ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Prevent Or Reverse Diabetes: An Amazing Herbal Intervention

Exercise and Vitamin D Better Together for Heart Health

VIDEO: Essential Oils for Weight Loss

Can Ginkgo Give Your Brain a Boost?

Can Valerian Root Help You Sleep Better?

Fighting Statin-Induced Diabetes with CoQ10

Eight servings of veggies a day is clearly best for the heart

The Many Wonders of Calming Sandalwood Oil

Curcumin — A Novel Treatment Alternative for Depression

How Glycation Accelerates Aging

 
Print Page
Email Article

Educational Program for Controlling Chronic Pain Cuts Nursing Home Arthritis NSAID Use

  [ 16 votes ]   [ Discuss This Article ]
www.ProHealth.com • May 30, 2001


Training nursing home doctors and nursing staff to treat chronic pain from osteoarthritis and other disorders through safer means than nonsteroidal anti-inflammatory drugs (NSAIDS) could reduce the incidence of drug-induced complications and even death in elderly residents without increasing their pain and disability, according to a new study.

The educational program provided instructions for substituting acetaminophen for NSAIDs, as well as for using topical agents, such as salicylic acid and capsaicin creams, and non-drug therapies like stretching and strengthening exercises.

An estimated 45 to 80 percent of nursing home residents suffer from chronic pain. Although guidelines for the initial management of osteoarthritis recommend prescribing acetaminophen and using non-drug treatments, use of NSAIDs in nursing homes remains high. While acetaminophen is no more effective than NSAIDs, it does not cause the latter's complications, which include peptic ulceration and gastrointestinal bleeding.

Researchers led by Wayne A. Ray, Ph.D., of Vanderbilt University School of Medicine, found that use of NSAIDs decreased by approximately 70 percent in the three months following the initiation of the program without compromising pain control. The Agency for Healthcare Research and Quality (AHRQ) sponsored the study.

The average number of days a week nursing home residents used NSAIDs declined from 7 at the start of the study to 1.9 at its end three months later. By comparison, average use of NSAIDs among residents of facilities not provided the educational program declined from 7 days to only 6.2 during the same period. The decrease in NSAID use was accompanied by a significant increase among study subjects in the use of acetaminophen.

Three months after the program began, acetaminophen was used by study subjects an average of 5.1 days a week and by the control group 2.1 days a week.

Physicians and nursing staff also were given an algorithm for stopping NSAID use, substituting 650 mg. of acetaminophen three times a day and if needed, at bedtime. The algorithm included suggestions for continual re-evaluation of the resident's pain and measures to follow if the pain was not adequately controlled.

The size of the study did not permit the researchers to determine if the reduction in NSAID use achieved by their educational intervention led to a decrease in gastrointestinal complications. However, they believe that, in the long term, such a program would be expected to reduce the risk of gastrointestinal morbidity and mortality and decrease the costs of investigation, treatment and prevention of NSAID complications.

The randomized controlled trial involved 20 Tennessee nursing homes and 147 residents age 65 and older who took NSAIDs regularly. For details, see "An Educational Program for Nursing Home Patients and Staff to Reduce Use on Non-Steroidal Anti-Inflammatory Drugs Among Nursing Home Residents: A Randomized Controlled Trial," in the May 2001 issue of the journal, “Medical Care.”



Post a Comment

Featured Products From the ProHealth Store
Ultra ATP+, Double Strength FibroSleep™ Ultra EPA  - Fish Oil

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products


Article Comments



Be the first to comment on this article!

Post a Comment


 
NAD+ Ignite with Niagen

Featured Products

FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function

Natural Remedies

Nutrients to Combat the Modern Stress Epidemic Nutrients to Combat the Modern Stress Epidemic
Vitamin K-2 – A Key Player in Cardiovascular and Bone Health Vitamin K-2 – A Key Player in Cardiovascular and Bone Health
How One Tiny Molecule Turned into One Huge Health Breakthrough How One Tiny Molecule Turned into One Huge Health Breakthrough
Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10 Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10
Breaking Through the Mental Fog Breaking Through the Mental Fog

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map