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Article
Pain assessment in nonverbal older adults with advanced dementia
Perspectives in psychiatric care
  • Marianne Smith, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
7-1-2005
NLM Title Abbreviation
Perspect Psychiatr Care
PubMed ID
16138819
DOI of Published Version
10.1111/j.1744-6163.2005.00021.x
Abstract
TOPIC: Pain assessment is a particular challenge among individuals with advanced dementia who lack the ability to formulate and express their experience of discomfort. PURPOSE: Awareness of pain scales and methods specifically designed for use with nonverbal individuals with dementia is critical to expanded use and testing in clinical settings. SOURCES: Computerized literature searches using four databases revealed the five observational scales and two caregiver reports methods reviewed. CONCLUSIONS: A small number of valid, reliable, and sensitive scales are available for use by nurses and allied health personnel. Each has strengths and limitations and all would benefit from additional testing.
Keywords
  • Activities of Daily Living,
  • Aged,
  • Communication Disorders/complications/nursing,
  • Dementia/complications,
  • Facial Expression,
  • Geriatric Assessment/methods,
  • Humans,
  • Kinesics,
  • Nonverbal Communication,
  • Nursing Assessment/methods,
  • Observer Variation,
  • Pain/complications/diagnosis,
  • Pain Measurement/methods/nursing/standards,
  • Proxy,
  • Psychometrics,
  • Questionnaires,
  • Reproducibility of Results,
  • Respiration,
  • Sensitivity and Specificity,
  • Severity of Illness Index,
  • Verbal Behavior
Published Article/Book Citation
Perspectives in psychiatric care, 41:3 (2005) pp.99-113. DOI:10.1111/j.1744-6163.2005.00021.x.
Disciplines
Citation Information
Marianne Smith. "Pain assessment in nonverbal older adults with advanced dementia" Perspectives in psychiatric care Vol. 41 Iss. 3 (2005) p. 99 - 113 ISSN: 0031-5990
Available at: http://works.bepress.com/marianne_smith/36/