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Pain Assessment in Nonverbal Older Adults with Advanced Dementia

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Pain assessment is a particular challenge among individuals with advanced dementia who lack the ability to formulate and express their experience of discomfort. PURPOSE: 

Awareness of pain scales and methods specifically designed for use with nonverbal individuals with dementia is critical to expanded use and testing in clinical settings. SOURCES: 

Computerized literature searches using four databases revealed the five observational scales and two caregiver reports methods reviewed. CONCLUSIONS: 

A small number of valid, reliable, and sensitive scales are available for use by nurses and allied health personnel. Each has strengths and limitations and all would benefit from additional testing.
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Keywords: Dementia care; advanced dementia; pain assessment

Document Type: Research Article

Publication date: 2005-07-01

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