Abbey Pain Scale: Development and validation of the Japanese version

Takai, Yukari; Yamamoto‐Mitani, Noriko; Chiba, Yoshiaki; Nishikawa, Yuri; Hayashi, Kyozo; Sugai, Yuichi

doi:10.1111/j.1447-0594.2009.00568.x

Cited by 38 publications

(27 citation statements)

References 20 publications

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“…The current results indicate that nurses and care workers would benefit from education on performing proper and efficient pain assessment for their residents. The use of tools and scales to assess pain status and disabilities related to pain should be facilitated, including observational pain assessment scales, such as the Abbey Pain Scale (Abbey et al, 2004;Takai et al, 2010) and the Modified Resident Verbal Brief Pain Inventory (Auret et al, 2008), which also evaluates the extent to which pain interferes with daily living. The pain assessment strategies we included were from a pain management guideline developed through the amalgamation of 16 guidelines and based on evidence from previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Japanese older residents have noted that they did not always report their pain to staff; they also believed the pain to be a part of the aging process (Takai, Yamamoto-Mitani, & Ko, 2013). Furthermore, older residents often are unable to report their pain to staff due to physical disability or cognitive impairment (AGS Panel on Persistent Pain in Older Persons, 2002;Takai et al, 2010). In Japan, more than 90% of residents in aged care facilities have some form of cognitive impairment (Ministry of Health Labour and Welfare, 2009).…”

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Differences between Nurses' and Care Workers' Estimations of Pain Prevalence among Older Residents

Takai

Yamamoto‐Mitani

Kawakami

et al. 2015

Pain Management Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Differences between Nurses' and Care Workers' Estimations of Pain Prevalence among Older Residents

Takai

Yamamoto‐Mitani

Kawakami

et al. 2015

Pain Management Nursing

Self Cite

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“…Patients who were referred to the PCT on two or more occasions, and those without moderate or severe pain were beyond the scope of this study and were excluded from the study. We defined coexisting moderate or severe pain as that rated by patients at an intensity of pain was either ≥ 4 on the Numerical Rating Scale (NRS), or ≥ 8 on the Abbey Pain Scale (APS), documented by palliative care physicians [15,16]. …”

Section: Methodsmentioning

confidence: 99%

Under-diagnosis of pain by primary physicians and late referral to a palliative care team

2012

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BackgroundUnder-diagnosis of pain is a serious problem in cancer care. Accurate pain assessment by physicians may form the basis of effective care. The aim of this study is to examine the association between late referral to a Palliative Care Team (PCT) after admission and the under-diagnosis of pain by primary physicians.MethodsThis retrospective study was performed in the Teikyo University teaching-hospital for a period of 20 months. We investigated triads composed of 213 adult cancer inpatients who had coexisting moderate or severe pain at the initial PCT consultation, 77 primary physicians, and 4 palliative care physicians. The outcome of the present study was the under-diagnosis of pain by primary physicians with routinely self-completed standard format checklists. The checklists included coexisting pain documented independently by primary and palliative care physicians at the time of the initial PCT consultation. Under-diagnosis of pain was defined as existing pain diagnosed by the palliative care physicians only. Late referral to PCTs after admission was defined as a referral to the PCT at ≥20 days after admission. Because the two groups displayed significantly different regarding the distributions of the duration from admission to referral to PCTs, we used 20 days as the cut-off point for “late referral.”ResultsAccurate pain assessment was observed in 192 triads, whereas 21 triads displayed under-diagnosis of pain by primary physicians. Under-diagnosis of pain by primary physicians was associated with a longer duration between admission and initial PCT consultation, compared with accurate pain assessment (25 days versus 4 days, p < 0.0001). After adjusting for potential confounding factors, under-diagnosis of pain by the primary physicians was significantly associated with late (20 or more days) referral to a PCT (adjusted odds ratio, 2.91; 95% confidence interval, 1.27 − 6.71). Other factors significantly associated with under-diagnosis of pain were coexisting delirium and case management by physicians with < 6 years of clinical experience.ConclusionsUnder-diagnosis of pain by primary physicians was associated with late referral to PCTs. Shortening the duration from admission to referral to PCTs, and increasing physicians’ awareness of palliative care may improve pain management for cancer patients.

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“…The Pain Assessment in Advanced Dementia and the Abbey Pain Scale which evaluate patient’s facial expression, behavioral change, physiological change and so on are promising objective pain evaluation scales for cognitively impaired patients and are used clinically [11, 12]. These scales were not designed for assessment of wound pain; thus, they do not assess whether pain is caused by a wound or other pathology.…”

Section: Introductionmentioning

confidence: 99%

Can Wound Exudate from Venous Leg Ulcers Measure Wound Pain Status?: A Pilot Study

et al. 2016

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We investigated the associations between the self-evaluated pain status and two pain biomarker candidates, nerve growth factor and S100A8/A9, in exudate from venous leg ulcer to finally develop an objective pain evaluation method. Patients with venous leg ulcer participated in this cross-sectional observational study conducted between April and October 2014 at two medical facilities. During routine wound care, each participant self-evaluated their pain status at each examination using the 10-point numerical rating scale (present pain intensity) and the short-form McGill Pain Questionnaire 2 (continuous pain, intermittent pain, neuropathic pain, affective descriptors, and total score). Venous leg ulcer exudate sample was collected after wound cleansing. The nerve growth factor and S100A8/A9 concentrations in the venous leg ulcer exudate were measured by enzyme-linked immunosorbent assay and standardized according to the wound area. The association between each pain status and the two standardized protein concentrations was evaluated using Spearman’s correlation coefficient. In 30 sample collected from 13 participants, the standardized nerve growth factor concentration was negatively correlated with continuous pain (ρ = -0.47, P = 0.01), intermittent pain (ρ = -0.48, P = 0.01), neuropathic pain (ρ = -0.51, P = 0.01), and total score (ρ = -0.46, P = 0.01). The standardized S100A8/A9 concentration was positively correlated with present pain intensity (ρ = 0.46, P = 0.03) and continuous pain (ρ = 0.48, P = 0.03). Thus, these two proteins may be useful for objective evaluation of wound pain in venous leg ulcer patients.

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Abbey Pain Scale: Development and validation of the Japanese version

Abstract: Findings show some evidence for the reliability and validity of APS-J.

Cited by 38 publications

References 20 publications

Differences between Nurses' and Care Workers' Estimations of Pain Prevalence among Older Residents

Differences between Nurses' and Care Workers' Estimations of Pain Prevalence among Older Residents

Under-diagnosis of pain by primary physicians and late referral to a palliative care team

Can Wound Exudate from Venous Leg Ulcers Measure Wound Pain Status?: A Pilot Study

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