Health TrialsbyHealthPanel

Prevention of Pain Induced During Bed Bath in Ehpad

ConditionGeriatric Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHôpital NOVO

About this trial

Residents of long-term care facilities are subjected to procedures and treatments that may be painful. The prevalence is 90% among older adults living in institutions. Preventing procedure-induced pain is essential, as the consequences can be even more harmful. Induced pain is defined as "short-term pain caused by a healthcare provider, treatment, or care, under predictable circumstances," according to the UPSA Pain Institute.

For these older adults, personal hygiene is performed in bed by nursing assistants and requires frequent handling and repositioning. It includes dressing and undressing, which are sources of pain. Despite this, these activities are repeated daily because they are essential. Addressing pain is a fundamental criterion for quality of life in older adults.

In many cases, these residents require daily premedication with analgesics to prevent pain caused by personal care. For these residents, who are already on multiple medications, the addition of analgesics increases the risk of drug interactions, leading to more frequent side effects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Inclusion criteria common to all groups

Senior residents

With a stable Algoplus score of 2 or higher

Information provided to and consent obtained from the resident or their trusted representative

Disqualifiers

Resident who has previously received treatment from a psychomotor therapist

Resident capable of washing at the sink (partially) or independently

Under guardianship, conservatorship, or judicial protection

Trial design

Design model

Parallel

Treatments tested in this trial

  • Standard personal hygiene

    Other intervention

    Caregivers follow the standard guidelines for personal hygiene. They are not trained by the psychomotor therapist.

  • Adapted toilet

    Other intervention

    Care assistants follow the psychomotor therapist's recommendations for providing appropriate personal care to residents. A new approach to pain prevention developed by a psychomotor therapist and shared with nursing assistants who assist with bedside hygiene for residents experiencing pain of 2 or higher on the ALGOPLUS scale.

Treatment groups

12 Participants
are divided into 3 treatment groups
Group A: Resident GIR1Experimental treatment 2 interventions
Group B: Resident GIR 2-3Experimental treatment 2 interventions
Group C: Resident GIR 3-4Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Pain reduction with ALGOPLUS

Pain measured using the ALGOPLUS scale by one independent evaluator (an experienced medical or paramedical professional) after bathing.

Time frame
4 weeks

Secondary outcomes

1

Drug profile

Change in the dose of pain medication received, by 3 categories of residents

Time frame
4 weeks
2

Satisfaction of care workers

Questionnaire on changes in practices and how they were perceived, before the study and after each bath

Time frame
4 weeks
3

Bathing Process

Number of caregivers, duration of care

Time frame
4 weeks

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hôpital NOVO

Lead sponsor

Source ClinicalTrials.gov
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