PMID: 11326213Apr 28, 2001Paper

Recognizing pain in the institutionalized elder with dementia

Geriatric Nursing
C D Epps

Abstract

Of the approximately 2 million elders residing in nursing homes, experts estimate that 49% to 83% are experiencing pain. Elders in nursing homes have a high incidence of cognitive impairment, possibly as high as 50%. The verbalization of pain can be difficult for those with cognitive impairment, and elders with dementia may be undertreated and unknowingly allowed to suffer. This article summarizes what is known about pain assessment in the cognitively impaired elderly who reside in nursing homes. Clinical practice implications were derived from this summary. Until accurate ways of assessing pain are discovered, nurses must be educated to the prevalence of pain in cognitively impaired elders and the subtle ways in which it might be detected. Nursing practice is about eliminating suffering. Relieving suffering in those most vulnerable and unable to express their needs is critical.

Citations

Jun 5, 2007·American Journal of Veterinary Research·Dorothy Cimino BrownJohn T Farrar
Aug 26, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Miriam Alonso-FernándezJulie Loebach Wetherell
Apr 20, 2005·Santé publique : revue multidisciplinaire pour la recherche et l'action·G Cabayé-Borgès Da SilvaJ C Mabriez
Apr 17, 2003·Clinical Journal of Oncology Nursing·Justine Soscia
May 16, 2006·Revista latino-americana de enfermagem·Francisco Alves de AndradeFátima Aparecida Emm Faleiros Sousa
Dec 22, 2006·Journal of Clinical Nursing·Morag Prowse
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Mar 1, 2014·Revista Brasileira De Ortopedia·Christiano Saliba UlianaLuiz Antonio Munhoz da Cunha
Jul 16, 2010·Wiener medizinische Wochenschrift·Georg PinterMichael Schirmer

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