Adaptación y validación de la versión española de la escala de evaluación de dolor en personas con demencia avanzada: PAINAD-Sp

García-Soler, Álvaro; Sánchez-Iglesias, Iván; Buiza, Cristina; Álaba, Javier; Navarro, Ana; Arriola, Enrique; Zulaica, Amaia; Vaca, Raúl; Hernández, Carmen

doi:10.1016/j.regg.2013.02.001

Cited by 23 publications

(9 citation statements)

References 19 publications

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“…The Abbey scale was only used in Spain (Chamorro and Puche, 2013), while the PACSLAC and McGill scales were used only in Brazil (De Souza Rolim et al, 2014a, 2014b; Bezerra Thé et al, 2016). Some validation studies used an analogous scale, fulfilling the function of the silver standard for pain assessment; as there is no gold standard for pain diagnosis in persons who lack the ability to communicate their pain, such as in cases of dementia (De Souza Rolim et al, 2014b; García-Soler et al, 2014; Santos and Castanho, 2014; Bezerra Thé et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Coca

Zúñiga

2020

Pall Supp Care

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Objective Pain treatment is an essential component of care for elderly patients with advanced dementia. The objective of this study was to identify and analyze the different scales used for pain assessment in elderly persons diagnosed with dementia, in the literature available at the Latin American level. Method A systematic review was performed on the existing scales for pain assessment in elderly people diagnosed with Alzheimer's disease, vascular dementia, and dementia with Lewy bodies. Results 226 articles were retrieved from the PUBMED, BIREME, and Scielo databases, of which a total of 10 articles entered the systematic review. The instruments identified in these publications were PAINAD, Abbey, McGill, and PACSLAC, while the Colored Pain Scale, Faces Pain Scale, and VAS scales were used as the silver standard. In Spanish, the Abbey scale, and in Portuguese, the PACSLAC scale showed the best reliability and validity coefficients. Significance of results It is concluded that there are only two appropriate scales for the assessment of pain in people with dementia in the region of interest of this study. It is recommended to generate more evidence for a more accurate assessment of pain in people with dementia.

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Section: Resultsmentioning

confidence: 99%

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Coca

Zúñiga

2020

Pall Supp Care

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“…En la figura 1 se presenta la adaptación y validación de la versión española de la escala de evaluación de dolor en demencia avanzada, PAINAD 16 .…”

Section: Aspectos Clínicosunclassified

Atención primaria y residencias de ancianos: a propósito de la COVID-19

Blanco-Tarrio¹,

Sánchez

2020

Medicina de Familia. SEMERGEN

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Resumen Las residencias de ancianos han sido especialmente golpeadas durante la crisis por la actual pandemia por COVID-19. En el momento de redactar este artículo son más de 17.500 los ancianos que fallecieron por coronavirus y que vivían en residencias, más de un 66% de las defunciones. Las tasas de contagio y letalidad en la población institucionalizada son altas por la avanzada edad y deficitario sistema inmune, la presencia de comorbilidades, porque se trata de personas frágiles, porque conviven con otros residentes y cuidadores en una institución cerrada y la transmisibilidad es fácil en un contexto de alta contagiosidad y virulencia del virus. Las personas de edad avanzada presentan con mayor frecuencia las formas más graves de la enfermedad. Las presentaciones atípicas son más frecuentes en ancianos y pueden retrasar el diagnóstico. La prueba de reacción en cadena de la polimerasa (PCR) en los primeros 7 días para la detección de RNA viral del SARS-CoV-2 se considera el gold standard. Los criterios de derivación a un centro hospitalario desde los centros residenciales deberían tener en cuenta una valoración de la comorbilidad, la gravedad, la presencia de deterioro cognitivo grave y la dependencia o la necesidad de soporte ventilatorio en pacientes graves. Los centros sociosanitarios deben disponer de planes de contingencia para ofrecer una respuesta ante la aparición de casos de COVID-19. El aislamiento durante las pandemias puede tener importantes consecuencias físicas y psicosociales en los residentes. Se hace necesario reflexionar y reivindicar un nuevo modelo residencial desde un enfoque de atención centrada en la persona que procure la integración de los servicios sanitarios y sociales.

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“…Multidisciplinary groups are currently working on the intervention at each hospital, following the BoC methodology. Table 3 Intervention activities Basic Care PAINAD scale (pain assessment) [38,39], Braden scale (pressure ulcer assessment) [45], skin integrity assessment, nutrition assessment [31], favoring night sleep (lights, noise, temperature…), minimizing physical restraints with verbal containments, negotiating and using TOP5 tool [46]; a strategy to enhance communication and enhancing patient-centered care.…”

Section: Study Progressmentioning

confidence: 99%

“…Measurements performed in PwD include use of mechanical restraints, pain management, number of falls, comorbidity (Charlson Index) [ 28 , 29 ], nutritional assessment (MNA) [ 30 , 31 ], pressure ulcers, psychotropic medication administration, functional capacity (Barthel) [ 32 , 33 ], length of stay and readmissions, behavior (NPI) [ 34 , 35 ], activities of daily living (Katz) [ 36 , 37 ], and pain assessment for PwD (PAINAD) [ 38 , 39 ].…”

Section: Measurementsmentioning

confidence: 99%

Care of older people with Cognitive Impairment or Dementia Hospitalized in Traumatology Units (CARExDEM): a quasi-experiment

et al. 2020

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Background: In our context, as in other European countries, care of patients with cognitive disorders or dementia still represents a major challenge in hospital settings. Thus, there is a need to ensure quality and continuity of care, avoiding preventable readmissions, which involve an increase in public expenses. Healthcare professionals need to acquire the necessary knowledge and skills to care for hospitalized patients with cognitive disorders and dementia. Methods: A quasi-experimental design with repeated observations, taken at baseline, post-intervention, and at one and three months post-intervention, in people hospitalized with cognitive disorders or dementia. The study will be carried out in four general hospitals in Spain and will include 430 PwD and their caregivers. The intervention was previously developed using the Balance of Care methodology where nurses, physicians, social workers and informal caregivers identified the best practices for this specific care situation. We aim to personalize the intervention, as recommended in the literature. The study has an innovative approach that includes new technologies and previous scientific evidence. Valid, reliable instruments will be used to measure the intervention outcomes. Quality of care and comorbidity will be analyzed based on the use of restraints and psychotropic medication, pain control, falls, functional capacity and days of hospitalization. Continuity of care will be measured based on post-discharge emergency hospital visits, visits to specialists, cost, and inter-sectorial communication among healthcare professionals and informal caregivers. Statistical analysis will be performed to analyze the effect of the intervention on quality of care, comorbidity and continuity of care for patients with dementia. Discussion: Our aim is to helping healthcare professionals to improve the management of cognitive disorders or dementia care during hospitalization and the quality of care, comorbidity and continuity of care in patients with dementia and their informal caregivers. Moving towards dementia-friendly environments is vital to achieving the optimum care outcomes.

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Adaptación y validación de la versión española de la escala de evaluación de dolor en personas con demencia avanzada: PAINAD-Sp

Cited by 23 publications

References 19 publications

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Atención primaria y residencias de ancianos: a propósito de la COVID-19

Care of older people with Cognitive Impairment or Dementia Hospitalized in Traumatology Units (CARExDEM): a quasi-experiment

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