Pain Assessment in Hospitalized Older Adults With Dementia and Delirium

被引：26

作者：

Paulson, Christina May ^{[1
]}

Monroe, Todd ^{[2
]}

Mion, Lorraine C. ^{[2
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Nashville, TN 37232 USA

[2] Vanderbilt Univ, Sch Nursing, Nashville, TN 37232 USA

来源：

JOURNAL OF GERONTOLOGICAL NURSING | 2014年 / 40卷 / 06期

关键词：

CARE; SUPPORT; IMPACT; SCALE;

D O I：

10.3928/00989134-20140428-02

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Pain can have negative effects leading to prolonged hospital stays. Determining the presence of uncontrolled and untreated pain in patients with cognitive impairments such as delirium, dementia, and delirium superimposed on dementia (DSD) is challenging. One tool commonly suggested for use in assessment of pain in older adults with cognitive impairment is the Pain Assessment In Advanced Dementia (PAINAD) scale. Proper use of the PAINAD scale as part of a comprehensive pain management plan can help reduce the likelihood of a patient experiencing unrecognized and untreated pain. Using an individual example, this article illustrates best practices in pain assessment and management for a woman experiencing DSD during an acute hospitalization.

引用

页码：10 / 15

页数：6

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