Assessment of pain in the nonverbal or cognitively impaired older-adult

被引:49
作者
Bjoro, Karen [1 ,2 ]
Herr, Keela [2 ]
机构
[1] Ullevaal Univ Hosp, Nursing Unit, Dept Res, N-0407 Oslo, Norway
[2] Univ Iowa, Coll Nursing, Iowa City, IA 52242 USA
关键词
D O I
10.1016/j.cger.2007.12.001
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The inability of nonverbal older adults to communicate pain represents a major barrier to pain assessment and treatment. This article focuses on nonverbal older adult populations with dementia, delirium, and severe critical illness. A comprehensive approach to pain assessment is advocated encompassing multiple sources of information. Selected behavioral tools for nonverbal pain assessment are critiqued. Although there are tools with promise, there is currently no standardized behavioral tool that may be recommended for broad adoption in clinical practice and continued concerted effort to this end is needed.
引用
收藏
页码:237 / +
页数:27
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