Assessment of pain in older adults with severe cognitive impairment
NLM Title Abbreviation
Ann Long Term Care
Annals of Long Term Care
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.
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.