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Pain syndrome in patients with dementia in nursing practice

DOI: https://doi.org/10.29296/25879979-2023-02-02
Issue: 
2
Year: 
2023

A.V. Golenkov, professor;
Chuvash State University I.N. Ulyanova, Cheboksary

In elderly patients with dementia, chronic pain syndrome is often observed, which can be manifested by behavioral disorders, aggression, agitation and other mental disorders. The presence of pain in them is often ignored, underestimated and poorly diagnosed, especially in severe and severe dementia with speech disorders (aphasia). Therefore, it is treated incorrectly, which reduces the quality of life of patients and their daily activities. Two scales are given for assessing pain by nurses in patients with speech disorders (severe dementia). Approaches to the treatment of pain in elderly people with dementia are discussed.
Keywords: 
chronic pain syndrome
dementia
speech disorders (aphasia)
diagnosis
visual analog scales
observation and treatment.

References: 
  1. Regan A., Colling J., Tapley M. Pain management: a fundamental component of dementia care. Nurs Stand. 2015 Oct 28;30(9):43–50. doi: 10.7748/ns.30.9.43.s45.
  2. Cravello L., Di Santo S., Varrassi G. et al. Chronic Pain in the Elderly with Cognitive Decline: A Narrative Review. Pain Ther. 2019 Jun;8(1):53–65. doi: 10.1007/s40122-019-0111-7.
  3. Golenkov A.V., Averin A.V. Sestrinskij process v psihiatrii. Cheboksary, 2003; 200.
  4. Atee M., Morris T., Macfarlane S., Cunningham C. Pain in Dementia: Prevalence and Association With Neuropsychiatric Behaviors. J. Pain Symptom Manage. 2021; 61, 6: 1215-1226. doi: 10.1016/j.jpainsymman.2020.10.011.
  5. Golenkov A.V. Bol’ pri demencii: rasprostranennost’, ocenka i lechenie. Rossijskij zhurnal boli. 2022; 20, S: 110.
  6. van Kooten J., Binnekade T.T., van der Wouden J.C. et al. A Review of Pain Prevalence in Alzheimer’s, Vascular, Frontotemporal and Lewy Body Dementias. Dement. Geriatr. Cogn. Disord. 2016; 41, 3–4: 220–232. doi: 10.1159/000444791.
  7. Warden V., Hurley A.C., Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J. Am. Med. Dir. Assoc. 2003 Jan-Feb;4(1):9–15. doi: 10.1097/01.JAM.0000043422.31640.F7.
  8. Rat P., Jouve E., Pickering G. et al. Validation of an acute pain-behavior scale for older persons with inability to communicate verbally: Algoplus. Eur. J. Pain. 2011 Feb;15(2):198.e1-198.e10. doi: 10.1016/j.ejpain.2010.06.012.
  9. Smith T.O., Harvey K. Psychometric properties of pain measurements for people living with dementia: a COSMIN systematic review. Eur. Geriatr. Med. 2022 Oct;13(5):1029–1045. doi: 10.1007/s41999-022-00655-z.
  10. Herr K., Coyne P.J., McCaffery M. et al. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs. 2011; 12(4):230–250.
  11. De Waal M.W.M., van Dalen-Kok A.H., de Vet H.C.W. et al. Observational pain assessment in older persons with dementia in four countries: Observer agreement of items and factor structure of the Pain Assessment in Impaired Cognition. Eur. J. Pain. 2020; 24, 2: 279–296. doi: 10.1002/ejp.1484.
  12. Tan E.C., Jokanovic N., Koponen M.P. et al. Prevalence of Analgesic Use and Pain in People with and without Dementia or Cognitive Impairment in Aged Care Facilities: A Systematic Review and Meta-Analysis. Curr. Clin. Pharmacol. 2015; 10, 3: 194-203. doi: 10.2174/157488471003150820144958.
  13. Hossain M.A., Asamoah-Boaheng M., Badejo O.A. et al. Prescriber adherence to guidelines for chronic noncancer pain management with opioids: Systematic review and meta-analysis. Health Psychol. 2020; 39, 5: 430–451. doi: 10.1037/hea0000830.
  14. Golenkov A.V. Potencial’nye riski pri ispol’zovanii opioidov u pacientov s hronicheskoj bol’ju. Rossijskij zhurnal boli. 2022; 20: 110–111.