Treatment of chronic pain in persons with dementia: An overview

Rubey, Robert N.

doi:10.1177/153331750502000111

Cited by 14 publications

(9 citation statements)

References 57 publications

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“…These results suggest that clinicians should be especially vigilant in continuing to assess for pain in patients with advanced dementia who have chronic PVD 32 and musculoskeletal disorders, particularly in those who lack the ability to report pain symptoms. 33 Likewise, the occurrence of aspiration should not only raise concerns about direct sequelae such as pneumonia, 34 but should trigger more regular assessments for pain and discomfort.…”

Section: Discussionmentioning

confidence: 99%

Health Problems and Correlates of Pain in Nursing Home Residents With Advanced Dementia

Black¹,

Finucane²,

Baker

et al. 2006

Alzheimer Disease &Amp; Associated Disorders

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This study describes the health problems and comorbid illnesses of nursing home (NH) residents with advanced dementia (n=123) and identifies correlates of staff-identified pain. Study participants were residents of 3 NHs in Maryland, their surrogate decision makers and their physicians. Residents' cognitive function was assessed at study enrollment, and their medical records were reviewed to identify all health problems/illnesses and use of pain medications during the 6 months before their enrollment. The most prevalent health problems were skin problems (95%), nutrition/hydration problems (85%), psychiatric/behavioral problems (85%), gastrointestinal problems (81%), and infections (80%). Sixty-three percent of residents had recognized pain, and 95% of those residents received pain medications. In a multivariate regression analysis, staff-identified pain was associated with aspiration (P=0.008), peripheral vascular disease (P=0.021), musculoskeletal disorders (P=0.032), higher cognitive function (P=0.013), and use of pain medications, including non-opiates (P=0.004) and the combination of opiates and non-opiates (P=0.001). NH residents with advanced dementia experience a complex mixture of multiple chronic and acute comorbidities. These results suggest the need for clinicians in long-term care facilities to be vigilant in assessing and treating pain, particularly as cognitive function declines in those with advanced dementia.

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Section: Discussionmentioning

confidence: 99%

Health Problems and Correlates of Pain in Nursing Home Residents With Advanced Dementia

Black¹,

Finucane²,

Baker

et al. 2006

Alzheimer Disease &Amp; Associated Disorders

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“…calling out) and non-verbal (e.g. frowning and agitation) behaviors, with physical examination 6 that may focus on musculoskeletal conditions, such as arthritis and osteoporosis, respiratory and urinary tract infection, injury from falls, orofacial pain, and pressure ulcers. 7…”

Section: Introductionmentioning

confidence: 99%

Effects on pain of a stepwise multidisciplinary intervention (STA OP!) that targets pain and behavior in advanced dementia: A cluster randomized controlled trial

et al. 2017

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“…Pain is common in older people with cognitive impairment or dementia and is experienced regularly by ~50% . As higher age is a risk factor for both pain and dementia, a high prevalence of pain in people with dementia is not surprising . However, pain in older persons with dementia is likely to be underdiagnosed and undertreated .…”

Section: Introductionmentioning

confidence: 99%

“…1 As higher age is a risk factor for both pain and dementia, a high prevalence of pain in people with dementia is not surprising. [2][3][4] However, pain in older persons with dementia is likely to be underdiagnosed and undertreated. 5,6 Pain can be a source of distress and discomfort, reducing quality of life.…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of the Orofacial Pain Scale for Non‐Verbal Individuals as a screening tool for orofacial pain in people with dementia

et al. 2018

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The orofacial pain presence in this MCI and dementia population was low, resulting in low scores for average Positive Agreement and sensitivity and high scores for average Negative Agreement and specificity. Therefore, the OPS-NVI in its current form cannot be recommended as a screening tool for orofacial pain in people with MCI and dementia. However, the inter-rater reliability and criterion validity of the individual items in this study provide more insight for the further adjustment of the OPS-NVI for diagnostic use. Notably, oral health problems were frequently present, although no pain was reported or observed, indicating that oral health problems cannot be used as a new reference standard for orofacial pain, and a regular oral examination by care providers and oral hygiene care professionals remains indispensable.

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Treatment of chronic pain in persons with dementia: An overview

Abstract: The purpose of this review is to identify the common causes of nonmalignant chronic pain in people with dementia, discuss methods for determining the level of pain in patients who are nonverbal, and evaluate pharmacologic treatment for nonmalignant chronic pain.

Cited by 14 publications

References 57 publications

Health Problems and Correlates of Pain in Nursing Home Residents With Advanced Dementia

Health Problems and Correlates of Pain in Nursing Home Residents With Advanced Dementia

Effects on pain of a stepwise multidisciplinary intervention (STA OP!) that targets pain and behavior in advanced dementia: A cluster randomized controlled trial

Psychometric evaluation of the Orofacial Pain Scale for Non‐Verbal Individuals as a screening tool for orofacial pain in people with dementia

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