Tools for assessment of pain in nonverbal older adults with dementia: A state-of-the-science review

Journal of Pain and Symptom Management

Volumn 31, Issue 2, 2006, Pages 170-192

  Herr, Keela ^a   Bjoro, Karen ^b   Decker, Sheila ^c  

^a UNIVERSITY OF IOWA COLLEGE OF NURSING   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON   (United States)

Author keywords

Aged; Behavioral; Cognitively impaired; Dementia; Nonverbal communication; Pain assessment; Pain measurement

Indexed keywords

ADULT; AGGRESSION; BEHAVIOR; BODY MOVEMENT; CANCER PAIN; CLINICAL ASSESSMENT TOOL; CLINICAL PRACTICE; CRITERION RELATED VALIDITY; DELIRIUM; DEMENTIA; FACIAL EXPRESSION; HUMAN; MENTAL HEALTH; NOCICEPTION; NONVERBAL COMMUNICATION; OBSERVATION; PAIN ASSESSMENT; POPULATION; PRACTICE GUIDELINE; RELIABILITY; REVIEW; SCORING SYSTEM; STANDARDIZATION; VALIDITY; VERBALIZATION; VOCALIZATION;

AGED; AGED, 80 AND OVER; COGNITION DISORDERS; DEMENTIA; GERIATRIC ASSESSMENT; HUMANS; NONVERBAL COMMUNICATION; PAIN; PAIN MEASUREMENT; REPRODUCIBILITY OF RESULTS; REVIEW LITERATURE; SENSITIVITY AND SPECIFICITY;

EID: 32644453352     PISSN: 08853924     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpainsymman.2005.07.001     Document Type: Review

References (91)

