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Pflege. 2020 Apr;33(2):63-73. doi: 10.1024/1012-5302/a000717. Epub 2020 Mar 11.

[Pain management in nursing care in outpatient older adults in need of care].

[Article in German; Abstract available in German from the publisher]

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Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin.
Institut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin.


in English, German

Pain management in nursing care in outpatient older adults in need of care Abstract. Background: International data report a prevalence rate for chronic pain of up to 50 % in community dwelling older adults (> 65 years). A national study reported a prevalence rate of 68,5 % among outpatient adults (≥ 18 years). Nursing care has an important meaning in pain management. However, previous research on the quality of pain management in nursing care is insufficient. Aim: The aim of this study is to evaluate the appropriateness of pain management in nursing care in our target group. Method: The cross-sectional study is based on data from ACHE. The study comprises 219 patients. Information on subjective pain experience and pain management were obtained by face-to-face interviews and nursing documentation. Results: Our findings indicate considerable deficits in terms of pain management in nursing care. Results show a lack of systematic pain assessment as well as missing documentation of therapeutic aims and pain management in nursing care. Conclusions: The identified deficits might be the result of current framework conditions that separate nursing pain treatment in Volume V and Volume XI of the German Social Security Code services. Appropriateness in pain management in nursing care can only be ensured if framework conditions are optimized.


Chronic Pain; Chronischer Schmerz; Pflegebedürftige; ambulante Pflege; need of care; outpatient care; pain management in nursing care; pflegerisches Schmerzmanagement

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