{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:52:30Z","timestamp":1772232750446,"version":"3.50.1"},"reference-count":42,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objective: to develop an information model on pain management in hospitalized aged people.  Method:  a Big Data retrospective and observational study guided by the Applied Healthcare Data Science Roadmap. The sample included all Electronic Health Records related to pain management in older adults aged at least 75 years old considered vulnerable in the institution and admitted to clinical and surgical units. Data science packages were used in Python \u00ae for data analysis.  Results: a total of 9,635 hospitalizations were found for 4,753 patients, with a mean age of 81 years old and 54% belonging to the female gender. The main reasons for hospitalization were diseases of the circulatory system (n=1,593; 28.6%), neoplasms (n=893; 16%) and diseases of the genitourinary system (n=508; 9.1%). A total of 60 attributes related to pain were identified and organized into groups: current pain, assessment instruments and characteristics, Nursing diagnosis, etiology of the Nursing diagnosis, interventions for relief, consultations to specialties and pain reassessment. The groups were classified into four large panels that constituted the information model.  Conclusion: the information model developed presented an overview of the healthcare reality of pain management in vulnerable aged people, supporting decision-making for pain management in this population segment.<\/jats:p>","DOI":"10.1590\/1518-8345.7111.4305","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T06:48:18Z","timestamp":1729838898000},"source":"Crossref","is-referenced-by-count":0,"title":["Information Model on pain management for elder adults aged 75 years or older"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2945-962X","authenticated-orcid":false,"given":"Ana Clara de Brito","family":"Cruz","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Scholarship holder at the Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado do Rio Grande do Sul,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9068-7189","authenticated-orcid":false,"given":"Am\u00e1lia de F\u00e1tima","family":"Lucena","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Scholarship holder at the Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2584-5769","authenticated-orcid":false,"given":"Aline Tsuma Gaedke","family":"Nomura","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Scholarship holder at the Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil; Hospital de Cl\u00ednicas de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4942-9882","authenticated-orcid":false,"given":"Miriam de Abreu","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil; Scholarship holder at the Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","article-title":"Chronic pain in the elderly: mechanisms and perspectives","volume":"16","author":"Dagnino A. P. A.","year":"2022","journal-title":"Front Hum Neurosci"},{"issue":"40","key":"ref2","doi-asserted-by":"crossref","first-page":"24785","DOI":"10.1073\/pnas.2012350117","article-title":"Decoding the mystery of American pain reveals a warning for the future","volume":"117","author":"Case A.","year":"2020","journal-title":"PNAS"},{"key":"ref3","series-title":"Protocolo Assistencial do Idoso Hospitalizado","year":"2019"},{"issue":"2","key":"ref4","article-title":"Safe Hospital Program for the Elderly Person: an observational study on the impact in reducing functional decline","volume":"38","author":"Apolinario D.","year":"2022","journal-title":"Cad Saude Publica"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1046\/j.1532-5415.2003.51152.x","article-title":"Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age","volume":"51","author":"Covinsky K. E.","year":"2003","journal-title":"J Am Geriatr Soc"},{"key":"ref6","first-page":"12","article-title":"The implementation of electronic records related to the nursing process: integrative review","volume":"12","author":"Costa C.","year":"2021","journal-title":"Rev Pesqui Cuid Fundam Online"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/jnu.12648","article-title":"Pain Information Model and its potential for predictive analytics: applicability of a Big Data Science framework","volume":"53","author":"Nomura A. T. G.","year":"2021","journal-title":"J Nurs Scholarsh"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.ijinfomgt.2019.05.003","article-title":"Big data analytics in health sector: Theoretical framework, techniques and prospects","volume":"50","author":"Galetsia P.","year":"2020","journal-title":"Int J Inform