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• W3183900930 abstract "Pain assessment in people with cognitive impairment is challenging.The study sought to 1) identify pain subgroups based on staff-assessed pain, agitated and reactive behavior, functional status, and symptoms of depression; and 2) understand if cognitive impairment was associated with transitions between pain subgroups at nursing home admission, 3 months, and 6 months.Using national Minimum Data Set 3.0 data (2011-2016), we included 26,816 newly admitted residents with staff-assessed pain at admission, 3 months, and 6 months. Pain subgroups were identified by latent class analysis at each time point. Transitions between pain subgroups were described using latent transition analysis.Five latent statuses of pain were identified at admission: Behavioral and Severe Depression (prevalence stable, severe or worsening cognitive impairment: 11%, mild/moderate or improved cognitive impairment: 10%), Functional (21%; 25%), Physical (22%; 23%), Behavioral (23%, 19%), and Low (23%; 24%). Regardless of change in cognitive status, most residents remained in the same pain latent class. Among residents with stable, severe or worsening cognitive impairment, 11% in the Behavioral class transitioned to the Behavioral and Severe Depression class by 3 months. Fewer residents transitioned between latent classes in the 3- to 6-month period (>80% remained in their 3-month class).For nursing home residents unable to self-report pain, consideration of additional indicators including functioning, depressive symptoms, and agitation may be useful in identifying pain subgroups. Longitudinal changes in the pain subgroups over 6 months post-admission highlight that residents with severe cognitive impairment may be at risk for worsening pain." @default.
• W3183900930 created "2021-08-02" @default.
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• W3183900930 date "2021-07-01" @default.
• W3183900930 modified "2023-10-06" @default.
• W3183900930 title "A Latent Approach to Understanding Pain in Nursing Home Residents Who are Unable to Self-Report Pain" @default.
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• W3183900930 doi "https://doi.org/10.2147/jpr.s302305" @default.
• W3183900930 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8324982" @default.
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• W3183900930 hasPublicationYear "2021" @default.
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