Poster presented at National Acute Pain Symposium, Chester in September 2016

Cook, Laura

Jackson, Mark

Murdoch, Julie

Price, Lucy

Wassall, Richard

RD&E Research Repository

Royal Devon and ExeterNHS Foundation TrustJulie Murdoch, Lucy Price, Laura Cook, Dr Richard Wassall, Dr Mark Jackson ● Pain management can be challenging in people with cognitive impairment, particularly as it may be difficult to elicit self-assessment of pain ● Research has indicated that this vulnerable group of patients are at risk of poor pain management (Bauer et al, 2016)Pain Assessment and Management in the Cognitively Impaired  ● To examine pain assessment, prevalence and management in patients with cognitive impairment ● To determine whether practices differ for this group of patientsReferences: Bauer U, Pitzer S et al (2016). Pain treatment for nursing home residents differs according to cognitive state – a cross-sectional study. Accessed on-line: www.ncbi.nlm.nih.gov/pmc/articles/PMC4912815 [15/07/2016] ● The evidence is that patients with cognitive impairment are having their pain scored regularly ● Patients with cognitive impairment are prescribed fewer analgesics but also having lower pain scores documented. ● It is difficult to elicit if this is due to less pain or inaccuracy of assessments and documentation  ● The pain scales used may not be appropriate for cognitively impaired patients. ● We were not able to verify the accuracy of pain scoring or whether the tool used was appropriate for the cognition of the individual patients ● Further study required to fully evaluate pain assessment and management for patients with cognitive impairment  within our Trust ● Potential to include family and friends in pain assessments ● Further study required to look at why cognitively impaired patients are prescribed less analgesicsComparison of pain assessment between whole sample and patients with cognitive impairmentAnalgesia prescribed, comparing cognitively intact and cognitively impaired patientsBackground Aim MethodologyResultsConclusion RecommendationsDemographics ● Demographic profile of cognitively impaired was similar  to that of the overall sample ● Predominantly female (52.1% whole dataset) (53.6% cog impaired) ● Median age 78 (whole dataset), 84 (cognitively  ● Prospective audit of in-patient vital signs chart (pain score) and prescription chart ● Each ward audited once ● N = 472 ● Collated and analysed using Excel

Pain Assessment and Management in the Cognitively Impaired

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Pain Assessment and Management in the Cognitively Impaired

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