Pain treatment and functional improvement in home health care: Relationship with dementia
Document Type
Article
Publication Date
12-2021
Abstract
Background
Pain management is important to post-acute functional recovery, yet older persons with Alzheimer's disease and related dementias (ADRD) are often undertreated for pain. The main objectives were (1) to examine the relationship between ADRD and analgesic use among Medicare home health care (HHC) recipients with daily interfering pain, and (2) to examine the impact of analgesic use on functional outcome in patients with and without ADRD.
Methods
We analyzed longitudinal data from the Outcome and Assessment Information Set, Medicare HHC claims, and HHC electronic medical records during a 60-day HHC episode. The sample included 6048 Medicare beneficiaries ≥65 years receiving care from an HHC agency in New York in 2019 who reported daily interfering pain. Analgesic use was assessed during HHC medication reconciliation and included any analgesic, non-opioid analgesic, and opioid. ADRD was identified from ICD-10 codes (HHC claims) and cognitive impairment symptoms (Outcome and Assessment Information Set [OASIS]). Functional outcome was measured as change in the composite Activity of Daily Living (ADL) limitation score in the HHC episode.
DOI
https://doi.org/10.1111/jgs.17420
Publication Information
Wang, Jinjiao; Cato, Kenrick; Conwell, Yeates; Yu, Fang; Heffner, Kathi; Caprio, Thomas V.; Nathan, Kobi T.; Monroe, Todd B.; Muench, Ulrike; and Li, Yue (2021). "Pain treatment and functional improvement in home health care: Relationship with dementia." Journal of the American Geriatrics Society 69.12, 3545-3556.
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