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Prevalence of Musculoskeletal Complaints in Nursing Home Residents

CompletedN/A

Sponsor: Maastricht University Medical Center

Conditions: Rheumatoid Arthritis, Rheumatic Diseases, Musculoskeletal Diseases, Musculoskeletal Diseases or Conditions, Gout

Countries: Netherlands

The goal of this observational study is to investigate the prevalence of joint complaints in nursing home residents with and without dementia. Primary objective: Number of tender or swollen joints. Secondary objectives: 1. Only when it is possible for the nursing home resident to provide us this information: how nursing home residents themselves assess the severity of their joint complaints that day (at that time). If the nursing home resident cannot answer this question (reliably), the investigators use the Pain Assessment Checklist for Seniors with Severe Dementia (PACSLAC-D). 2. Investigate mobility limitations among nursing home residents. 3. To understand whether an accurate (differential) diagnosis for the joint complaints is reported in the electronic files. During the study, a standard physical examination of the musculoskeletal system will performed. Nursing home residents allocated in group 1 (no dementia) also provide an answer on 3 non-incriminating questions (severity of joint complaints, pain in general and general health). Nursing home residents allocated in group 2 (dementia) answer, if possible, 1 non-incriminating question (pain in joints at that moment). These question(s) and the physical examination are also widely used in daily clinical practice. No further incriminating questions or questionnaires will be administered. If the nursing home resident cannot answer this question (reliably), the investigators use the PACSLAC-D.

Eligibility overview

Sex: ALL

Age: 65 Years to —

Healthy volunteers: Yes

Study type: OBSERVATIONAL

Eligibility criteria

Inclusion criteria, group 1:

* Mentally competent nursing home resident ≥ 65 years;
* No diagnosis of dementia (major neurocognitive disorder according to DSM-5 criteria);
* The nursing home resident provides informed consent to participate in the study.

Inclusion criteria, group 2:

* Nursing home resident with dementia (major neurocognitive disorder according to DSM-5 criteria) ≥ 65 years;
* The legal representative of the nursing home resident provides informed consent to participate in the study.

Exclusion criteria, group 1:

* Diagnosis dementia;
* Life expectancy \&lt; 2 weeks (definition terminal nursing home resident). Exclusion criteria, group 2
* Life expectancy \&lt; 2 weeks (definition terminal nursing home resident).
* If, on the basis of an already known pattern of behaviour, it is expected that the potential participant will resist the proposed research (anticipated behaviour).

Locations (1)

Brunssum, Limburg, Netherlands