PAIN MANAGEMENT IN PATIENTS WITH DEMENTIA

Download full text PDF
Issue: 
6
Year: 
2017

K. Konson (1, 2); Professor E. Frolova (1), MD; Z. Radomyslsky (3); M. Gdalevich (2) 1-I.I. Mechnikov North-Western State Medical University, Saint Petersburg 2-Southern District Health Office, Ministry of Health, Israel 3-Health Insurance Fund, Maccabi, Israel

The paper considers the issues of pain treatment in patients with severe forms of dementia. The problem is extremely urgent both for long-term healthcare facilities, psychogeriatric hospitals, and the outpatient facility personnel caring for these patients together with their relatives. International guidelines are quoted in detail; the organizational aspects of care for dementia patients with severe pain syndrome are discussed. Tools for pain syndrome assessment are given.
Keywords: 
geriatrics
dementia
pain syndrome
quality of life

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Psihicheskie rasstrojstva. Informatsionnyj bjulleten' VOZ, aprel' 2017; http://www.who.int/mediacentre/factsheets/fs396/ru/ (dostup 10.04.2017).
  2. Abuzarova G.R., Nevzorova D.V. i dr. Obezbolivanie vzroslyh i detej pri okazanii meditsinskoj pomoschi. Metodicheskie rekomendatsii / M.: Minzdrav RF, RNIMU im. N.I. Pirogova, Assotsiatsija prof. uchastnikov hospisnoj pomoschi, 2016.
  3. Levin O.S. Problemy lechenija hronicheskoj boli u pozhilyh. BOL'. informatsionnyj portal; http://www.paininfo.ru/articles/4161.html (dostup 9.04.2017).
  4. Belovol A.N., Knjaz'kova I.I. Hronicheskaja bol' v geriatrii // Mistetstvo lіkuvannja. – 2011; 8: 25–30.
  5. Huffman J., Kunik M. Assessment and Understanding of Pain in Patients with Dementia // Gerontologist. – 2000; 40 (5): 574–81.
  6. Karp J. et al. Advances in understanding the mechanisms and management of persistent pain in older adults // Br. J. Anaesthesia. – 2008; 101 (1): 111–20. http://doi.org/10.1093/bja/aen090 (dostup 25.04.2017)
  7. Kaye A., Baluch A., Scott J. Pain Management in the Elderly Population: A Review // Ochsner J. – 2010; 10 (3): 179–87. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096211/ (dostup 25.04.2017)
  8. Corbett A. et al. Assessment and treatment of pain in people with dementia // Nature Rev. Neurol. – 2012; 8: 264–74 (2012); published online 10 April 2012; http://www.nsd.uib.no/data/individ/publikasjoner/Corbet,%20Husebo%20et%20al%20nrneurol.2012.53.pdf (dostup 02.05.2017).
  9. Defrin R. et al. Experimental pain processing in individuals with cognitive impairment: Current state of the science // Pain. – 2015; 156 (8): DOI: 10.1097/j.pain.0000000000000195 (dostup 25.04.2017).
  10. Tommaso M. et al. Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives // Behav. Neurol. – 2016; 2016: Article ID7576292; http://dx.doi.org/10.1155/2016/7576292 (dostup 25.04.2017).
  11. Husebo B., Ballard C. et al. Efficacy of Treating Pain to Reduce Behavioural Disturbances in Residents of Nursing Homes With Dementia // BMJ. – 2011; 343: https://doi.org/10.1136/bmj.d4065 (dostup 06.05.2017).
  12. Huskisson E. Measurement of pain // J. Rheumatol. – 1982; 9 (5): 768–9.
  13. Hartrick C. et al. The numeric rating scale for clinical pain measurement: a ratio measure? // Pain Pract. – 2003; 3 (4): 310–6.
  14. Hadjistavropoulos T. et al. Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities // Physiotherapy Canada. – 2010; 62 (2): 104–13. Published online 2010 Apr 23; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2871017/ (dostup 03.05.2017)
  15. Pangman V., Sloan J., Guse L. An Examination of Psychometric Properties of the Mini-Mental Status Examination and the Standardized Mini-Mental Status Examination: Implications for Clinical Practice // Appl. Nurs. Res. – 2000; 13 (4): 209–13.
  16. Assessing Pain in Older Adults with Dementia. Series «Try this» of The Hartford Institute for Geriatric Nursing /NY: New York University, College of Nursing, and the Alzheimer’s Association; https://consultgeri.org/try-this/dementia/issue-d2.pdf (dostup 01.05.2017).
  17. Kovach C. et al. The assessment of discomfort in dementia protocol // Pain management nursing. – 2002; 3 (1): 16–27.
  18. Obezbolivanie pri rake / Zheneva: VOZ, 1988 [broshjura] http://apps.who.int/iris/bitstream/10665/141317/1/5225017924.pdf (dostup 06.05.2017).
  19. Palliative Care for Advanced Alzheimer's and Dementia: Guidelines and Standards for Evidence-Based Care. Ed. G. Martin, M. Sabbagh / Springer Publishing Company, 2011.
  20. Zwakhalen S. et al. Which Score Most Likely Represents Pain on the Observational PAINAD Pain Scale for Patients with Dementia? // J. Am. Med. Direct. Assoc. – 2011; 13 (4): 384–9.