Analgesic Use Patterns Among Patients With Dementia During Transitions From Hospitals to Skilled Nursing Facilities
Open accessAbstract
Gaps in pain management, including discontinuity in analgesic medication prescribing, frequently complicate transitions from hospital to skilled nursing facilities (SNFs) for patients with dementia. The objective of the current study was to examine analgesic medication use and prescribing patterns in the last 48 hours of hospitalization and upon discharge to SNF among stroke and hip fracture patients with dementia. Of 318 patients who received an analgesic medication within the last 48 hours of hospitalization, 23% experienced potentially abrupt discontinuations upon discharge. These rates varied by medication, with acetaminophen with codeine (27%), hydromorphone (19%), and acetaminophen with hydrocodone (19%) having the highest rates of potentially abrupt discontinuations. Conversely, 38% of patients experienced potentially abrupt additions of an analgesic medication upon discharge. Findings suggest that changes to analgesic regimens prior to and upon discharge may be common practice, potentially hindering care continuity and pain control during transitions. [Res Gerontol Nurs. 2019; 12(2):61–69.]
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“Abstraction procedures were performed in a standardized manner using abstraction manuals and tools with training and guidance for medical record review based on prior work.40, 41”
From Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies during Hospital to Skilled Nursing Facility Transitions (2021) · cites this paper as [40]
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- Authors
- Gilmore-Bykovskyi, A. L., Block, L., Hovanes, M., Mirr, J., & Kolanowski, A.
- Affiliations
- University of Wisconsin–Madison (US)
- Pennsylvania State University (US)
- Venue
- Research in Gerontological Nursing
- Publisher
- SLACK, Inc.
- Published
- 2019-03
- Volume
- 12
- Issue
- 2
- Pages
- 61-69
- ISSN
- 1938-2464 (ISSN-L)
- 1940-4921
- PMC
- PMC6472900
- OpenAlex
- W2912672721
- Cited by
- 11
- References
- 38
- Citations by year
- 2025: 1 · 2024: 3 · 2022: 4 · 2021: 1 · 2020: 2
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Research in Gerontological Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (K76AG060005, P50AG033514)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- dementia, analgesic prescribing, pain management, stroke, hip fracture, hydromorphone, continuity of care, older adults
- MeSH terms
- Aged, Aged, 80 and over, Analgesics, Dementia, Female, Medicare, Hip Fractures, Humans, Male, Patient Transfer, Practice Patterns, Physicians', Skilled Nursing Facilities, United States, Stroke, Pain Management
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