Assessment and Measurement of Pain in Adults in Later Life

Booker, Staja Q.; Herr, Keela

doi:10.1016/j.cger.2016.06.012

Cited by 48 publications

(25 citation statements)

References 42 publications

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“…Acute facial pain is usually tooth‐related, while chronic facial pain, most commonly of the jaw joints, can be unilateral or bilateral, continuous or episodic, and assessed initially by the patient's history of the pain 59 . In addition, self‐reports—either verbal or non‐verbal gestures, such as facial expressions, body movements, vocalisations and changes in routine behaviours—are primary sources of information obtained directly from either a patient or a caregiver about the presence and intensity of acute or chronic pain 17,57,60‐62 . We modified an ultra‐brief scale for assessing chronic pain by dichotomising the severity and impact of the pain 63 …”

Section: Resultsmentioning

confidence: 99%

Clinical Oral Disorders in Adults Screening Protocol (CODA‐SP) from the 2019 Vancouver IADR Consensus Symposium

et al. 2020

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Background The Clinical Oral Disorder in Elders (CODE) index was proposed in 1999 to assess the oral health status and treatment needs of older people who typically were edentate or had few natural teeth. Since then, more people are retaining natural teeth into old age and have oral disorders similar to younger adults. In addition, there has been further guidance on screening for disease that includes changes to the clinical indicators of several oral disorders and greater sensitivity to people's concerns about their oral health and care needs. Methods Experts in dental geriatrics assembled at a satellite symposium of the International Association of Dental Research in June 2019 to revise the objectives and content of the CODE index. Before the symposium, 139 registrants were asked for comments on the CODE index, and 11 content experts summarised current evidence and assembled reference lists of relevant information on each indicator. The reference lists provided the base for a narrative review of relevant evidence supplemented by reference tracking and direct searches of selected literature for additional evidence. Results Analysis of the evidence by consensus of the experts produced the Clinical Oral Disorders in Adults Screening Protocol (CODA‐SP). Conclusions The CODA‐SP encompasses multiple domains of physical and subjective indicators with weighted severity scores. Field tests are required now to validate its effectiveness and utility in oral healthcare services, outcomes and infrastructure.

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Section: Resultsmentioning

confidence: 99%

Clinical Oral Disorders in Adults Screening Protocol (CODA‐SP) from the 2019 Vancouver IADR Consensus Symposium

et al. 2020

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“…Not discussing pain, especially with providers, may cause others to discount their pain and limit opportunities for pain control. Thus, nurses must apply a more direct approach to assessing pain rather than general questions like “How are you doing today?” (Booker & Herr, 2016). This is not to disregard personal preferences for different communication styles but rather to limit the silent and invisible suffering of a vulnerable group of older adults.…”

Section: Discussionmentioning

confidence: 99%

“Bearing the Pain”: The Experience of Aging African Americans With Osteoarthritis Pain

Booker

Tripp–Reimer

Herr

2020

Global Qualitative Nursing Research

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Studies document that osteoarthritis-related joint pain is more severe in African American older adults, but research on the personal experience of osteoarthritis pain self-management in this population is limited. Using a qualitative descriptive design, our objective was to extend our understanding of the experience of life with osteoarthritis pain. Eighteen African Americans (50 years and older) were recruited from Louisiana to participate in a single semi-structured, in-depth interview. A conventional content analysis revealed that “Bearing the pain” characterized how older African Americans dealt with osteoarthritis. Bearing the pain comprised three actions: adjusting to pain, sharing pain with others, and trusting God as healer. We discovered that a metapersonal experience subsumes the complex biopsychosocial-cultural patterns and the intricate interaction of self, others, and God in living with and managing osteoarthritis pain. Study findings have implications for application of more inclusive self-management frameworks and interventions.

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“…Australian older‐person‐specific resources available to guide chronic pain management include those for people living in residential aged care, 11 people with dementia, 12 and older Australians in general 13 . Other available resources include the Australian Therapeutic Guidelines, 14 guidelines from the American Geriatrics Society, 15 the National Guideline Clearinghouse, and reviews of relevant published literature 16–18 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Pain Impact Index for Community‐Dwelling Older Adults Through the Application of Rasch Modelling

et al. 2021

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Objective Evaluate the Pain Impact Index, a simple, brief, easy‐to‐use, and novel tool to assess the impact of chronic pain in community‐dwelling older adults. Methods A Rasch modelling analysis was undertaken in Stata using a partial credit model suited to the Likert‐type items that comprised the Index. The Index was evaluated for ordering of category thresholds, unidimensionality, overall fit to the Rasch model, measurement bias (Differential Item Functioning, DIF), targeting, and construct validity. Results The four‐item Pain Impact Index was self‐completed by 6454 community‐dwelling Australians who were aged at least 70 years and experienced pain on most days. Two items showed evidence of threshold disordering, and this was resolved by collapsing response categories (from 5 to 3) for all items. The rescored Index conformed to the unidimensionality assumption and had satisfactory fit with the Rasch model (analyses conducted on a reduced sample size to mitigate the potential for overpowering: n = 377, P > 0.0125, power > 77%). When considering uniform DIF, the most frequent sources of measurement bias were age, knee pain, and upper back pain. When considering nonuniform DIF, the most frequent source of measurement bias was knee pain. The Index had good ability to differentiate between respondents with different levels of pain impact and had highest measurement precision for respondents located around the average level of pain impact in the study sample. Both convergent and discriminant validity of the Index were supported. Conclusion The Pain Impact Index showed evidence of unidimensionality, was able to successfully differentiate between levels of pain impact, and had good evidence of construct validity.

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Assessment and Measurement of Pain in Adults in Later Life

Cited by 48 publications

References 42 publications

Clinical Oral Disorders in Adults Screening Protocol (CODA‐SP) from the 2019 Vancouver IADR Consensus Symposium

Clinical Oral Disorders in Adults Screening Protocol (CODA‐SP) from the 2019 Vancouver IADR Consensus Symposium

“Bearing the Pain”: The Experience of Aging African Americans With Osteoarthritis Pain

Evaluation of the Pain Impact Index for Community‐Dwelling Older Adults Through the Application of Rasch Modelling

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