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Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review

Within nursing homes, residents commonly experience pain that unfortunately goes underrecognized and undertreated, having a dramatic negative impact on residents' quality of life. Nursing homes are becoming more racially and ethnically diverse, and there is concerning evidence documenting dispa...

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Autores principales: Dictus, Cassandra, Cho, Youngmin, Baker, Tamara, Beeber, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681781/
http://dx.doi.org/10.1093/geroni/igab046.3199
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author Dictus, Cassandra
Cho, Youngmin
Baker, Tamara
Beeber, Anna
author_facet Dictus, Cassandra
Cho, Youngmin
Baker, Tamara
Beeber, Anna
author_sort Dictus, Cassandra
collection PubMed
description Within nursing homes, residents commonly experience pain that unfortunately goes underrecognized and undertreated, having a dramatic negative impact on residents' quality of life. Nursing homes are becoming more racially and ethnically diverse, and there is concerning evidence documenting disparities in the quality of nursing home care. In other healthcare settings, people of diverse race groups often receive less optimal pain management, but the evidence regarding racial disparities has not been synthesized for nursing homes. Thus, the purpose of this review was to investigate what is known about racial disparities related to pain management (e.g. assessment, treatment, preferences) in US nursing homes. We completed a scoping literature review using PRISMA-ScR guidelines and searching PubMed, CINHAL, and Scopus for peer-reviewed, empirical studies. Most studies were older large retrospective cohort studies of administrative data documenting that White residents were more likely than residents of diverse race groups to have pain documented and treated. Only a few studies looked at possible reasons to explain the disparities; differences were not found to be related to nursing staff racial bias nor differences in pain-related diagnoses. However, there was evidence of racial differences in resident behavior and attitudes related to pain management. None of the studies examined systemic factors related to differences among nursing homes, which has been implicated in studies looking at other outcomes including COVID-19. More research is needed which examines the causal mechanisms behind the documented racial disparities in pain management so that gaps in care can be reduced.
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spelling pubmed-86817812021-12-20 Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review Dictus, Cassandra Cho, Youngmin Baker, Tamara Beeber, Anna Innov Aging Abstracts Within nursing homes, residents commonly experience pain that unfortunately goes underrecognized and undertreated, having a dramatic negative impact on residents' quality of life. Nursing homes are becoming more racially and ethnically diverse, and there is concerning evidence documenting disparities in the quality of nursing home care. In other healthcare settings, people of diverse race groups often receive less optimal pain management, but the evidence regarding racial disparities has not been synthesized for nursing homes. Thus, the purpose of this review was to investigate what is known about racial disparities related to pain management (e.g. assessment, treatment, preferences) in US nursing homes. We completed a scoping literature review using PRISMA-ScR guidelines and searching PubMed, CINHAL, and Scopus for peer-reviewed, empirical studies. Most studies were older large retrospective cohort studies of administrative data documenting that White residents were more likely than residents of diverse race groups to have pain documented and treated. Only a few studies looked at possible reasons to explain the disparities; differences were not found to be related to nursing staff racial bias nor differences in pain-related diagnoses. However, there was evidence of racial differences in resident behavior and attitudes related to pain management. None of the studies examined systemic factors related to differences among nursing homes, which has been implicated in studies looking at other outcomes including COVID-19. More research is needed which examines the causal mechanisms behind the documented racial disparities in pain management so that gaps in care can be reduced. Oxford University Press 2021-12-17 /pmc/articles/PMC8681781/ http://dx.doi.org/10.1093/geroni/igab046.3199 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Dictus, Cassandra
Cho, Youngmin
Baker, Tamara
Beeber, Anna
Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title_full Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title_fullStr Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title_full_unstemmed Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title_short Racial and Ethnic Disparities in Pain Management for Nursing Home Residents: A Scoping Review
title_sort racial and ethnic disparities in pain management for nursing home residents: a scoping review
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8681781/
http://dx.doi.org/10.1093/geroni/igab046.3199
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