[The systematic evaluation of instruments designed to assess pain in persons with limited ability to communicate].
Chronic pain is often underdetected and undertreated in long-term care facilities. The use of self-report measures of pain (such as the visual analogue scale) is often problematic for older adults residing in long-term care because of the high prevalence of visual and auditory deficits and severe cognitive impairment. Observational measures of pain have been developed to address this concern. A systematic grid designed to assess the properties of existing observational measures of pain was used for seniors with dementia. The grid focused on the evaluation of content validity (12 items), construct validity (12 items), reliability (13 items) and clinical utility (10 items). Among the 24 instruments that were evaluated, several were deemed to be promising in the assessment of pain among older persons with severe dementia. Nonetheless, additional research is needed before their routine integration in the practices of long-term care settings.
Aubin
Michèle
M
Université Laval, département de médecine familiale, Québec, Canada. michele.aubin@mfa.ulaval.ca
Giguère
Anik
A
Hadjistavropoulos
Thomas
T
Verreault
René
R
D000368:Aged; D003147:Communication Disorders / Q000209:etiology; D003704:Dementia / Q000150:complications / Q000451:nursing; D015577:Geriatric Assessment / Q000379:methods*; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care; D009735:Nursing Homes; D010146:Pain / Q000175:diagnosis* / Q000451:nursing; D010147:Pain Measurement / Q000379:methods*; D011795:Surveys and Questionnaires
Appl Nurs Res. 2001 Nov;14(4):193-200
11699022
Pain Manag Nurs. 2000 Mar;1(1):13-21
11706452
Int J Geriatr Psychiatry. 1999 Jun;14(6):421-5
10398350
J Am Geriatr Soc. 1999 Aug;47(8):936-42
10443853
J Gerontol Nurs. 1999 Jul;25(7):34-9
10476129
Nurs Stand. 2004 Dec 1-7;19(12):39-42
15620035
Can J Nurs Res. 2003 Dec;35(4):58-71
14746121
Crit Care Med. 2004 Feb;32(2):421-7
14758158
Int J Palliat Nurs. 2004 Jan;10(1):6-13
14966439
Pain Manag Nurs. 2004 Mar;5(1):37-49
14999652
Dement Geriatr Cogn Disord. 2004;17(3):240-6
14745230
J Am Geriatr Soc. 2004 May;52(5):756-61
15086657
J Am Geriatr Soc. 2004 Jun;52(6):867-74
15161448
Clin J Pain. 2004 Jul-Aug;20(4):207-19
15218405
J Pain Symptom Manage. 2004 Jul;28(1):47-58
15223084
Pain. 2004 Jul;110(1-2):361-8
15275787
Pain. 1982;14(4):393-8
7162841
J Am Geriatr Soc. 1990 Apr;38(4):409-14
2109765
J Gerontol. 1991 Jan;46(1):P15-21
1986040
J Gerontol Nurs. 1991 Jun;17(6):25-8
2033212
Res Nurs Health. 1992 Oct;15(5):369-77
1529121
Can Nurse. 1992 Aug;88(7):17-20
1394066
Psychother Psychosom. 1993;59(1):41-9
8441794
J Am Geriatr Soc. 1993 May;41(5):541-4
8486889
Gerontologist. 1995 Apr;35(2):172-8
7750773
Ann Intern Med. 1995 Nov 1;123(9):681-7
7574224
J Adv Nurs. 1995 Oct;22(4):663-9
8708184
J Pain Symptom Manage. 1995 Nov;10(8):591-8
8594119
J Neurosci Nurs. 1996 Jun;28(3):175-82
8818983
Perspectives. 1996 Summer;20(2):4-8
8900744
Crit Care Med. 2001 Dec;29(12):2258-63
11801819
Geriatr Nurs. 2000 Jan-Feb;21(1):20-3
10679604
Pain Res Manag. 2001 Fall;6(3):119-25
11854774
J Am Geriatr Soc. 2002 Mar;50(3):507-15
11943048
J Am Geriatr Soc. 2002 Jan;50(1):152-6
12028260
Eur J Pain. 2002;6(3):179-87
12036305
J Am Geriatr Soc. 2002 Jun;50(6 Suppl):S205-24
12067390
J Pain Symptom Manage. 2002 Jul;24(1 Suppl):S38-47
12204486
J Pain Symptom Manage. 2003 Jan;25(1):48-52
12565188
J Am Med Dir Assoc. 2003 Jan-Feb;4(1):1-8
12807590
J Am Med Dir Assoc. 2003 Jan-Feb;4(1):9-15
12807591
Pain Manag Nurs. 2003 Jun;4(2):77-86
12836152
Psychiatry. 2003 Summer;66(2):133-45
12868293
Dimens Crit Care Nurs. 2003 Nov-Dec;22(6):260-7
14639117
Nurs Res. 1998 Jul-Aug;47(4):235-42
9683119
J Am Geriatr Soc. 1998 Sep;46(9):1079-85
9736099
CMAJ. 1999 Feb 9;160(3):329-33
10065074
Pain. 1999 Apr;80(3):577-88
10342419
Pediatr Nurs. 1997 May-Jun;23(3):293-7
9220806
J Am Geriatr Soc. 1998 May;46(5):635-51
9588381
Nurs Stand. 2004 Dec 8-14;19(13):33-40
15624384
J Am Geriatr Soc. 2005 Feb;53(2):319-26
15673359
J Am Med Dir Assoc. 2005 Mar-Apr;6(2):137-43
15871890
Pain Manag Nurs. 2005 Jun;6(2):68-75
15970920
Palliat Med. 2005 Jul;19(5):411-7
16111065
J Pain Symptom Manage. 2006 Feb;31(2):170-92
16488350
BMC Geriatr. 2006;6:3
16441889
Can J Aging. 2008 Spring;27(1):45-55
18492636
J Pain Symptom Manage. 1999 Dec;18(6):412-9
10641467
Clin J Pain. 2000 Mar;16(1):54-63
10741819
J Pain Symptom Manage. 2000 Apr;19(4):240-8
10799790
J Am Geriatr Soc. 2000 May;48(5 Suppl):S183-6
10809473
J Pain Symptom Manage. 2000 Jul;20(1):35-43
10946167
J Am Geriatr Soc. 2000 Dec;48(12):1607-11
11129750
Clin Geriatr Med. 2001 Aug;17(3):457-78, vi
11459715
Clin Geriatr Med. 2001 Aug;17(3):575-94, viii
11459722