Perceived Health Status of Elders Treated with Opioids for Persistent Nonmalignant Pain

2.50
Hdl Handle:
http://hdl.handle.net/10755/601909
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Perceived Health Status of Elders Treated with Opioids for Persistent Nonmalignant Pain
Other Titles:
Nursing Care Practices for Older Adults Throughout the World [Session]
Author(s):
Simons, Leslie E.
Lead Author STTI Affiliation:
Non-member
Author Details:
Leslie E. Simons, RN, ANP-BC, simonsxl@sbcglobal.net
Abstract:
Session presented on Saturday, July 25, 2015: Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain. Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for ?'6 months to manage persistent nonmalignant pain.' Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental' Status Questionnaire.' All consented participants met the cognitive screening criteria.' The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of the short form (SF-12v2), 11 point Pain Intensity Scale, and Center for Disease Control Healthy Days-Activities Limitations Module.' Depression was also measured as a covariate, with the Geriatric Depression Scale. Results: Mean pain intensity scores of'4.0 ' 2.5 (0-10 scale) indicated moderate pain.' Mean Geriatric Depression Scores were 3.7 ' 3.4 indicating no depression. When categorized as depressive symptoms present yes or no, only six participants (19%) had depressive symptoms.' Most elders (77%) reported limitations in their activites of daily living.' Despite limitations the majority managed their personal care (87%) and routine houshold activities (71%) independently.' Mean mental health component scores (MCS) were 50.4 ' 12.0.' Mean physical health component scores (PCS) were 34.2 ' 10.0.' Using national norms for mental and physical component scores'of 50.0 ' 10.0, the data suggest the elders had average mental health with lower levels of physical well being.' PCS scores were negatively related to pain intensity (r = -0.44; p < 0.01) while MCS scores did not show a relationshhip (r = -0.22; p = 24).' PCS scores were inversely related to'number of comorbid conditions (r = -0.38; p= .24). Conclusion: This'project suggests that pain control with opioid therapy supports functional status among elders.' These findings support national pain treatment guidelines that endorse the use of'opioids for the management of persistent nonmalignant pain in the elderly population.' Further studies using prospective designs with larger'more diverse study populations are needed to confirm these findings.
Keywords:
opioids; elderly; pain
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15G07
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titlePerceived Health Status of Elders Treated with Opioids for Persistent Nonmalignant Painen
dc.title.alternativeNursing Care Practices for Older Adults Throughout the World [Session]en
dc.contributor.authorSimons, Leslie E.en
dc.contributor.departmentNon-memberen
dc.author.detailsLeslie E. Simons, RN, ANP-BC, simonsxl@sbcglobal.neten
dc.identifier.urihttp://hdl.handle.net/10755/601909-
dc.description.abstractSession presented on Saturday, July 25, 2015: Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain. Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for ?'6 months to manage persistent nonmalignant pain.' Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental' Status Questionnaire.' All consented participants met the cognitive screening criteria.' The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of the short form (SF-12v2), 11 point Pain Intensity Scale, and Center for Disease Control Healthy Days-Activities Limitations Module.' Depression was also measured as a covariate, with the Geriatric Depression Scale. Results: Mean pain intensity scores of'4.0 ' 2.5 (0-10 scale) indicated moderate pain.' Mean Geriatric Depression Scores were 3.7 ' 3.4 indicating no depression. When categorized as depressive symptoms present yes or no, only six participants (19%) had depressive symptoms.' Most elders (77%) reported limitations in their activites of daily living.' Despite limitations the majority managed their personal care (87%) and routine houshold activities (71%) independently.' Mean mental health component scores (MCS) were 50.4 ' 12.0.' Mean physical health component scores (PCS) were 34.2 ' 10.0.' Using national norms for mental and physical component scores'of 50.0 ' 10.0, the data suggest the elders had average mental health with lower levels of physical well being.' PCS scores were negatively related to pain intensity (r = -0.44; p < 0.01) while MCS scores did not show a relationshhip (r = -0.22; p = 24).' PCS scores were inversely related to'number of comorbid conditions (r = -0.38; p= .24). Conclusion: This'project suggests that pain control with opioid therapy supports functional status among elders.' These findings support national pain treatment guidelines that endorse the use of'opioids for the management of persistent nonmalignant pain in the elderly population.' Further studies using prospective designs with larger'more diverse study populations are needed to confirm these findings.en
dc.subjectopioidsen
dc.subjectelderlyen
dc.subjectpainen
dc.date.available2016-03-17T12:58:48Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:58:48Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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