• J Osterbrink, M Hufnagel, P Kutschar, B Mitterlehner, C Krüger, Z Bauer, W Aschauer, M Weichbold, E Sirsch, C Drebenstedt, K M Perrar, and A Ewers.
• Institut für Pflegewissenschaft, Paracelsus Medizinische Privatuniversität, Strubergasse 21, Salzburg, Austria. juergen.osterbrink@pmu.ac.at
• Schmerz. 2012 Feb 1;26(1):27-35.

BackgroundLittle is known about the phenomenon of pain in German nursing homes. In particular, it is unknown to what extent and severity pain occurs among residents and how their pain can be described.Material And MethodsA total of 13 nursing homes located in the city of Münster, Germany, were included as part of the health services research project "Action Alliance Pain-free City Münster." Data were collected from 436 residents over 65 years old via self-report or the observational pain tool pain assessment in advanced dementia, german version (PAINAD-G), according to the cognitive status of the residents.ResultsAt the time of the interview, the majority of the residents questioned reported suffering from pain at rest and/or during movement. Approximately one quarter of residents complained about moderate to intolerable pain at rest and nearly 45% during movement. Residents encountered pain most often when standing up, sitting, resting in bed and walking and three quarters of residents had suffered from pain for more than 1 year. Many residents experienced pain in several body regions. Among residents assessed solely by the observational pain scale PAINAD-G, signs indicating pain existed in 21% (≥ 6) or 69% (≥ 2), respectively, depending on the cut-off value chosen on the PAINAD-G scale.ConclusionPain in nursing homes is a challenge that needs more attention as it has considerable negative consequences for the persons concerned. The extent of pain in the studied facilities indicates an urgent need for action on the part of all professionals caring for residents in nursing homes.

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