TY - JOUR
T1 - Analgesic use patterns among patients with dementia during transitions from hospitals to skilled nursing facilities
AU - Gilmore-Bykovskyi, Andrea L.
AU - Block, Laura
AU - Hovanes, Melissa
AU - Mirr, Jacquelyn
AU - Kolanowski, Ann
N1 - Funding Information:
Research reported in this publication was supported by the National Institute on Aging of the National Institutes of Health (NIH) (award number K76AG060005).Dr.Gilmore-Bykovskyi also reports receiving support from the Wisconsin Alzheimer’s Disease Research Center (P50AG033514) and the National Hartford Centers of Gerontological Nursing Excellence.The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.The remaining authors have disclosed no potential conflicts of interest,financial or otherwise. The authors acknowledge Shanna Mohler,Gloria Morel,Emily Schmitz,Daniel Jung,and Zoe Waizenegger for their assistance with data acquisition and review, and Shehrose Charania and Shannon Mullen for manuscript assistance. Address correspondence to Andrea L. Gilmore-Bykovskyi, PhD, RN, Assistant Professor, School of Nursing, University of Wisconsin-Madison, 3173 Cooper Hall,701 Highland Avenue,Madison,WI 53705; e-mail: [email protected]. Received: August 9,2018; Accepted: November 28,2018 doi:10.3928/19404921-20190122-01
Publisher Copyright:
© SLACK Incorporated.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - 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.
AB - 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.
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U2 - 10.3928/19404921-20190122-01
DO - 10.3928/19404921-20190122-01
M3 - Article
C2 - 30703217
AN - SCOPUS:85063637258
SN - 1940-4921
VL - 12
SP - 61
EP - 69
JO - Research in Gerontological Nursing
JF - Research in Gerontological Nursing
IS - 2
ER -