Assessment instruments used for the self-report of pain by hospitalized stroke patients with communication problems: a scoping review protocol

Mandysová, Petra; Klugar, Miloslav; Vries, Neeltje J Carolien de; Matějková, Iryna

doi:10.11124/jbisrir-d-19-00278

Cited by 2 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This scoping review was performed in accordance with the JBI methodology for scoping reviews 15 and in accordance with an a priori published protocol, 16 although two deviations from the protocol should be noted. Articles written in any language were considered although the scoping review protocol indicated that only articles written in English would be included.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

Mandysová

Klugarová

Matějková

et al. 2021

JBI Evidence Synthesis

Self Cite

View full text Add to dashboard Cite

Objective:The objective of this scoping review was to identify assessment instruments used for the self-report of pain by hospitalized patients who have had a stroke and who have communication problems.Introduction:Pain assessment in various patient groups has received considerable attention, and a variety of pain assessment instruments exists. Nevertheless, there is a lack of consensus regarding which pain assessment instruments are used for self-report of pain in stroke patients with communication problems.Inclusion criteria:This review included articles that focused on hospitalized adults who have had a stroke, have communication problems attributable to a stroke, and describe the use of an assessment instrument for the self-report of pain. The scoping review considered systematic reviews, quantitative and qualitative studies, and mixed method studies.Methods:Ten databases were searched from inception to August 2020, using Embase as the key information source (it yielded 424 papers). Hand-searching of the references of the included articles yielded an additional 12 papers. Papers written in any language were considered. A data extraction table was created to record relevant information in line with the goals and results of each article, the sample studied, and the pain assessment instrument used.Results:Ten papers were included in the review, most of which were descriptive studies. Most papers were from the United Kingdom and the United States. The most common communication problem in stroke patients was aphasia. The participants received care in various hospital settings (eg, rehabilitation units, comprehensive stroke units, palliative care). Eleven assessment instruments were identified. In most cases, the assessment instruments focused on assessing pain presence and pain intensity. The most frequently used unidimensional pain intensity instrument was the numerical rating scale. Four instruments were multidimensional, of which two assessed health-related quality of life, including pain. The most thorough pain assessment instrument was the ShoulderQ, which contains 10 verbal questions and three visual vertical graphic rating scales that focus on the assessment of stroke-related shoulder pain.Conclusions:A range of both unidimensional and multidimensional self-report pain instruments was identified; however, of all the possible communication problems, most studies focused solely on patients with mild to moderate aphasia. Therefore, further research is recommended, including studies that also enroll patients with various stroke-related communication problems other than aphasia. In addition, the instruments should be translated for research in non-Western countries. Finally, apart from descriptive studies, experimental research with a robust randomized controlled trial design is needed to examine the effect of pain-inducing procedures on the perceived pain in patients with stroke-related communication problems.

show abstract

Section: Methodsmentioning

confidence: 99%

“…Data were extracted from the papers included in the scoping review by two independent reviewers (PM and JK) using a draft data extraction table developed by the reviewers 16 . The data extraction table was trialed by the team to ensure that all relevant results were extracted.…”

Section: Methodsmentioning

confidence: 99%

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

Mandysová

Klugarová

Matějková

et al. 2021

JBI Evidence Synthesis

Self Cite

View full text Add to dashboard Cite

show abstract

Pain in non-communicative older adults beyond dementia: a narrative review

Tagliafico,

Maizza,

Ottaviani

et al. 2024

Front. Med.

View full text Add to dashboard Cite

Aging is associated with an increased risk of developing pain, especially in the presence of concurrent chronic clinical conditions. Similarly, multimorbidity can affect the perception and ability of older adults to appropriately respond to and communicate pain, and there is a clinical heterogeneity in the processing of painful sensations in different neurological conditions. The present narrative review is aimed at assessing the prevalent diseases associated with poor communication and pain in older adults, together with the available diagnostic instruments for the clinical assessment of pain in such a vulnerable population. Dementia was the most described pathology identified in the current literature associated with poor communication in older adults affected by pain, along with Parkinson’s disease and stroke. Notably, a common pattern of pain behaviors in these neurological disorders also emerged, indicating potential similarities in the clinical presentation and appropriate diagnostic workout. At the same time, there are many differences in the way patients express their pain according to their main neurological pathology. In addition to this, although a plethora of observation-based tools for pain in patients with dementia have been developed, there is no gold standard, and the clinical utility of such measurements is still largely unaddressed. Meanwhile, there is substantially no standardized observation-based tool for pain in non-communicative patients with Parkinson’s disease, and only a few for stroke. Overall, the present narrative review provides an update on the prevalent diseases beyond dementia associated with a communicative disability and a painful condition in older adults.

show abstract

Assessment instruments used for the self-report of pain by hospitalized stroke patients with communication problems: a scoping review protocol

Cited by 2 publications

References 20 publications

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

Pain in non-communicative older adults beyond dementia: a narrative review

Contact Info

Product

Resources

About