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Pain Assessment in Nonverbal Older Adults with Dementia / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care ; : 145-154, 2013.
Artículo en Coreano | WPRIM | ID: wpr-30363
ABSTRACT
This study was performed to evaluate the existing pain assessment methods including the tools developed for use with nonverbal older adults with dementia, and to suggest recommendations to clinicians based on the evaluations. Computerized literature searches published after year 2000 using databases - Google scholar, RISS, KoreaMed, Medline, ScienceDirect, CINAHL - were done. Searching keywords were 'pain', 'pain assessment', and 'cognitive impairment/dementia'. The pain assessments for non-communicative dementia patients who are unable to self-report their pains are often made using the assessment tools relying on the observation of behavioral indicators or alternatively the strategy of surrogate reporting. While several tools in English version and only one in Korean are suggested for the pain assessments based on the observation of behavioral indicators, none are commonly used. In this review, we selectively evaluated those tools known to show relatively higher degree of validity and reliability for nonverbal older adults with dementia, namely, CNPI, DOLOPLUS 2, PACSLAC, PAINAD, and DS-DAT. It is hoped that the present review of selected tools for assessing pain in those vulnerable population and the general recommendations given be useful for clinicians in their palliative care practice. And future studies should focus on enriching the validation of the useful tools used to observe the nonverbal patient's behavioral indicators for pain in Korean.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cuidados Paliativos / Dimensión del Dolor / Demencia / Poblaciones Vulnerables Tipo de estudio: Guía de Práctica Clínica Límite: Adulto / Humanos Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cuidados Paliativos / Dimensión del Dolor / Demencia / Poblaciones Vulnerables Tipo de estudio: Guía de Práctica Clínica Límite: Adulto / Humanos Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Año: 2013 Tipo del documento: Artículo