| |
Centre for Policy on Ageing | |
 | |
|
| The utility of PAINAD in assessing pain in a UK population with severe dementia | | Author(s) | Alice Jordan, Julian Hughes, Mani Pakresi |
| Journal title | International Journal of Geriatric Psychiatry, vol 26, no 2, February 2011 |
| Pages | pp 118-126 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Dementia ; Pain ; Evaluation ; Clinical surveys. |
| Annotation | Study participants were nursing home residents with advanced dementia who were observed on three occasions using a pain assessment tool, the Pain Assessment in Advance Dementia (PAINAD) scale. Following further assessment, an appropriate management plan was formulated for those thought to be in pain. Participants who scored above the cut-off (two) on the PAINAD scale, but were felt not to be in pain, formed the false positive group. The pain and false positive groups were reassessed at one and three months. 79 participants completed the study, 39 of whom scored above two on the PAINAD. Of these, only 13 were assessed as being in pain. The other 26 participants who scored above the cut-off on PAINAD were not felt to be in pain. Instead, their behaviour had a psychosocial explanation, often to do with a lack of understanding as to what was happening to them. In those with pain, a significant decrease was demonstrated in the PAINAD scores on intervention following treatment for pain. In conclusion, PAINAD is a sensitive tool for detecting pain in people with advanced dementia, but has a high false positive rate, frequently detecting psychosocial distress rather than pain. (JL). |
| Accession Number | CPA-110815002 A |
| Classmark | EA: CT7: 4C: 3G |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|