Opioids, Pain Management, and Palliative Care in a Norwegian Nursing Home From 2013 to 2018.
In Norway, approximately 50% of older people die in nursing homes (NH). Holistic care and pharmacological management are key factors in quality at the end of life. The purpose of this longitudinal study was to describe the use of opioids in an NH during a 5-year period. We focused on palliative care...
| Published in: | Health Services Insights Vol. 12 |
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| Main Authors: | , , , |
| Format: | case study research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140939591&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140939591 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 2019 vid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 140939591 140939591 140939591 10.1177/1178632919834318 140939591 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Opioids, Pain Management, and Palliative Care in a Norwegian Nursing Home From 2013 to 2018. aug: au: Wergeland Sørbye, Liv Steindal, Simen A Kalfoss, Mary H Vibe, Olaug E affil: Faculty of Health, VID Specialized University, Oslo, Norway sug: subj: Nursing Homes Norway Palliative Care Pain Management Narcotics Therapeutic Use Human Aged Aged, 80 and Over Male Female Norway Prospective Studies Semi-Structured Interview Descriptive Statistics Drugs, Prescription Length of Stay Injections, Subcutaneous Quantitative Studies Data Analysis Software Scales Aged: 65+ years Aged, 80 & over Male Female ab: In Norway, approximately 50% of older people die in nursing homes (NH). Holistic care and pharmacological management are key factors in quality at the end of life. The purpose of this longitudinal study was to describe the use of opioids in an NH during a 5-year period. We focused on palliative care, symptoms, and suffering during the last 3 days before death. Data were collected from spring 2013 to spring 2018. We used the interRAI assessment instrument annually and when the resident died. We conducted a semi-structured interview with nurses on duty at the deathbed. At the time of death, the residents had an average age of 88.9 years and an average stay of 2.9 years (N = 100). At the first assessment, 19% of the residents used 1 or more type of opioids. On the day of death, 55% had an active prescription for opioids, mainly as subcutaneous injections. The results illustrate the different uses of opioids, including managing pain, dyspnoea, sedation, for comfort, as a prophylaxis, or a combination of reasons. Cancer- and cardiovascular diagnoses were the strongest predictor for using morphine (P < 0.05). Identification of the residents' needs for opioids is a challenge for palliative care nurses, both ethically and legally. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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