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Article
Assessment of pain in older adults with severe cognitive impairment
Annals of Long Term Care
  • Keela Herr
  • S. Decker
Document Type
Article
Peer Reviewed
1
Publication Date
4-1-2004
NLM Title Abbreviation
Ann Long Term Care
Abstract

Pain is inadequately recognized and treated in older adults with severe cognitive impairment. Barriers to assessment include the inability of patients to communicate their pain experience and the misconception that pain is less severe in those with cognitive impairment. Although continued research is needed to evolve the evidence for best practice, current guidelines and research can provide recommendations to improve assessment practices, such as use of surrogate reporters, direct observation of potential pain indicators, monitoring for changes in baseline activity patterns, and ruling pain out as a potential cause of behaviors.

Keywords
  • Cognition Disorders -- In Old Age,
  • Geriatric Assessment,
  • Pain -- Diagnosis -- In Old Age,
  • Aged,
  • Communication Barriers,
  • Pain Measurement,
  • Pain -- Etiology,
  • Pain -- Symptoms
Published Article/Book Citation
Annals of Long Term Care, 12:4 (2004) pp.46-52.
Disciplines
Citation Information
Keela Herr and S. Decker. "Assessment of pain in older adults with severe cognitive impairment" Annals of Long Term Care Vol. 12 Iss. 4 (2004) p. 46 - 52 ISSN: 1524-7929
Available at: http://works.bepress.com/keela_herr/12/