Literature Evaluation Table
Student Name:
Change Topic (2-3 sentences): chronic pain management for elderly and drug users in acute care settings. This research paper seeks to establish the best practices in the management among the elderly and drug addicts whose pharmacokinetics and pharmaco-dynamics differ with the general population.
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Achterberg et al
NCBI PMC |
Corbett et al
British Medical Bulletin http://www.cost-td1005.net/fileadmin/user_upload/publication/Br_Med_Bull-2014-Corbett-139-48-1.pdf#
|
Kress et al
Current medical research and opinion http://www.tandfonline.com/doi/abs/10.1185/03007995.2014.887005
|
Rastogi & Meek
PMC NCBI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552607/
|
| Article Title and Year Published
|
Pain management in patients with dementia
2013 |
The importance of pain management in older people with dementia
2014 |
Managing chronic pain in elderly patients requires a CHANGE of approach
2014 |
Management of chronic pain in elderly, frail patients: finding a suitable, personalized method of control |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
|
What are the challenges of pain management in dementia? | What makes up thorough pain management among the elderly and what are the current gaps? | What is the extent of untreated pain among the elderly and its consequent effecters? | How to apply an informed and comprehensive guide to achieve effective pain control among the elderly |
| Design (Type of Quantitative, or Type of Qualitative)
|
Quantitative descriptive study | Quantitative descriptive study | Quantitative descriptive study | Causal-comparative/quasi-experimental research |
| Setting/Sample
|
United states, elderly patients aged 75 and above | United kingdom,
Searches from PubMed, Medline and Cochrane data base |
Elderly patients receiving different approaches for pain management | United states, elderly aged above 65 years |
| Methods: Intervention/Instruments
|
Review of literature regarding challenges faced in pain management in dementia patients | Randomized controlled trials and systematic reviews from the data banks were analyzed | Analysis of best practice in pain management among the elderly | Application of an individualized tool that can help in comprehensive assessment and interventions for treatment if chronic pain |
| Analysis
|
Identification of challenges in pain management in four perspectives among the dementia patients | Analysis of data on areas of agreement, areas of controversy and gaps in practice from the articles | Evaluation of the most effective approaches in the management of pain among the elderly. | Authors evaluated a personalized method of pain control that can lead to adequate pain management |
| Key Findings
|
Pain management among the elderly with dementia is characterized by numerous challenges that interfere with proper management of the pain | There are still outstanding gaps in the management of pain among the elderly population | Strategies for improving adherence to treatment include involving the elderly patient’s caregivers and family, using medication systems such as pill-boxes, or even sending text messages | Frail older adults require rational individualized plan of care that meets the needs of an individual patient |
| Recommendations
|
Utilize a comprehensive approach in pain management among the elderly with dementia | The elderly require integrated pain management approaches | There is need to improve the pain teaching strategies for patients and their families | Health care professionals should purpose on adopting an individualized plan that meets the individual needs of patients |
| Explanation of How the Article Supports EBP/Capstone Project
|
There is poor assessment and treatment of pain among the elderly with dementia hence review of practice should be done | Pain management among the elderly requires an integrated approach based on the unique life experiences of the elderly | The article informs my study as it informs of various ways of dealing with chronic pain among the elderly | Pain management among the elderly is very complex and requires adopting an individualized tool to achieve optimal pain control |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Dart et al
The New England Journal of Medicine http://www.nejm.org/doi/full/10.1056/NEJMsa1406143#t=article
|
Edlund et al
NCBI PMC https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4032801/
|
Howe, & Sullivan
ScienceDirect http://www.sciencedirect.com/science/article/pii/S0163834313002600
|
Vowles et al
LWW
|
| Article Title and Year Published
|
Trends in opioid analgesic abuse and mortality in the united states
2015 |
The Role of Opioid Prescription in Incident Opioid Abuse and Dependence Among Individuals with Chronic Non-Cancer Pain: The Role of Opioid Prescription
2014
|
The missing ‘P’ in pain management: how the current opioid epidemic highlights the need for psychiatric services in chronic pain care
2014 |
Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis
|
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
|
to describe the diversion and abuse of prescription opioid analgesics | What is the relationship between exposure to prescription opioids and incident opioid use disorders (OUDs) among individuals with a new episode of a chronic non-cancer pain (CNCP) condition? | Review of epidemiological and clinical data on opioid abuse, misuse and deaths from accidental abuse in patients with non cancer pain. | What are the rates of problematic opioid use in chronic pain? |
| Design (Type of Quantitative, or Type of Qualitative)
|
Quantitative descriptive | Quantitative
Descriptive |
Quantitative descriptive | Quantitative descriptive |
| Setting/Sample
|
United states
Variable depending on the program group |
Mid-West, and South-East regions individuals aged 18 years or older with a new episode of CNCP condition | United states, people with chronic pain on opioid therapy | united states, data from 38 studies suggestive of problematic opioid use |
| Methods: Intervention/Instruments
|
Data analysis of Researched Abuse, Diversion, and Addiction-Related Surveillance (RADARS) System (five in number) | Analysis of data in HealthCore Database | Analysis of articles with terms chronic pain and ipioid therapy with their bibliographies | Meta-analysis of articles addressing problematic opioid drug use |
| Analysis
|
Plotting quarterly event rate by dividing the incidence of prescription opioid by the population covered by the program | Construction of a multinomial variable describing prescription opioid days supply and average daily dose and examined the association between this variable and an incident OUD diagnosis | Comparison of epidemiology of co morbidity between chronic pain and psychiatric disorders, the trends in long-term opioid therapy and the clinical trials that involved using opioid therapy for chronic pain or for mental health disorders | A review of the articles that have information about problematic opioid use |
| Key Findings
|
Large increase in diversion and abuse 2002-2010 with a plateau phase from 2011 through 2013 | Patients with CNCP prescribed opioids had significantly higher rates of OUDs compared to those not prescribed opioids. | Patients with mental health and substance abuse disorders are more likely to receive long-term opioid therapy for chronic pain and more likely to have adverse outcomes from this therapy. | Problematic drug use was very variable among different studies, with rates of addiction between21-29% |
| Recommendations
|
Changes in public health policy and strategy to address opioid abuse | Review policy on the prescription of opioids for non cancer pain. | Include psychiatric assessment of chronic pain patients | Further clarification should be done on how to handle individuals of problematic opioid use. |
| Explanation of How the Article Supports EBP/Capstone
|
The article explains the current burden of opioid drug diversion and abuse which could lead to serious problems while managing chronic pain in such individuals. | Opioid prescription leads to high rates of OUDs hence the need to review policy and guidelines | Common mental health problems in patients with chronic pain should be evaluated to make definitive treatment easier. | Problematic opioid use is associated with very many adverse effects hence health care providers should be careful while prescribing these drugs. |
