Pain experiences of older adults in Chinese nursing homes

Abstract Objective: To explore the current status of pain and its management in elderly residents in nursing homes institutions in China and analyze the existing problems. Methods: This study assessed the current status of pain and its management in elderly care institutions in the main urban area of Xuzhou, China. Data collection occurred from June to October 2023. Qualitative semistructured interviews were conducted with 20 elderly residents of nursing homes, exploring their experiences of pain, the impact of pain on their daily lives, and their perspectives on pain management. Data were analyzed using Colaizzi’s phenomenological method. Results: Three main themes emerged from the analysis. The elderly described their pain as sufferings, significantly impacting their daily activities and overall well-being. They identified several barriers to effective pain management, including distrust of healthcare professionals, apprehension about surgical interventions, and lack of financial resources. Participants expressed a need for comprehensive and accessible pain management strategies, including appropriate medication and education on alternative methods. Conclusion: The study highlights the significant burden of pain experienced by elderly individuals in nursing homes. Barriers to effective pain management need to be addressed through improved communication, education, and financial support. Additionally, healthcare providers should work with older adults to develop individualized pain management plans that meet their specific needs and preferences.