Work

The Pain Behaviors for Osteoarthritis Instrument for Cognitively Impaired Elders (PBOICIE)

Year: 2008

Type: article

Abstract: Older adults with severe cognitive impairment have trouble responding to questions about their osteoarthritis knee or hip pain, which makes pain management difficult. Therefore, the Pain Behaviors for Osteoarthritis Instrument for Cognitively Impaired Elders (PBOICIE) was developed as an alternative. This article reports the development and psychometric testing of the PBOICIE in three studies. The 6-item PBOICIE was not associated with the Verbal Descriptor Scale but was significantly associated with Keefe's method for observing pain behaviors in patients with knee osteoarthritis, with r=0.36 to 0.55, indicating good concurrent validity. The 6-item PBOICIE was able to discriminate older adults' pain behaviors before and after administration of an analgesic agent (2.9+/-1.89 versus 1.97+/-1.98; p<0.001). This study has shown that multifaceted pain assessments are needed in older adults with osteoarthritis knee or hip pain, as the observed behaviors did not parallel but added information to verbal report.

Source: Research in Gerontological Nursing

DOI: 10.3928/19404921-20080401-07

Authors: Pao-Feng Tsai, Cornelia Beck, Kathy C. Richards, Linda Phillips, Paula K. Roberson, Jane Evans

Institution: University of Arkansas for Medical Sciences

Language: English

Topic: Pain Management and Opioid Use

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: U.S. Public Health Service, National Institute on Aging, National Institute of Nursing Research