1. L.E. Hebert, P.A. Scherr, J.L. Bienias, D.A. Bennett, and D.A. Evans Alzheimer disease in the US population: prevalence estimates using the 2000 census Arch Neurol 60 2003 1119 1122
2. K.S. Feldt, M.B. Ryden, and S. Miles Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture J Am Geriatr Soc 46 1998 1079 1085
3. B.A. Ferrell, B.R. Ferrell, and L. Rivera Pain in cognitively impaired nursing home patients J Pain Symptom Manage 10 1995 591 598
4. P.A. Parmelee Pain in cognitively impaired older persons Clin Geriatr Med 12 1996 473 487
5. A.B. Won, K.L. Lapane, and S. Vallow Persistent nonmalignant pain and analgesic prescribing patterns in elderly nursing home residents J Am Geriatr Soc 52 2004 867 874
6. Young DM. Pain in institutionalized elders with chronic dementia. PhD dissertation. Iowa City, IA: The University of Iowa, 2001.
7. R.S. Morrison, J. Magaziner, and M.A. McLaughlin The impact of post-operative pain on outcomes following hip fracture Pain 103 2003 303 311
8. F. Landi, G. Onder, and M. Cesari Pain and its relation to depressive symptoms in frail older people living in the community: an observational study J Pain Symptom Manage 29 2005 255 262
9. G.M. Williamson, and R. Schulz Pain, activity restriction, and symptoms of depression among community-residing elderly adults J Gerontol 47 1992 P367 P372
10. K. Brummel-Smith, M.R. London, and N. Drew Outcomes of pain in frail older adults with dementia J Am Geriatr Soc 50 2002 1847 1851
11. R.S. Morrison, J. Magaziner, and M. Gilbert Relationship between pain and opioid analgesics on the development of delirium following hip fracture J Gerontol A Biol Sci Med Sci 58 2003 76 81
12. M. Schuler, N. Njoo, M. Hestermann, P. Oster, and K. Hauer Acute and chronic pain in geriatrics: clinical characteristics of pain and the influence of cognition Pain Med 5 2004 253 262
13. B.A. Ferrell, B.R. Ferrell, and D. Osterweil Pain in the nursing home J Am Geriatr Soc 38 1990 409 414
14. R. Roy, and M.R. Thomas A survey of chronic pain in an elderly population Can Fam Physician 32 1986 513 516
15. S.A. Hartikainen, P.T. Mantyselka, K.A. Louhivuori-Laako, and R.O. Sulkava Balancing pain and analgesic treatment in the home-dwelling elderly Ann Pharmacother 39 2005 11 16
16. C. Herrick, K. Steger-May, and D.R. Sinacore Persistent pain in frail older adults after hip fracture repair J Am Geriatr Soc 52 2004 2062 2068
17. U. Jakobsson, I. Rahm Hallberg, and A. Westergren Pain management in elderly persons who require assistance with activities of daily living: a comparison of those living at home with those in special accommodations Eur J Pain 8 2004 335 344
18. B.R. Ferrell, and M. Schaffner Pharmacoeconomics and medical outcomes in pain management Semin Anesth 16 1997 152 159
19. E.A. Sengstaken, and S.A. King The problems of pain and its detection among geriatric nursing home residents J Am Geriatr Soc 41 1993 541 544
20. M.L. Hall-Lord, G. Larsson, and B. Steen Pain and distress among elderly intensive care unit patients: comparison of patients' experiences and nurses' assessments Heart Lung 27 1998 123 132
21. S.J. Kaasalainen, L.K. Robinson, and T. Hartley The assessment of pain in the cognitively impaired elderly: a literature review Perspectives 22 1998 2 8
22. D. Weiner, B. Peterson, and F. Keefe Chronic pain-associated behaviors in the nursing home: resident versus caregiver perceptions Pain 80 1999 577 588
23. P. Werner, J. Cohen-Mansfield, V. Watson, and S. Pasis Pain in participants of adult day care centers: assessment by different raters J Pain Symptom Manage 15 1998 8 17
24. R. Bernabei, G. Gambassi, and K. Lapane Management of pain in elderly patients with cancer. SAGE Study Group. Systematic assessment of geriatric drug use via epidemiology JAMA 279 1998 1877 1882
25. R.S. Morrison, and A.L. Siu A comparison of pain and its treatment in advanced dementia and cognitively intact patients with hip fracture J Pain Symptom Manage 19 2000 240 248
26. J.M. Teno, G. Kabumoto, T. Wetle, J. Roy, and V. Mor Daily pain that was excruciating at some time in the previous week: prevalence, characteristics, and outcomes in nursing home residents J Am Geriatr Soc 52 2004 762 767
27. J.M. Teno, S. Weitzen, T. Wetle, and V. Mor Persistent pain in nursing home residents JAMA 285 2001 2081
28. A.L. Horgas, and P.F. Tsai Analgesic drug prescription and use in cognitively impaired nursing home residents Nurs Res 47 1998 235 242
29. J.A. McNeill, G.D. Sherwood, and P.L. Starck The hidden error of mismanaged pain: a systems approach J Pain Symptom Manage 28 2004 47 58
30. L.W. Sullivan, and B.A. Eagel Leveling the playing field: recognizing and rectifying disparities in management of pain Pain Med 6 2005 5 10
31. C.R. Green, T.A. Baker, E.M. Smith, and Y. Sato The effect of race in older adults presenting for chronic pain management: a comparative study of black and white Americans J Pain 4 2003 82 90
