Location of Repository

Pain in patients with dementia: A review of pain assessment and treatment challenges

By Bettina S. Husebo, Wilco P. Achterberg, Frank Lobbezoo, Miriam Kunz, Stefan Lautenbacher, Judith Kappesser, Catalina Tudose and Liv Inger Strand

Abstract

Pain represents a major treatment challenge in older people with dementia. The majority of healthy older people experience regular pain and around 50% take regular analgesics. Pain is likely to be equally prevalent in people with dementia, yet only a small minority are prescribed regular analgesics. This is a key issue since recent work has provided evidence that untreated pain may be a major contributor to reduced quality of life and increases the likelihood of emergence of behavioural and psychological symptoms such as agitation. Better assessment and treatment of pain may therefore substantially improve outcomes for people with dementia. In this context, we reviewed the literature and summarised the best available evidence regarding the frequency of pain and pain diagnosis in patients with dementia based on pain assessment and treatment recommendations for these individuals. Hardly any randomized, controlled studies of pain treatment efficacy in patients with dementia are available, with the consequence that most pain treatment recommendations are not based on the highest level of evidence

Topics: Medicine, R, Public aspects of medicine, RA1-1270
Publisher: Norsk Forening for Epidemiologi
Year: 2012
OAI identifier: oai:doaj.org/article:f5860b0a625742b6a32cfb83c049e4b5
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/0803-2491 (external link)
  • http://www.ntnu.no/ojs/index.p... (external link)
  • https://doaj.org/article/f5860... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.