Under-Treatment of Pain in Dementia: Assessment is Key

Journal of the American Medical Directors Association

Volumn 9, Issue 6, 2008, Pages 372-374

  Tait, Raymond C ^a   Chibnall, John T ^a  

^a SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; PARACETAMOL; PLACEBO;

AGING; ANALGESIA; BEHAVIOR DISORDER; BEHAVIOR THERAPY; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; COGNITIVE DEFECT; DEMENTIA; DIAGNOSTIC ACCURACY; DRUG EFFICACY; DRUG RESPONSE; EDITORIAL; FACIAL EXPRESSION; FUNCTIONAL DISEASE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HUMAN; LONG TERM CARE; NURSING CARE; NURSING HOME PATIENT; PAIN; PAIN ASSESSMENT; PSYCHOMETRY; RATING SCALE; SELF REPORT; SYMPTOM;

DEMENTIA; HUMANS; PAIN; PAIN MEASUREMENT; RESIDENTIAL FACILITIES; THINNESS;

EID: 45749124427     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2008.04.001     Document Type: Editorial

References (43)

1. Hadjistavropoulos T., Herr K., Turk D.C., et al. An interdisciplinary expert consensus statement on assessment of pain in older persons. Clin J Pain 23 (2007) S1-S43
2. Mobily P., Herr K., Clark K., and Wallace R. An epidemiologic analysis of pain in the elderly: The Iowa 65+ rural health study. J Aging Health 6 (1994) 129-154
3. Crook J., Rideout E., and Browne G. The prevalence of pain complaints in a general population. Pain 18 (1984) 299-314
4. Parmelee P.A., Smith B.D., and Katz I.R. Pain complaints and cognitive status among elderly institution residents. J Am Geriatr Soc 41 (1993) 517-522
5. Scudds R.J., and McD Robertson J. Empirical evidence of the association between the presence of musculoskeletal pain and physical disability in community-dwelling senior citizens. Pain 75 (1998) 229-235
6. Williams S.W., Williams C.S., Zimmerman S., et al. Characteristics associated with mobility limitation in long-term care residents with dementia. Gerontologist 45 (2005) 62-67
7. Ferrell B.A. The management of pain in long-term care. Clin J Pain 20 (2004) 240-243
8. Weiner D., Peterson B., Ladd K., et al. Pain in nursing home residents: An exploration of prevalence, staff perspectives, and practical aspects of measurement. Clin J Pain 15 (1999) 92-101
9. Tait R.C., and Chibnall J.T. Pain in older sub-acute care patients: associations with clinical status and treatment. Pain Med 3 (2002) 231-239
10. Zwakhalen S.M.G., Hamers J.P.H., Abu-Saad H.H., and Berger M.P.F. Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools. BMC Geriatr 6 (2006) 3
11. AGS Panel on Persistent Pain in Older Persons. The management of persistent pain in older persons. J Am Geriatr Soc 50 (2002) S205-S224
12. Teno J.M., Weitzen S., Wetle T., and Mor V. Persistent pain in nursing home residents. JAMA 285 (2001) 2081
13. Husebo B.S., Strand L.I., Moe-Nilssen R., et al. Who suffers most?. Dementia and pain nursing home patients: a cross-sectional study. J Am Med Direct Assoc 9 (2008) 427-433
14. Buffum M.D., Hutt E., Chang V.T., et al. Cognitive impairment and pain management: Review of issues and challenges. J Rehabil Res Develop 44 (2007) 315-330
15. Ferrell B.A., Ferrell B.R., and Rivera L. Pain in cognitively impaired nursing home residents. J Pain Sympt Manage 10 (1995) 591-598
16. Herr K.A., Bjoro K., and Decker S. Tools for assessment of pain in nonverbal older adults with dementia: A state-of-the-science review. J Pain Sympt Manag 31 (2006) 170-192
17. Herr K.A., Coyne P.J., Key T., et al. Pain assessment in the nonverbal patient: Position statement with clinical practice recommendations. Pain Manage Nurs 7 (2006) 44-52
18. Kovach C.R., Weissman D.E., Griffie J., et al. Assessment and treatment of discomfort for people with late-stage dementia. J Pain Symptom Manage 18 (1999) 412-419
19. Sengstaken E.A., and King S.A. The problems of pain and its detection among geriatric nursing home residents. J Am Geriatr Soc 41 (1993) 541-544
20. Herr K.A., and Mobily P.R. Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 6 (1993) 39-46
