Lessons from research. Qual Saf Health Care 2002;11:345-351.
20. Weissman DE, Griffie J, Muchka S et al. Improving pain management in long-term care facilities. J Palliat Med 2001;4:567-573.
21. Weissman DE, Griffie J, Muchka S et al. Building an institutional commitment to pain management in long-term care facilities. J Pain Sympt Manage 2000; 20:35-43.
22. Minimum Data Set, 2.0 Information Site [on-line] Available at www.cms.hhs.gov/medicaid/mds20 Accessed February 23, 2004.
23. Parmelee PA. Pain in cognitively impaired older persons. Clin Geriatr Med 1996;12:473-487.
24. Asplund K, Norberg A, Adolfsson R et al. Facial expressions in severely demented patients: A stimulus-response study of four patients with dementia of the Alzheimer type. Int J Geriatr Psychiatry 1991;6:599-606.
25. Cohen-Mansfield J, Lipson S. Pain in cognitively impaired nursing home residents: How well are physicians diagnosing it? J Am Geriatr Soc 2002;50: 1039-1044.
26. Won A, Lapane K, Gambassi G et al. Correlates and management of nonmalignant pain in the nursing home. SAGE Study Group. Systematic assessment of geriatric drug use via epidemiology. J Am Geriatr Soc 1999;47:936-942.
27. Lyder C, Shannon R, Empleo-Frazier O et al. A comprehensive program to prevent pressure ulcers: Exploring costs and outcomes. Ostomy Wound Manage 2002;48:52-62.
28. Plesek PE. Section 1: Evidence-based quality improvement, principles and perspectives. Pediatrics 1999;103:203-214.
29. Langly GL, Nolan KM, Nolan TW et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco: Jossey-Bass, 1996.
30. Cadogan MP, Schnelle JF, Yamamoto-Mitani N et al. A minimum data set prevalence of pain quality indicator: Is it accurate and does it reflect differences in care processes? J Gerontol A Biol Sci Med Sci 2004;59A:281-285.
31. Baier RR, Gifford DR, Lyder CH et al. Quality improvement for pressure ulcer care in the nursing home setting: The Northeast Pressure Ulcer Project. J Am Med Dir Assoc 2003;4:291-301.
32. Schnelle JF, Ouslander JG, Cruise PA. Policy without technology: A barrier to improving nursing home care. Gerontologist 1997;37:527-532.
33. Zinn JS, Brannon D, Weech R. Quality improvement in nursing care facilities. Extent, impetus, and impact Am J Med Qual 1997;12:51-61.
34. Berlowitz DR, Young GJ, Hickey EC et al. Quality improvement implementation in the nursing home. Health Serv Res 2003;38:65-83.
35. Mentes JS, Tripp-Reimer T. Barriers and facilitators in nursing home intervention research. West J Nurs Res 2002;24:918-936.
36. Katsama DL, Souza CH. Elderly pain assessment and pain management knowledge of long-term care nurses. Pain Manag Nurs 2000;1:88-95.
37. Kaasalainen S, Middleton J, Knezacek S et al. Pain and cognitive status in the institutionalized elderly: Perceptions and interventions. J Gerontol Nurs 1998; 24:24-31.