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Racial/ethnic differences in staff-assessed pain behaviors among newly- admitted nursing home residents

Journal of Pain and Symptom Management Sep 03, 2020

Morrison R, Jesdale B, Dube C, et al. - Researchers here investigated how nonverbal pain behaviors and pain management among residents with staff-assessed pain differ by race/ethnicity. Using the US national Minimum Data Set 3.0, they assessed 994,510 newly-admitted nursing home residents for whom staff evaluated pain behaviors and pain treatments between 2010-2016. Documentation was most common for vocal complaints (18.3% non-Hispanic Black residents, 19.3% of Hispanic residents, 30.3% of non-Hispanic White residents). Pain behaviors were less frequently reported among non-Hispanic Black and Hispanic residents than non-Hispanic White residents. Pharmacologic pain intervention, of any type, was less frequently implemented among non-Hispanic Blacks (47.3%) and Hispanics (48.6%) compared to non-Hispanic White residents (59.3%). To inform interventions to reduce these disparities in pain documentation and treatment, they suggest performing studies investigating the role of differences in expression of pain, explicit bias, and implicit bias.

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