Pain Assessment Using Self-reported, Nurse-reported, and Observational Pain Assessment Tools among Older Individuals with Cognitive Impairment
| Autor: | Ai-Vyrn Chin, Rasnah Abdul Rahman, Kit Mun Tan, Maw Pin Tan, Shahrul Bahyah Kamaruzzaman, Sylvia S.C. Ngu, P J H Poi, Pathmawathi Subramanian |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Mental Status Schedule Population Pain Physical medicine and rehabilitation Pain assessment medicine Humans Cognitive Dysfunction education Nursing Assessment Aged Pain Measurement Aged 80 and over Advanced and Specialized Nursing education.field_of_study business.industry Cognition Pain scale Proxy Mood Physical therapy Female Geriatric Depression Scale Observational study Self Report business Behavior Observation Techniques |
| Zdroj: | Pain Management Nursing. 16:595-601 |
| ISSN: | 1524-9042 |
| DOI: | 10.1016/j.pmn.2014.12.002 |
| Popis: | Pain assessment in older individuals with cognitive impairment is challenging. Evidence on the performance of pain assessment tools in this population remains limited. The aim of this study was to evaluate the performance of self-reported pain, nurse-reported pain, and observational pain tools among older patients with cognitive impairment using a prospective observational design. In all, 152 older individuals admitted to the acute geriatric ward were recruited through convenience sampling. Three methods of pain assessment were compared: self-reported pain (SRP), observational pain using the Pain Assessment in Advanced Dementia (PAINAD) tool, and nurse-reported pain (NRP). Cognition and mood were assessed with the Mini-Mental State Examination (MMSE) and the 15-item Geriatric Depression Scale (GDS-15). There was moderate agreement between SRP and PAINAD (k = 0.438) and fair agreement between SRP and NRP (k = 0.263). There was statistically significant correlation between SRP and GDS-15 (r = 0.382, p < .001) but not between SRP and MMSE (r = 0.018, p = .824). These results suggest that the use of an observational pain scale would be helpful in pain assessment among older individuals when the ability to report pain is not possible. However, self-reported assessments should be attempted first for cognitively impaired patients. |
| Databáze: | OpenAIRE |
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