32. C.R. Green, S.K. Ndao-Brumblay, A.M. Nagrant, T.A. Baker, and E. Rothman Race, age, and gender influences among clusters of African American and white patients with chronic pain J Pain 5 2004 171 182
33. P.A. Parmelee, B. Smith, and I.R. Katz Pain complaints and cognitive status among elderly institution residents J Am Geriatr Soc 41 1993 517 522
34. F.L. Porter, K.M. Malhotra, and C.M. Wolf Dementia and response to pain in the elderly Pain 68 1996 413 421
35. W.M. Stein, and B.A. Ferrell Pain in the nursing home Clin Geriatr Med 12 1996 601 613
36. D. Weiner, B. Peterson, and F. Keefe Evaluating persistent pain in long term care residents: what role for pain maps? Pain 76 1998 249 257
37. J.C. Huffman, and M.E. Kunik Assessment and understanding of pain in patients with dementia Gerontologist 40 5 2000 574 581
38. D.L. LaChapelle, T. Hadjistavropoulos, and K.D. Craig Pain measurement in persons with intellectual disabilities Clin J Pain 15 1999 13 23
39. E.J. Scherder Low use of analgesics in Alzheimer's disease: possible mechanisms Psychiatry 63 2000 1 12
40. S.J. Gibson, and M. Farrell A review of age differences in the neurophysiology of nociception and the perceptual experience of pain Clin J Pain 20 2004 227 239
41. S.J. Gibson, and R.D. Helme Age-related differences in pain perception and report Clin Geriatr Med 17 2001 433 456
42. S.J. Gibson, X. Voukelatos, D. Ames, L. Flicker, and R.D. Helme An examination of pain perception and cerebral event-related potentials following carbon dioxide laser stimulation in patients with Alzheimer's disease and age-matched control volunteers Pain Res Manag 6 2001 126 132
43. R.D. Helme, A. Meliala, and S.J. Gibson Methodologic factors which contribute to variations in experimental pain threshold reported for older people Neurosci Lett 361 2004 144 146
44. K.S. Feldt The checklist of nonverbal pain indicators (CNPI) Pain Manag Nurs 1 2000 13 21
45. D. Weiner, C. Pieper, E. McConnell, S. Martinez, and F. Keefe Pain measurement in elders with chronic low back pain: traditional and alternative approaches Pain 67 1996 461 467
46. T. Hadjistavropoulos, D.L. LaChapelle, F.K. MacLeod, B. Snider, and K.D. Craig Measuring movement-exacerbated pain in cognitively impaired frail elders Clin J Pain 16 2000 54 63
47. L. Asplund, A. Norberg, R. Adolfsson, and H.M. Waxman Facial expressions in severely demented patients - a stimulus-response study of four patients with dementia of the Alzheimer's type Int J Geriatr Psychiatry 6 1991 599 606
48. K.S. Feldt, M.A. Warne, and M.B. Ryden Examining pain in aggressive cognitively impaired older adults J Gerontol Nurs 24 1998 14 22
49. C.R. Kovach, D.E. Weissman, J. Griffie, S. Matson, and S. Muchka Assessment and treatment of discomfort for people with late-stage dementia J Pain Symptom Manage 18 1999 412 419
50. L.R. Marzinski The tragedy of dementia: clinically assessing pain in the confused nonverbal elderly J Gerontol Nurs 17 1991 25 28
51. AGS Panel on Persistent Pain in Older Persons The management of persistent pain in older persons J Am Geriatr Soc 50 2002 S205 S224
52. J.F. Dirks, J. Wunder, R. Kinsman, J. McElhinny, and N.F. Jones A Pain Rating Scale and a Pain Behavior Checklist for clinical use: development, norms, and the consistency score Psychother Psychosom 59 1993 41 49
53. J.S. Richards, C. Nepomuceno, M. Riles, and Z. Suer Assessing pain behavior: the UAB Pain Behavior Scale Pain 14 1982 393 398
54. J. Cohen-Mansfield, and S. Lipson Pain in cognitively impaired nursing home residents: how well are physicians diagnosing it? J Am Geriatr Soc 50 2002 1039 1044
55. J. Cohen-Mansfield Relatives' assessment of pain in cognitively impaired nursing home residents J Pain Symptom Manage 24 2002 562 571
56. B.R. Ferrell, M.Z. Cohen, M. Rhiner, and A. Rozek Pain as a metaphor for illness: impact of cancer pain on family caregivers Oncol Nurs Forum 18 1991 1303 1309
57. J.L. Madison, and D.J. Wilkie Family members' perceptions of cancer pain. Comparisons with patient sensory report and by patient psychologic status Nurs Clin North Am 30 1995 625 645
58. K.A. Yeager, C. Miaskowski, S. Dibble, and M. Wallhagan Differences in pain knowledge and perception of the pain experience between outpatients with cancer and their family caregivers Oncol Nurs Forum 22 1995 1235 1241
59. J. Cohen-Mansfield, and M. Creedon Nursing staff members' perceptions of pain indicators in persons with severe dementia Clin J Pain 18 2002 64 73
60. S.E. Fisher, L.D. Burgio, and B.E. Thorn Pain assessment and management in cognitively impaired nursing home residents: association of certified nursing assistant pain report, Minimum Data Set pain report, and analgesic medication use J Am Geriatr Soc 50 2002 152 156
61. P.L. Manfredi, B. Breuer, D.E. Meier, and L. Libow Pain assessment in elderly patients with severe dementia J Pain Symptom Manage 25 2003 48 52
