Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults

Marcia Y Shade; Keela Herr; Kevin Kupzyk

doi:10.1016/j.pmn.2019.03.001

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Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults

Journal article

Peer reviewed

Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults

Marcia Y Shade, Keela Herr and Kevin Kupzyk

Pain management nursing, Vol.20(3), pp.232-238

06/2019

DOI: 10.1016/j.pmn.2019.03.001

PMID: 31080145

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Abstract

Pain impacts the lives of millions of community-dwelling older adults. An important characteristic of pain is "pain interference" which describes the influence of pain on function. A description of pain interference is limited in rural settings where the number of older adults is expected to increase, and health disparities exist. The purpose of this study was to describe pain interference and analgesic medication use, highlighting those that may be potentially inappropriate in a sample of rural community-dwelling older adults. This secondary analysis was from a cross sectional study. Data were analyzed from a sample of 138 rural community-dwelling older adults. Statistical analyses were performed on demographics, health characteristics, pain interference, and potentially inappropriate analgesic medication data. Pain interference with work activity was reported by 76% of older adults overall, with 23% reporting moderate and 4% extreme interference, and 41% reported sleep difficulty due to pain. Higher pain interference was significantly associated with higher body mass index, more health providers, and the daily use of non-steroidal anti-inflammatory drugs (NSAIDs). Older women experienced more sleep difficulties due to pain. Over-the-counter analgesics were used most frequently by rural older adults to manage pain. Of most risk was the daily use of NSAIDs, in which only 30% used medications to protect the gastrointestinal system. Older adults in rural settings experience pain interference and participate in independent-medicating behaviors that may impact safety.

Aged

Aged, 80 and over

Analgesics - standards

Analgesics - therapeutic use

Anti-Inflammatory Agents, Non-Steroidal - standards

Anti-Inflammatory Agents, Non-Steroidal - therapeutic use

Cross-Sectional Studies

Female

Humans

Male

Nebraska

Pain - drug therapy

Pain - psychology

Pain Measurement - instrumentation

Pain Measurement - methods

Rural Population - statistics & numerical data

Self Report

Details

Title: Subtitle: Self-Reported Pain Interference and Analgesic Characteristics in Rural Older Adults
Creators: Marcia Y Shade - University of Nebraska Medical Center
Keela Herr - University of Iowa
Kevin Kupzyk - University of Nebraska Medical Center
Resource Type: Journal article
Publication Details: Pain management nursing, Vol.20(3), pp.232-238
DOI: 10.1016/j.pmn.2019.03.001
PMID: 31080145
ISSN: 1524-9042
eISSN: 1532-8635
Grant note: name: Jonas Center for Nursing Excellence
Language: English
Date published: 06/2019
Academic Unit: Nursing
Record Identifier: 9984370361102771

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5 Times Cited - Web of Science