Manag"},{"issue":"3","key":"ref9","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1111\/jnu.12646","article-title":"Information Models Offer Value to Standardize Electronic Health Record Flowsheet Data: A Fall Prevention Exemplar","volume":"53","author":"Lytle K. S.","year":"2021","journal-title":"J Nurs Scholarsh"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1590\/1518-8345.0000.3338","article-title":"The Nursing of the Future: combining Digital Health and the Leadership of Nurses","volume":"28","author":"Lap\u00e3o L. V.","year":"2020","journal-title":"Rev. Latino-Am. Enfermagem"},{"issue":"9","key":"ref11","first-page":"452","article-title":"Modeling Flowsheet Data to Support Secondary Use","volume":"35","author":"Westra B. L.","year":"2017","journal-title":"Comput Inform Nurs"},{"issue":"1","key":"ref12","first-page":"27","article-title":"M\u00e9todos de mapeamento entre Arqu\u00e9tipos e Ontologias: uma Revis\u00e3o Sistem\u00e1tica","volume":"11","author":"Martins M. C.","year":"2019","journal-title":"J Health Inform [Internet]"},{"issue":"3","key":"ref13","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/jnu.12638","article-title":"Information Model on Pain Management: An Analysis of Big Data","volume":"53","author":"Nomura A. T. G.","year":"2021","journal-title":"J Nurs Scholarsh"},{"key":"ref14","series-title":"Caracter\u00edsticas [Internet]","year":"2023"},{"key":"ref15","series-title":"Hist\u00f3ria do AGHUse [Internet]","year":"2023"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.archger.2007.06.004","article-title":"PRISMA-7: A case-finding tool to identify older adults with moderate to severe disabilities","volume":"47","author":"Ra\u00eeche M.","year":"2008","journal-title":"Arch Gerontol Geriatr"},{"key":"ref17","series-title":"Resultados de 2023 [Internet]","year":"2024"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1891\/1541-6577.30.3.229","article-title":"Empirical Evaluation of International Health System Data Interoperability: Mapping the Wanda Horta Theory to the Omaha System Ontology","volume":"30","author":"Pruinelli L.","year":"2016","journal-title":"Res Theory Nurs Pract"},{"key":"ref19","series-title":"Diagn\u00f3sticos de enfermagem da NANDA-I: defini\u00e7\u00f5es e classifica\u00e7\u00e3o - 2021-2023","author":"Herdman T. H.","year":"2021","edition":"12"},{"key":"ref20","series-title":"Classifica\u00e7\u00e3o das Interven\u00e7\u00f5es de Enfermagem - NIC","author":"Butcher H. K.","year":"2020","edition":"7"},{"issue":"10","key":"ref21","first-page":"484","article-title":"An Applied Healthcare Data Science Roadmap for Nursing Leaders: A Workshop, Development, Conceptualization and Application","volume":"38","author":"Pruinelli L.","year":"2020","journal-title":"Comput Inform Nurs"},{"key":"ref22","series-title":"Python para An\u00e1lise de Dados","author":"McKinney W.","year":"2018","edition":"2"},{"issue":"1","key":"ref23","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1055\/s-0038-1636508","article-title":"Validation and Refinement of a Pain Information Model from EHR Flowsheet Data","volume":"9","author":"Westra B. L.","year":"2018","journal-title":"Appl Clin Inform"},{"issue":"Supp Iss 1","key":"ref24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/ageing\/afx192","article-title":"The Assessment of Pain in Older People: UK National Guidelines","volume":"47","author":"Schofield P.","year":"2018","journal-title":"Age Ageing"},{"key":"ref25","article-title":"Prevalence and Factors Associated With Body Pain: Results of a Nationally Representative Survey of 9,586 Chinese Adults Aged 60 and Over","author":"Yang L.","year":"2021","journal-title":"Front. Public Health"},{"key":"ref26","article-title":"Impact of Knee Pain on Fear of Falling, Changes in Instrumental Activities of Daily Living, and Falls Among Malaysians Age 55 Years and Above","volume":"8","author":"Mat S.","year":"2020","journal-title":"Front Public Health"},{"issue":"7","key":"ref27","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.arth.2023.04.005","article-title":"Age-Related Differences in Pain, Function, and Quality of Life Following Primary Total Knee Arthroplasty: Results From a FORCE-TJR (Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement)","volume":"38","author":"Ayers D. C.","year":"2023","journal-title":"Cohort. J Arthroplasty"},{"issue":"7","key":"ref28","article-title":"The influence of comorbidities on outcomes for older people with back pain: BACE-D cohort study","volume":"66","author":"Fu Y.","year":"2023","journal-title":"Ann Phys Rehabil Med"},{"issue":"7S","key":"ref29","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.arth.2022.03.032","article-title":"Do Patient Outcomes Vary by Patient Age Following Primary Total Hip Arthroplasty?","volume":"37","author":"Ayers