62. J.C. Mentes, J. Teer, and M.P. Cadogan The pain experience of cognitively impaired nursing home residents: perceptions of family members and certified nursing assistants Pain Manag Nurs 5 2004 118 125
63. J.W. Shega, G.W. Hougham, C.B. Stocking, D. Cox-Hayley, and G.A. Sachs Pain in community-dwelling persons with dementia: frequency, intensity, and congruence between patient and caregiver report J Pain Symptom Manage 28 2004 585 592
64. American Medical Directors Association The management of chronic pain in long-term care settings 2003 American Medical Directors Association Columbia, MD
65. Herr K, Bjoro K, Steffensmeier J, Rakel B. Evidence-based practice guideline: Acute pain management in older adults. Iowa City: The University of Iowa, Research Dissemination Core, 2006.
66. K.A. Herr, and L. Garand Assessment and measurement of pain in older adults Clin Geriatr Med 17 2001 457 478
67. K. Herr, M. Titler, and B. Sorofman Research-based protocol: Acute pain management in the elderly 2000 The University of Iowa, Research Dissemination Core Iowa City
68. J.A. Abbey, N. Piller, and A. DeBellis The Abbey Pain Scale. A 1-minute numerical indicator for people with late-stage dementia Int J Palliat Nurs 10 2004 6 13
69. A.C. Hurley, B.J. Volicer, P.A. Hanrahan, S. Houde, and L. Volicer Assessment of discomfort in advanced Alzheimer patients Res Nurs Health 15 1992 369 377
70. S. Lefebvre-Chapiro, and The Doloplus Group The Doloplus 2 scale - evaluating pain in the elderly Eur J Palliat Care 8 2001 191 194
71. S.I. Merkel, T. Voepel-Lewis, J.R. Shayevitz, and S. Malviya Practice applications of research. The FLACC: a behavioral scale for scoring postoperative pain in young children Pediatr Nurs 23 1997 293 297
72. A.L. Snow, J.B. Weber, and K.J. O'Malley NOPPAIN: a nursing assistant-administered pain assessment instrument for use in dementia Dement Geriatr Cogn Disord 17 2004 240 246
73. S. Fuchs-Lacelle, and T. Hadjistavropoulos Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC) Pain Manag Nurs 5 2004 37 49
74. M.R. Villanueva, T.L. Smith, J.S. Erickson, A.C. Lee, and C.M. Singer Pain assessment for the dementing elderly (PADE): reliability and validity of a new measure J Am Med Dir Assoc Jan/Feb 2003 1 8
75. V. Warden, A.C. Hurley, and L. Volicer Development and psychometric evaluation of the pain assessment in advanced dementia (PAINAD) scale J Am Med Dir Assoc Jan/Feb 2003 9 15
76. S.A. Decker, and A.G. Perry The development and testing of the PATCOA to assess pain in confused older adults Pain Manag Nurs 4 2003 77 86
77. L.M. Breu, P.J. McGrath, C. Camfield, C. Rosmus, and G.A. Finley Preliminary validation of an observational pain checklist for persons with cognitive impairments and inability to communicate verbally Dev Med Child Neurol 42 2000 609 616
78. S. Kaasalainen, and J. Crook A comparison of pain-assessment tools for use with elderly long-term-care residents Can J Nurs Res 35 2003 58 71
79. W. Simons, and R. Malabar Assessing pain in elderly patients who cannot respond verbally J Adv Nurs 22 1995 663 669
80. N. Burns, and S.K. Grove The practice of nursing research. Conduct, critique, & utilization 4th ed. 2001 Saunders Philadelphia, PA
81. S.F. Jacobson Evaluating instrument for use in clinical nursing research M.A. Frank-Stromberg S.J. Olson Instruments for clinical health care research 1997 Jones and Bartlett Publishers Boston, MA 3 19
82. J.S. Norbeck What constitutes a publishable report of instrument development? Nurs Res 34 1985 380 382
83. C.R. Kovach, P.E. Noonan, J. Griffie, S. Muchka, and D.E. Weissman Use of the assessment of discomfort in dementia protocol Appl Nurs Res 14 2001 193 200
84. C.R. Kovach, P.E. Noonan, J. Griffie, S. Muchka, and D.E. Weissman The assessment of discomfort in dementia protocol Pain Manag Nurs 3 2002 16 27
85. J. Miller, V. Neelon, and J. Dalton The assessment of discomfort in elderly confused patients: a preliminary study J Neurosci Nurs 28 1996 175 182
86. The Doloplus Group Behavioral pain assessment scale for elderly subjects presenting with verbal communication disorders Available from www.doloplus.com/versiongb/index.htm Retrieved June 10, 2003
87. Baiardi J, Parzuchowski J, Kosik C, et al. Examination of the reliability of the FLACC Pain Assessment tool with cognitively impaired elderly. Annual National Conference of Gerontological Nurse Practitioners. Chicago, IL, 2002.
88. Snow AL. Personal communication, April 24, 2004.
89. E. Scherder, J. Oosterman, and D. Swaab Recent developments in pain in dementia BMJ 330 2005 461 464
90. E.J. Scherder, J.A. Sergeant, and D.F. Swaab Pain processing in dementia and its relation to neuropathology Lancet Neurol 2 2003 677 686
91. K. Herr, and S. Decker Assessment of pain in older adults with severe cognitive impairment Ann Long Term Care 12 2004 46 52