Pain, Ageing and Dementia: The Crisis is Looming, but are We Ready?

@article{Brown2009PainAA,
  title={Pain, Ageing and Dementia: The Crisis is Looming, but are We Ready?},
  author={Cary A. Brown},
  journal={The British Journal of Occupational Therapy},
  year={2009},
  volume={72},
  pages={371 - 375}
}
  • Cary A. Brown
  • Published 2009
  • Medicine
  • The British Journal of Occupational Therapy
Pain in older people, and particularly for those people with dementia, is an underrecognised and undertreated problem of growing magnitude. Occupational therapists, although well positioned with a range of skills and resources to help older people with pain and their caregivers, must first become educated about the issues of pain assessment and management for this unique population. Despite the fact that pain is a pervasive symptom of many occupational therapy clients, the occupational therapy… Expand
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References

SHOWING 1-10 OF 30 REFERENCES
Tools for assessment of pain in nonverbal older adults with dementia: a state-of-the-science review.
TLDR
To improve assessment and management of pain in nonverbal older adults with dementia, an effective means of recognizing and evaluating pain in this vulnerable population is needed and existing tools are still in the early stages of development and testing. Expand
Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools
TLDR
PACSLAC and DOLOPLUS2 are the most appropriate scales currently available for pain assessment in elderly people with severe dementia, based on the psychometric qualities and criteria regarding sensitivity and clinical utility. Expand
Pain in persons with dementia: complex, common, and challenging.
TLDR
An 82-year-old woman with moderate Alzheimer's dementia presents to clinic with worsening agitation, aggression, and social withrawal for the past 2 weeks, and her dose of her antipsychotic drug, quetiapine, was inreased. Expand
Pain in communication impaired residents with dementia: Analysis of Resident Assessment Instrument (RAI) data
TLDR
The RAI is useful to identify patterns but insufficient in itself for pain management purposes in this vulnerable group of residents with dementia, and tools developed for this population must be employed. Expand
Assessment of Pain in Cognitively Impaired Older Adults: A Comparison of Pain Assessment Tools and Their Use by Nonprofessional Caregivers
TLDR
To compare self‐reporting of pain by cognitively impaired older adults living in the community with reports of their caregivers and to identify those pain assessment tools that are most useful to nonprofessional caregivers. Expand
Opioid treatment for agitation in patients with advanced dementia
TLDR
It is hypothesized that unrecognized pain could contribute to agitation and that low dose opioid therapy might reduce agitation by reducing pain and the effect of opioids on agitation in demented patients is attempted. Expand
Pain and cognitive status among nursing home residents in Canada.
TLDR
The findings suggest that the prevalence of identified pain is lower among nursing home residents with higher levels of cognitive impairment, and the MDS may be a useful instrument for detecting pain in such populations, because it does not rely exclusively on self-report. Expand
Teaching Student Occupational Therapists about Pain: A Course Evaluation
TLDR
Assessment of knowledge about pain in fourth year student occupational therapists and the impact of a pain elective on their subsequent learning found substantial change in all areas occurred following participation in thisPain elective. Expand
Pain: A Textbook for Therapists
TLDR
This book discusses the neuroanatomy of the nociceptive system, psychosocial, environmental and behavioural dimensions of the pain experience, and the role of electrophysical agents in pain management. Expand
Pain and falls in older people
TLDR
It is found that subjects reporting pain with moderate to severe level of pain‐related interference with activities were more likely to report any falls or multiple falls in the past 12 months than subjects not reporting pain. Expand
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