Pain assessment in older people with dementia: literature review
Essay on Literature Review of Pain Management in Dementia. - Words
Pain in people with dementia is often undertreated. Pain in people with dementia is increasingly recognised as both under-assessed and undertreated. This review discusses the main barriers to effective assessment and management of pain in this population, strategies to overcome these barriers, and the implications of such strategies for practitioners and researchers. There appear to be gaps in nursing knowledge and inaccurate beliefs about pain in dementia, and further education may address these. More research is necessary to explore barriers and develop further evidence-based strategies to tackle them. Nurses need to be aware of these barriers and become active in overcoming them.
Literature Review of Pain Management in Dementia. Paper
Background: Pain perception is highly subjective, and effective pain management can be challenging in the elderly. We aimed to identify a set of practical measures that could be used to assess pain in elderly patients with or without cognitive impairment, as the first step towards effectively managing their pain. Two reviewers independently assessed titles, abstracts and full-text articles, and a third reviewer resolved any disagreements. Results: A total of 11 abstracts and full-text articles were assessed. Forty-one studies met the inclusion criteria.
Dementia may alter the experience of pain and the ability to communicate it; this will, in turn, result in poor pain detection and inadequate treatment. The aim of this literature review is to identify the observational pain scales that have clinical utility and feasibility for use with people living with dementia in the community by district nurses in their daily practice. It was found that a consensus could not be reached on which tool to use in clinical practice.