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
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
Treatments tested in this trial
- Standard personal hygiene
- Adapted toilet