PAIN ASSESSMENT IN DEMENTIA PATIENTS

PAIN ASSESSMENT IN DEMENTIA PATIENTS

Authors

  • NINO GEGESHIDZE
  • KHATUNA CHAAVA
  • MIKHEIL SHAVDIA
  • NANULI NINASHVILI
  • TAMAR SHERVASHIDZE

DOI:

https://doi.org/10.52340/jecm.2022.06.014

Keywords:

Pain, dementia, communication, methods

Abstract

In modern palliative medicine adequate and rapid pain assessment in nonverbal elderly patients with severe dementia is one of the key issues. With increasing severity of dementia patient-surrounding communication becomes more challenging and verbal assessment of the pain - less accurate. In patients with severe dementia, it is necessary to find different approach, like observational and surrogate assessment methods. There are multiple observational methods of assessment, which are based on nonverbal behavior (facial expression, paralinguistic sounds, tension, anxiety, changes in social behavior, sleep habit changes, aggressiveness, change in psycho-motor activation etc.) Article shows pain assessment scales used more frequently in clinical practice. Pain management in patient with dementia depends on the proper assessment of pain intensity. Pain assessment scales available for us, gives us ability to adequately and in a timely manner assess presence of the pain and its intensity.

Downloads

Download data is not yet available.

References

Shega J. W., Levin A., Hougham G. W., Cox-Hayley D., Luchins D., Hanrahan P et al. Palliative Excellence in Alzheimer Care Efforts (PEACE): a program description. Journal of Palliative Medicine 2003; 6 (2):315–320.

Pain and Dementia https://www.fightdementia.org. au/fi les/helpsheets/Helpsheet-DementiaQandA16-PainAndDementia_english.pdf, 2017.

Abbey J., Piller N., De Bellis A. et al. The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia. Int J Palliat Nurs 2004;10:6–13.

Husebø B.: Assessment of pain in patients with dementia. Development of a Staff-Administrated Behavioural Pain Assessment Tool. Dissertation for the degree of Doctor of Philosophy (PhD). University of Bergen, 2008.

Lefebvre-Chapiro S.: The Doloplus-2 scale–evaluating pain in the elderly. Eur J Palliat Care 2001, 8:191–194.

Snow A. L., Weber J. B., O’Malley, Cody M., Beck C., Bruera E., Ashton C., Kunik M. E. Nursing Assistant-Administered Instrument to Assess Pain in Demented Individuals (NOPPAIN), USA,06/08.

Fuchs-Lacelle S., Hadjistavropoulos T. Development and Preliminary Validation of the Pain Assessment Checklist for Seniors With Limited Ability to Communicate (PACSLAC). Pain Management Nursing, Vol 5, No 1 (March), 2004: pp 37–49.

F. Guerriero et al., Pain management in dementia: so far, not so good. JGG, 2016, 64:31–39.

Sandra M. G., Zwakhalen, Jan PH Hamers, Huda Huijer Abu-Saad, Martijn PF Berger. Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools. BMC Geriatrics 2006, 6:3.

Corbett A. et al., Assessment and treatment of pain in people with dementia. Nat. Rev. Neurol. 2012, 8, 264-274.

Volicer L. End-of-life Care for People with Dementia in Residential Care Settings, 2005, 35P.

Downloads

Published

2022-09-06

How to Cite

GEGESHIDZE , N. ., CHAAVA , K. ., SHAVDIA , M. ., NINASHVILI , N. ., & SHERVASHIDZE , T. . (2022). PAIN ASSESSMENT IN DEMENTIA PATIENTS. Experimental and Clinical Medicine Georgia, (6). https://doi.org/10.52340/jecm.2022.06.014

Issue

Section

Articles

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.

Loading...