Pain, aging and dementia: Towards a biopsychosocial model

Gagliese, Lucia; Gauthier, Lynn R.; Narain, Nadine; Freedman, Theodore

doi:10.1016/j.pnpbp.2017.09.022

Cited by 68 publications

(59 citation statements)

References 110 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The instrument has been shown to be a reliable indicator of pain intensity in people with dementia internationally 22, 25-28, 31, 32 . 1 11 Triage definition: process for categorising injured people into groups based on their need for or likely benefit from immediate medical treatment; triage nurse is a health professional specifically trained in the technique of categorising patients according to their medical needs The 11-point NRS (0-10, where 0 = no pain and 10 = worst pain imaginable) is used extensively in emergency practice. Conventional NRS pain categories are: mild = 1-3, moderate = 4-6 and severe ≥7.…”

Section: Methodsmentioning

confidence: 99%

“…People with CI such as dementia experience particular challenges communicating their pain experience 7 . This may lead to suboptimal pain management and adverse consequences such as confusion, agitation, and family/carers distress increased risk of falls and associated injuries [8][9][10][11] . Pain management for people with CI is a regular event in ED but international reports indicate that suboptimal pain management is common .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pragmatic evaluation of an observational pain assessment scale in the emergency department: The Pain Assessment in Advanced Dementia (PAINAD) scale

Fry

Elliott

2018

Australasian Emergency Care

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pragmatic evaluation of an observational pain assessment scale in the emergency department: The Pain Assessment in Advanced Dementia (PAINAD) scale

Fry

Elliott

2018

Australasian Emergency Care

View full text Add to dashboard Cite

show abstract

“…Some of the most important changes related to dementia may arise cognitive domain of pain, such as alterations in semantic and episodic memory, executive function, and anticipation of it. Some studies have shown that dementia reduces the experience of pain, although what is suggested is that patients cannot recognize or remember this symptom [30]. Recognition of pain in people with this condition should be considered because it changes the quality of life of patients.…”

Section: Pain Comorbiditymentioning

confidence: 99%

Pharmaceutical and Botanical Management of Pain Associated with Psychopathology: A Narrative Review

Lozano¹,

Sánchez²,

Rodríguez³

et al. 2020

Behavioral Pharmacology - From Basic to Clinical Research

View full text Add to dashboard Cite

Generally, pain can be described as an unpleasant sensory or emotional experience associated with tissue damage. Chronic pain has become a public health problem because among 35 and 75% of the world population has shown the symptom. In particular, neuropathic pain has shown high comorbidity disorders such as anxiety and depression. Conventional therapies for treating pain include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, tricyclic antidepressants, anticonvulsants, and opioids, which usually cause some side effects such as gastritis, headache, liver and kidney toxicity, and drug dependence. Conventional pharmaceuticals also tend to be expensive, and they cannot be easily afforded in developing countries, which have led to the use of natural products as an alternative treatment. In this chapter, we reviewed the current research of natural products for pain treatment. We also describe preclinical studies that assess the effect of some natural products on pain therapy, phytochemistry research, toxicity, adverse effects, and biosecurity. We also describe how conventional pain is managed and the possible use of compounds obtained from vegetable species for pain treatment.

show abstract

“…Pain has an impact on psychological and social functioning. The integrated biopsychosocial model of pain and dementia supports the application of psychosocial interventions to manipulate the psychological and/or social components of pain to modify the pain experience in people with dementia (Gagliese, Gauthier, Narain, & Freedman, 2017;Gatchel, Peng, Peters, Fuchs, & Turk, 2007). The underlying mechanism may be attributed to the strategy of distracting attention from pain when people are participating in another sensory modality (such as an auditory, visual, or tactile stimulus), accompanied by a sense of relaxation; Jensen, 2011;Johnson, 2005;Park, Chun, & Gang, 2015).…”

Section: Introductionmentioning

confidence: 97%

Psychosocial interventions for pain management in older adults with dementia: A systematic review of randomized controlled trials

Moyle

Jones

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim To assess the effectiveness of psychosocial interventions on pain in older adults living with dementia. Design A systematic review with meta‐analysis of randomized controlled trials. Data sources Scopus, ProQuest, EBSCO (CINAHL and MEDLINE), PubMed, OVID (PsycINFO), Web of Science, and Cochrane Library were searched from their inception up to 2 May 2018. Review Methods Risk of bias assessment and meta‐analysis were conducted according to the Cochrane methods using RevMan 5.3 and findings were generated using the GRADE profiler software. Results Eight studies met the inclusion criteria, but the quality of the current evidence was low to moderate. Results showed that psychosocial interventions significantly reduced the observational pain score and pain medication. Subgroup analyses indicated that sensory stimulation and individual interventions showed a reduction in observational pain in people with dementia. Conclusion Findings suggest that psychosocial interventions may be potentially effective alternatives for pain management in people with dementia. However, caution is needed in interpreting these results due to limited studies, risk of bias and heterogeneity across studies. Furthermore, well‐designed research is needed on psychosocial interventions to strengthen quality of pain management in people with dementia. Impact This review synthesized current evidence using psychosocial interventions to manage pain in people with dementia. Findings suggest that psychosocial interventions may lead to a potential reduction in pain and pain medication in people with dementia. Healthcare providers may wish to integrate psychosocial interventions as part of the multimodal approach to the management of pain in people living with dementia.

show abstract

Pain, aging and dementia: Towards a biopsychosocial model

Cited by 68 publications

References 110 publications

Pragmatic evaluation of an observational pain assessment scale in the emergency department: The Pain Assessment in Advanced Dementia (PAINAD) scale

Pragmatic evaluation of an observational pain assessment scale in the emergency department: The Pain Assessment in Advanced Dementia (PAINAD) scale

Pharmaceutical and Botanical Management of Pain Associated with Psychopathology: A Narrative Review

Psychosocial interventions for pain management in older adults with dementia: A systematic review of randomized controlled trials

Contact Info

Product

Resources

About