Using Complementary and Alternative Medicine to Treat Pain and Agitation in Dementia

Anderson, Alison R.; Deng, Jie; Anthony, Robert S.; Atalla, Sebastian; Monroe, Todd B.

doi:10.1016/j.cnc.2017.08.010

Cited by 25 publications

(11 citation statements)

References 47 publications

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“…In their overview on the potentially beneficial effects of touch for patients treated in an intensive care unit, Harris et al suggest that interpersonal touch is most effective when provided by a relative in a lightly moving way (in contrast to static touch) and that dimmed light might increase the calming effects. These conclusions are in line with research that light massage and touch can improve psychobiological stress levels and decrease pain in older patients with dementia ( 150 ) and patients with pain due to cancer ( 151 ). A touch therapy program in autistic children has been suggested to improve parent–child communication ( 152 ).…”

Section: Conclusion and Clinical Implicationssupporting

confidence: 88%

Calming Effects of Touch in Human, Animal, and Robotic Interaction—Scientific State-of-the-Art and Technical Advances

et al. 2020

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Small everyday gestures such as a tap on the shoulder can affect the way humans feel and act. Touch can have a calming effect and alter the way stress is handled, thereby promoting mental and physical health. Due to current technical advances and the growing role of intelligent robots in households and healthcare, recent research also addressed the potential of robotic touch for stress reduction. In addition, touch by non-human agents such as animals or inanimate objects may have a calming effect. This conceptual article will review a selection of the most relevant studies reporting the physiological, hormonal, neural, and subjective effects of touch on stress, arousal, and negative affect. Robotic systems capable of non-social touch will be assessed together with control strategies and sensor technologies. Parallels and differences of human-to-human touch and human-to-non-human touch will be discussed. We propose that, under appropriate conditions, touch can act as (social) signal for safety, even when the interaction partner is an animal or a machine. We will also outline potential directions for future research and clinical relevance. Thereby, this review can provide a foundation for further investigations into the beneficial contribution of touch by different agents to regulate negative affect and arousal in humans.

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Section: Conclusion and Clinical Implicationssupporting

confidence: 88%

Calming Effects of Touch in Human, Animal, and Robotic Interaction—Scientific State-of-the-Art and Technical Advances

et al. 2020

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“…from this meta-analysis concur with a recent review involving seven quantitative studies using complementary and alternative medicine (CAM) for residents with dementia living in LTC(Anderson et al, 2017). While results from three of the included studies indicated a reduction in pain in people with dementia, it is important to note that only CAM therapies assessed in RCTs were included and the risk of bias and quality of the evidence was unclear.…”

supporting

confidence: 72%

“…However, a systematic review of randomized controlled trials (RCTs) can give more reliable conclusions and avoid possible confounding factors. In addition, previous reviews have only focused on older adults from a specific setting, such as community (Park & Hughes, 2012) or nursing homes (Anderson, Deng, Anthony, Atalla, & Monroe, 2017;Knopp-Sihota et al, 2016;Tederko et al, 2014), which also limits the generalization of the results to a larger population.…”

mentioning

confidence: 99%

Psychosocial interventions for pain management in older adults with dementia: A systematic review of randomized controlled trials

Moyle

Jones

et al. 2019

Journal of Advanced Nursing

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Aim To assess the effectiveness of psychosocial interventions on pain in older adults living with dementia. Design A systematic review with meta‐analysis of randomized controlled trials. Data sources Scopus, ProQuest, EBSCO (CINAHL and MEDLINE), PubMed, OVID (PsycINFO), Web of Science, and Cochrane Library were searched from their inception up to 2 May 2018. Review Methods Risk of bias assessment and meta‐analysis were conducted according to the Cochrane methods using RevMan 5.3 and findings were generated using the GRADE profiler software. Results Eight studies met the inclusion criteria, but the quality of the current evidence was low to moderate. Results showed that psychosocial interventions significantly reduced the observational pain score and pain medication. Subgroup analyses indicated that sensory stimulation and individual interventions showed a reduction in observational pain in people with dementia. Conclusion Findings suggest that psychosocial interventions may be potentially effective alternatives for pain management in people with dementia. However, caution is needed in interpreting these results due to limited studies, risk of bias and heterogeneity across studies. Furthermore, well‐designed research is needed on psychosocial interventions to strengthen quality of pain management in people with dementia. Impact This review synthesized current evidence using psychosocial interventions to manage pain in people with dementia. Findings suggest that psychosocial interventions may lead to a potential reduction in pain and pain medication in people with dementia. Healthcare providers may wish to integrate psychosocial interventions as part of the multimodal approach to the management of pain in people living with dementia.

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“…Another study found evidence for the effectiveness of massage and human interaction, but not for aromatherapy. 59 Also, a relatively small study found significant effects on pain of the PARO robot seal in a population with dementia. 60 …”

Section: Non-pharmacological Treatmentsmentioning

confidence: 99%

Are Chronic Pain Patients with Dementia Being Undermedicated?

Achterberg¹,

Erdal²,

Husebø³

et al. 2021

JPR

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In dementia, neuropathological changes alter the perception and expression of pain. For clinicians and family members, this knowledge gap leads to difficulties in recognizing and assessing chronic pain, which may consequently result in persons with dementia receiving lower levels of pain medication compared to those without cognitive impairment. Although this situation seems to have improved in recent years, considerable geographical variation persists. Over the last decade, opioid use has received global attention as a result of overuse and the risk of addiction, while the literature on older persons with dementia actually suggests undertreatment. This review stresses the importance of reliable assessment and the regular evaluation and monitoring of symptoms in persons with dementia. Based on current evidence, we concluded that chronic pain is still undertreated in dementia.

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Using Complementary and Alternative Medicine to Treat Pain and Agitation in Dementia

Cited by 25 publications

References 47 publications

Calming Effects of Touch in Human, Animal, and Robotic Interaction—Scientific State-of-the-Art and Technical Advances

Calming Effects of Touch in Human, Animal, and Robotic Interaction—Scientific State-of-the-Art and Technical Advances

Psychosocial interventions for pain management in older adults with dementia: A systematic review of randomized controlled trials

Are Chronic Pain Patients with Dementia Being Undermedicated?

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