21. Jensen M.P., Miller L., and Fisher L.D. Assessment of pain during medical procedures: A comparison of three scales. Clin J Pain 14 (1998) 343-349
22. Gagliese L., Weizblit N., Ellis W., and Chan V.W. The measurement of postoperative pain: A comparison of intensity scales in younger and older surgical patients. Pain 117 (2005) 412-420
23. Herr K., Spratt K.F., Garand L., and Li L. Evaluation of the Iowa pain thermometer and other selected pain intensity scales in younger and older adult cohorts using controlled clinical pain: a preliminary study. Pain Med 8 (2007) 585-600
24. Scherder E.J.A., and Bouma A. Visual analogue scales for pain assessment in Alzheimer's disease. Gerontology 46 (2000) 47-53
25. Herr K.A., Mobily P.R., Kohout F.J., and Wagenaar D. Evaluation of the faces pain scale for use with the elderly. Clin J Pain 14 (1998) 29-38
26. Chibnall J.T., and Tait R.C. Pain assessment in cognitively impaired and unimpaired older adults: A comparison of four scales. Pain 92 (2001) 173-186
27. Abbey J., Piller N., Bellis de A., et al. The Abbey pain scale: A 1-minute numerical indicator for people with end stage dementia. Int J Palliat Nurs 10 (2004) 6-14
28. Cohen-Mansfield J., Marx M.S., and Rosenthal A.S. A description of agitation in a nursing home. J Gerontol 44 (1989) M77-M84
29. Jean A., Morello R., and Alix M. Evaluation de la douleur de sjuet tres age hospitalize en long sejour. Revue Geriatr 23 (1998) 253-256
30. Pautex S., Herrmann F.R., Michon A., et al. Psychometric properties of the Doloplus-2 observational pain assessment scale and comparison to self-assessment in hospitalized elderly. Clin J Pain 23 (2007) 774-779
31. Bradford Dementia Group. Evaluating Dementia Care: The DCM Method. 7th ed. (1997), University of Bradford, Bradford, UK
32. Brooker D. Dementia Care Mapping: a review of the research literature. Gerontologist 45 (2005) 11-18
33. Fuchs-Lacelle S., and Hadjistavropoulos T. Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). Pain Manag Nurs 5 (2004) 37-49
34. Snow A.L., Weber J.B., O'Malley K.L., et al. NOPPAIN: a nursing assistant administered pain assessment instrument for use in dementia. Dement Geriatr Cognit Dis 17 (2004) 240-246
35. Warden V., Hurley A.C., and Volicer L. Development and psychometric evaluation of the pain assessment in advanced dementia (PAINAD) scale. J Am Med Dir Assoc 4 (2003) 9-15
36. Feldt K.S. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs 1 (2000) 13-21
37. Husebo B.S., Strand L.I., Moe-Nilssen R., et al. Mobilization-Observation-Behavior-Intensity-Dementia Pain Scale (MOBID): Development and validation of a nurse-administered pain assessment tool for use in dementia. J Pain Sympt Manage 34 (2007) 67-80
38. Hurley A.C., Volicer B.J., Hanrahan P.A., et al. Assessment of discomfort in advanced Alzheimer patients. Res Nurs Health 15 (1992) 369-377
39. Kovach C.R., Logan B., Noonan P.E., et al. Effects of the Serial Trial Intervention on discomfort and behavior of nursing home residents with dementia. Am J Alzheimers Dis Other Dement 21 (2006) 147-155
40. Chibnall J.T., Tait R.C., Harman B., and Luebbert R.A. Effect of acetaminophen on behavior, well-being, and psychotropic medication use in nursing home residents with moderate-to-severe dementia. J Am Geriatr Soc 53 (2005) 1921-1929
41. Douzjian M., Wilson C., Shultz M., et al. A program to use pain control medication to reduce psychotropic drug use in residents with difficult behavior. Ann Long-Term Care 6 (1998) 174-179
42. Buffum M.D., Sands L., Miaskowski C., et al. A clinical trial of the effectiveness of regularly scheduled versus as-needed administration of acetaminophen in the management of discomfort in older adults with dementia. J Am Geriatr Soc 52 (2004) 1093-1097
43. Manfredi P.L., Breuer B., Wallenstein S., et al. Opioid treatment for agitation in patients with advanced dementia. Int J Geriatr Psychiatry 18 (2003) 700-705