Pain – undervalued problem in care of patients with dementia

Czech version

Authors: I. Holmerová ¹; H. Vaňková ¹; M. Baumanová ¹; B. Jurašková ²
Authors‘ workplace: GERONTOLOGICKÉ CENTRUM, PRAHA ¹; Subkatedra geriatrie, katedra interních oborů Lékařská fakulta Hradec Králové ²
Published in: Čes Ger Rev 2009; 7(1): 31-35

Overview

Dementia is a frequent condition in the old age. Pain is not properly diagnosed in persons with dementia. This causes unnecessary worsening of the quality of life of these people. It is possible to assess pain of persons with dementia by different scales. Some of them are briefly described in this paper. PAINAD scale is enclosed in full version.

Keywords:
dementia – Alzheimer’s disease – pain – pain scale

Sources

1. Ferri CP, Prince M, Brayne C et al. Global prevalence of dementia: a Delphi consensus study. Lancet 2005; 366 (9503): 2112– 2117.

2. Holmerová I, Vaňková H, Dragomirecká E et al. Depresivní syndrom u sen orů, významný a dosud nedoceněný problém. Psychiat pro Praxi 2006; 4: 182– 184.

3. Amouyel P. Prezentace na workshopu k výzkumu, konference Francouzského předsednictví EU: Maladie Alzheimer, BNFM Paris, 31. říjen 2008.

4. Kubešová H, Weber P, Meluzínová H. Specifické rysy diagnostiky a léčby bolesti v geriatrii. Bolest 2008; 1 (3): 16– 22.

5. 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. Annals of Long‑Term Care 1998; 6: 174– 179.

6. Wary B, collectif Doloplus. Doloplus-2, une échelle pour évaluer la douleur. Soins Gérontologie 1999; 19: 25– 27.

7. Holen JC, Saltvedt I, Fayers PM et al. The Norwegian Doloplus‑2, a tool for behavioural pain assessment: translation and pilot validation in nursing home patients with cognitive impairment. Palliat Med 2005; 19 (5): 411– 417.

8. Morello R, Jean A, Alix M. Groupe Regates. L’ÉCPA: une échelle comportementale de la douleur pour personnes âgées non communicantes. InfoKara 1998; 51: 22– 29.

9. Fuchs- Lacelle S, Hadjistavropoulos T. Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). Pain Management Nursing 2004; 5: 37– 49.

10. Zwakhalen SM, Hamers JP, Berger MP. The psychometric quality and clinical usefulness of three pain assessment tools for elderly people with demetia. Pain 2006; 126 (1– 3): 210– 220.

11. Husebo BS. Assessment of Pain in Patient with Dementia. Dissertation for the degree of PhD. Norway: University of Bergen 2008.

12. Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. Journal of the American Medical Directors Association 2003; 4 (1): 9– 15.

13. Volicer L, Kršiak M. Rozpoznání a měření bolesti u pacientů s pokročilou demencí. Bolest 2006; 1: 8– 13.