Abstract |
We evaluated the degree to which contextual isolation in nursing home residents with Alzheimer's disease and related dementias is associated with documented pain using the Minimum Data Set 3.0, a comprehensive resident assessment required of all nursing home residents in the United States. Contextual isolation was defined as having a socially salient characteristic (demographics, habits and interests, and clinical and care dimensions) shared by fewer than 20% of other residents in the same nursing home. Thirteen percent were contextually isolated on multiple characteristics. Among residents self-reporting pain, residents contextually isolated with respect to multiple characteristics were 8% more likely (95% confidence interval: 7% to 9%) to have pain relative to residents who were not contextually isolated on any characteristics. Long-stay nursing home residents with ADRD who live in settings where they were contextually isolated were more likely to have pain relative to those without contextually isolation on any characteristic.
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Authors | Bill M Jesdale, Carol A Bova, Attah K Mbrah, Kate L Lapane |
Journal | Geriatric nursing (New York, N.Y.)
(Geriatr Nurs)
2024 Jan-Feb
Vol. 55
Pg. 161-167
ISSN: 1528-3984 [Electronic] United States |
PMID | 38000331
(Publication Type: Journal Article)
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Copyright | Copyright © 2023 Elsevier Inc. All rights reserved. |
Topics |
- Humans
- United States
- Alzheimer Disease
- Nursing Homes
- Skilled Nursing Facilities
- Pain
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