Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale

Warden, Victoria; Hurley, Anne; Volicer, Ladislay

doi:10.1016/s1525-8610(04)70258-3

Cited by 656 publications

(167 citation statements)

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“…55 In addition, research involving the PAINAD supported its ability to discriminate between pain-related and non-pain-related situations; 59 however, in the original study it had low internal consistency. 55 The PAINAD clearly covers three of the six AGS-recommended pain assessment domains (body movements, verbalizations and vocalizations, and facial expressions). Additional items of this tool focus on breathing patterns and consolability (which is related to the AGS-recommended domain of interpersonal interactions).…”

Section: Observational Measures Of Painmentioning

confidence: 99%

“…The Pain Assessment in Advanced Dementia Scale (PAINAD) 55 The PAINAD is a five-item measure with item scores ranging from 0 to 2. These numeric ratings have different descriptors for each item of the PAINAD; for the item ''consolabity,'' for example, ratings are ''0 ¼ no need to console; 1 ¼ distracted or reassured by voice or touch; 2 ¼ unable to console, distract or reassure.''…”

Section: Observational Measures Of Painmentioning

confidence: 99%

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Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities

Hadjistavropoulos

Fitzgerald²,

Marchildon³

2010

Physiotherapy Canada

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Purpose: Frail patients with dementia most frequently present with musculoskeletal pain and mobility concerns; therefore, physiotherapy interventions for this population are likely to be of great benefit. However, physiotherapists who work with older adults with dementia confront a considerable challenge: the communication impairments that characterize dementia make it difficult to assess pain and determine its source. For an effective physiotherapy programme to be implemented, valid pain assessment is necessary. This paper is intended to provide practice guidelines for pain assessment among older persons with dementia. Summary of Key Points: Over the last several years, there has been tremendous research progress in this area. While more research is needed, several promising assessment methodologies are available. These methodologies most often involve the use of observational checklists to record specific pain behaviours. Recommendations: We encourage the ongoing and regular evidence-based pain assessment of older persons with dementia, using standardized procedures. Without regular and systematic assessment, pain problems will often go undetected in this population. Given the need for systematic pain assessment and intervention for long-term care populations with mobility concerns and muculoskeletal pain problems, we call for increased involvement of physical therapists in long-term care facilities.Key Words: Alzheimer's disease, assessment, dementia, long-term care, older adults, painHadjistavropoulos T, Dever Fitzgerald T, Marchildon GP. Practice guidelines for assessing pain in older persons with dementia residing in long-term care facilities. Physiother Can. 2010;62:104-113. RÉ SUMÉObjectif : Les patients de santé fragile atteints de dé mence sont les plus sujets aux douleurs musculosquelettiques et aux problè mes de mobilité . Par consé quent, les interventions en physiothé rapie apporteront sans doute de grands bienfaits à cette clientè le. Toutefois, les physiothé rapeutes travaillant auprè s des personnes â gé es atteintes de dé mence doivent faire face à un dé fi de taille : la dé gradation des capacité s de communication caracté risant la dé mence fait en sorte qu'il est difficile d'é valuer la douleur et d'en dé terminer la source. Pour qu'un programme efficace de physiothé rapie puisse ê tre mis en oeuvre, une é valuation valide de la douleur doit ê tre ré alisé e. Cette documentation tente de proposer des directives de pratique pour l'é valuation de la douleur chez les personnes â gé es atteintes de dé mence. Ré sumé des points clé s : Au cours des derniè res anné es, des progrè s considé rables ont é té ré alisé s au chapitre de la recherche dans ce secteur. Mê me si plus de recherche est né cessaire, plusieurs mé thodes d'é valuation prometteuses sont disponibles. Ces mé thodologies font souvent appel à l'utilisation de listes de vé rification des observations comprenant la consignation de comportements douloureux particuliers. Recommandations : Nous encourageons l'é valuation continue ...

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Section: Observational Measures Of Painmentioning

confidence: 99%

Section: Observational Measures Of Painmentioning

confidence: 99%

Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities

Hadjistavropoulos

Fitzgerald²,

Marchildon³

2010

Physiotherapy Canada

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“…The clinical evaluation focused on the presence and the severity of pain. Degrees of pain were recorded according to visual analogue score (VAS) [6]. In addition, Harris hip score (HHS) [7] was used for functional assessment of the hip joint at the end of follow up after complete union and rehabilitation.…”

Section: Post-operative Carementioning

confidence: 99%

The role of platelet rich plasma in management of fracture neck femur: new insights

Samy

2015

International Orthopaedics (SICOT)

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“…Bei Mitgliedern dieser UG wurde daher eine Fremdeinschätzung vorgenommen. Als Instrument wurde dazu die Beurteilung von Schmerzen bei Demenz (BESD) [4] eingesetzt, die deutsche Über-setzung des englischen Pain Assessment in Advanced Dementia (PAINAD, [27]). Die BESD gilt als reliables und valides deutschsprachiges Instrument zur Fremdeinschätzung von Schmerzen [21,29].…”

Section: Datenerhebungunclassified

Die Schmerzsituation von Bewohnern in der stationären Altenhilfe

Osterbrink

Hufnagel

Kutschar

et al. 2012

Schmerz

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Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale

Cited by 656 publications

References 0 publications

Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities

Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities

The role of platelet rich plasma in management of fracture neck femur: new insights

Die Schmerzsituation von Bewohnern in der stationären Altenhilfe

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