D. C.","year":"2022","journal-title":"J Arthroplasty"},{"key":"ref30","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-022-03515-4","article-title":"Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly","volume":"22","author":"Zhang Y. H.","year":"2022","journal-title":"BMC Geriatr"},{"issue":"3","key":"ref31","doi-asserted-by":"crossref","first-page":"289","DOI":"10.5935\/2595-0118.20190051","article-title":"Multidimensional instruments validated in Brazil for pain evaluation in the elderly: narrative review","volume":"2","author":"Aguiar D. S.","year":"2019","journal-title":"BrJP"},{"issue":"2","key":"ref32","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1590\/S1679-45082016AO3628","article-title":"Pain assessment in elderly with dementia: Brazilian validation of the PACSLAC scale","volume":"14","author":"Th\u00e9 K. B.","year":"2016","journal-title":"Einstein (S\u00e3o Paulo)"},{"issue":"1","key":"ref33","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1590\/S1679-45082015AO3036","article-title":"Cultural adaptation and reproducibility validation of the Brazilian Portuguese version of the Pain Assessment in Advanced Dementia (PAINAD-Brazil) scale in non-verbal adult patients","volume":"13","author":"Pinto M. C.","year":"2015","journal-title":"Einstein (S\u00e3o Paulo)"},{"issue":"10","key":"ref34","first-page":"1985","article-title":"Brazilian version of the Non-communicative Patient\u2019s Pain Assessment Instrument (NOPPAIN): conceptual, item, and semantic equivalence","volume":"28","author":"Araujo R. S.","year":"2012","journal-title":"Cad Saude Publica"},{"issue":"2","key":"ref35","doi-asserted-by":"crossref","first-page":"136","DOI":"10.5935\/1806-0013.20150026","article-title":"Pain measurement in the elderly: evaluation of psychometric properties of the Geriatric Pain Measure Portuguese version","volume":"16","author":"Motta T. S.","year":"2015","journal-title":"Rev Dor"},{"issue":"2","key":"ref36","doi-asserted-by":"crossref","first-page":"75","DOI":"10.11606\/issn.2317-0190.v13i2a102586","article-title":"Aplica\u00e7\u00e3o da vers\u00e3o brasileira do question\u00e1rio de dor McGill em idosos com dor cr\u00f4nica","volume":"13","author":"Santos C. C.","year":"2006","journal-title":"Acta Fisiatr"},{"issue":"3","key":"ref37","doi-asserted-by":"crossref","first-page":"245","DOI":"10.5935\/2595-0118.20200178","article-title":"Recording acute pain in hospitalized patients","volume":"3","author":"Gimenes A. B.","year":"2020","journal-title":"BrJP"},{"key":"ref38","doi-asserted-by":"crossref","DOI":"10.1590\/2526-8910.ctoao2101","article-title":"Associa\u00e7\u00e3o entre limita\u00e7\u00e3o funcional e d\u00e9ficit cognitivo em pacientes idosos hospitalizados","volume":"29","author":"Santos B. P.","year":"2021","journal-title":"Cad Bras Ter Ocup"},{"key":"ref39","article-title":"Functional capacity: association with risk for falls, fear of falling and pain in the elderly","volume":"22","author":"Nadu A. A.","year":"2021","journal-title":"Rev Rene"},{"issue":"3","key":"ref40","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.pmn.2020.10.004","article-title":"The Association Between Pain and Fall Among Middle-Aged and Older Chinese","volume":"22","author":"Li W.","year":"2020","journal-title":"Pain Manag Nurs"},{"issue":"9","key":"ref41","first-page":"179","article-title":"Chronic pain and risk of injurious falls in community-dwelling older adults","volume":"76","author":"Cai Y.","year":"2021","journal-title":"J Gerontology"},{"key":"ref42","doi-asserted-by":"crossref","DOI":"10.1590\/1983-1447.2022.20200335","article-title":"Factors associated with risk, perception and knowledge of falls in elderly people","volume":"43","author":"Souza L. F.","year":"2022","journal-title":"Rev Ga\u00facha Enferm"}],"container-title":["Revista Latino-Americana de Enfermagem"],"original-title":["Modelo de informa\u00e7\u00e3o do gerenciamento da dor em pessoas idosas com 75 anos ou mais"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-11692024000100373&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T06:48:31Z","timestamp":1729838911000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-11692024000100373&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":42,"alternative-id":["S0104-11692024000100373"],"URL":"https:\/\/doi.org\/10.1590\/1518-8345.7111.4305","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1518-8345.7111.4304","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7111.4306","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1518-8345.7111.4304","asserted-by":"object"},{"id-type":"doi","id":"10.1590\/1518-8345.7111.4306","asserted-by":"object"}]},"ISSN":["1518-8345"],"issn-type":[{"value":"1518-8345","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e4305"}}