Assessing the pain of people with cognitive impairment

Validating nurses’ and nursing assistants’ report of assessing pain in older people with dementia

“…Another possibility, as mentioned above, is that NAs in this study had shorter work experience on average than RNs and were not as familiar with the residents as the RNs. Cook et al. (1999) indicated many people with cognitive impairment can report present pain using a dichotomous response, but they found it hard to report other pain characteristics, which is similar to the finding in this study.…”

Validating nurses’ and nursing assistants’ report of assessing pain in older people with dementia

“…Another possibility, as mentioned above, is that NAs in this study had shorter work experience on average than RNs and were not as familiar with the residents as the RNs. Cook et al. (1999) indicated many people with cognitive impairment can report present pain using a dichotomous response, but they found it hard to report other pain characteristics, which is similar to the finding in this study.…”

Pain in Older Subacute Care Patients: Associations with Clinical Status and Treatment

“…Like other studies of pain assessment [17‐21], the results of this research show underestimation of patient pain by nurses, both for patients who were cognitively impaired and for those who were not. Thus, staff underestimated pain even for patients whose pain reports have been shown to be highly reliable [29].…”

“…The second was to examine relationships between those ratings of pain intensity and several measures of clinical status (e.g., depression, functional independence, behavioral signs of discomfort) and treatment (medication usage, length of stay). Consistent with previous research [17‐21], we expected nurse ratings to be lower than patient ratings of pain. Also consistent with previous research [23,24], we expected to find nurse ratings to correlate more highly with treatment than patient ratings.…”

Pain Experience and Expression in Patients with Dementia

“…Herr et al (2006;Horgas et al, 2009) made a review of the fourteen scales and stated that these tools were still in an early stage of development, and required more precise psychometric elaboration before they would be able to be recommended to wider clinical employment. Similar conclusions are made by Cook et al (1999). Most of the pain assessment tools originated on the basis of work with patients with tumour diseases, who were cognitively intact and could report their feelings and sensations (Morrison et al, 1998).…”

Validating nurses’ and nursing assistants’ report of assessing pain in older people with dementia

“…Another possibility, as mentioned above, is that NAs in this study had shorter work experience on average than RNs and were not as familiar with the residents as the RNs. Cook et al. (1999) indicated many people with cognitive impairment can report present pain using a dichotomous response, but they found it hard to report other pain characteristics, which is similar to the finding in this study.…”

Pain in Older Subacute Care Patients: Associations with Clinical Status and Treatment

“…Like other studies of pain assessment [17‐21], the results of this research show underestimation of patient pain by nurses, both for patients who were cognitively impaired and for those who were not. Thus, staff underestimated pain even for patients whose pain reports have been shown to be highly reliable [29].…”

“…The second was to examine relationships between those ratings of pain intensity and several measures of clinical status (e.g., depression, functional independence, behavioral signs of discomfort) and treatment (medication usage, length of stay). Consistent with previous research [17‐21], we expected nurse ratings to be lower than patient ratings of pain. Also consistent with previous research [23,24], we expected to find nurse ratings to correlate more highly with treatment than patient ratings.…”

Pain Experience and Expression in Patients with Dementia

“…Herr et al (2006;Horgas et al, 2009) made a review of the fourteen scales and stated that these tools were still in an early stage of development, and required more precise psychometric elaboration before they would be able to be recommended to wider clinical employment. Similar conclusions are made by Cook et al (1999). Most of the pain assessment tools originated on the basis of work with patients with tumour diseases, who were cognitively intact and could report their feelings and sensations (Morrison et al, 1998).…”

Validating nurses’ and nursing assistants’ report of assessing pain in older people with dementia

“…Another possibility, as mentioned above, is that NAs in this study had shorter work experience on average than RNs and were not as familiar with the residents as the RNs. Cook et al. (1999) indicated many people with cognitive impairment can report present pain using a dichotomous response, but they found it hard to report other pain characteristics, which is similar to the finding in this study.…”

Pain in Older Subacute Care Patients: Associations with Clinical Status and Treatment

“…Like other studies of pain assessment [17‐21], the results of this research show underestimation of patient pain by nurses, both for patients who were cognitively impaired and for those who were not. Thus, staff underestimated pain even for patients whose pain reports have been shown to be highly reliable [29].…”

“…The second was to examine relationships between those ratings of pain intensity and several measures of clinical status (e.g., depression, functional independence, behavioral signs of discomfort) and treatment (medication usage, length of stay). Consistent with previous research [17‐21], we expected nurse ratings to be lower than patient ratings of pain. Also consistent with previous research [23,24], we expected to find nurse ratings to correlate more highly with treatment than patient ratings.…”

Pain Experience and Expression in Patients with Dementia

“…Herr et al (2006;Horgas et al, 2009) made a review of the fourteen scales and stated that these tools were still in an early stage of development, and required more precise psychometric elaboration before they would be able to be recommended to wider clinical employment. Similar conclusions are made by Cook et al (1999). Most of the pain assessment tools originated on the basis of work with patients with tumour diseases, who were cognitively intact and could report their feelings and sensations (Morrison et al, 1998).…”