Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-23T20:19:19.214Z Has data issue: false hasContentIssue false
  • English
  • Français

Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Published online by Cambridge University Press:  10 January 2020

Silvia Mercedes Coca  and
Roberto Ariel Abeldaño Zuñiga Open the ORCID record for Roberto Ariel Abeldaño Zuñiga [Opens in a new window]
Silvia Mercedes Coca
Affiliation:
Public Health Research Institute, Universidad de la Sierra Sur, Miahuatlan de Porfirio Diaz, Oaxaca, Mexico
Roberto Ariel Abeldaño Zuñiga*
Affiliation:
PostGraduate Department, University of Sierra Sur, Miahuatlan de Porfirio Díaz, 70805Oaxaca, Mexico
*
Author for correspondence: Roberto Ariel Abeldaño Zuñiga, PostGraduate Department, University of Sierra Sur, Miahuatlan de Porfirio Díaz, 70805Oaxaca, Mexico. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Pain treatment is an essential component of care for elderly patients with advanced dementia. The objective of this study was to identify and analyze the different scales used for pain assessment in elderly persons diagnosed with dementia, in the literature available at the Latin American level.

Method

A systematic review was performed on the existing scales for pain assessment in elderly people diagnosed with Alzheimer's disease, vascular dementia, and dementia with Lewy bodies.

Results

226 articles were retrieved from the PUBMED, BIREME, and Scielo databases, of which a total of 10 articles entered the systematic review. The instruments identified in these publications were PAINAD, Abbey, McGill, and PACSLAC, while the Colored Pain Scale, Faces Pain Scale, and VAS scales were used as the silver standard. In Spanish, the Abbey scale, and in Portuguese, the PACSLAC scale showed the best reliability and validity coefficients.

Significance of results

It is concluded that there are only two appropriate scales for the assessment of pain in people with dementia in the region of interest of this study. It is recommended to generate more evidence for a more accurate assessment of pain in people with dementia.

Keywords

DementiaOlder adultsPainPain assessment
Type
Review Article
Information
Palliative & Supportive Care , Volume 18 , Issue 6 , December 2020 , pp. 741 - 747
Check for updates
Copyright
Copyright © Cambridge University Press 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Batalha, LMC, Duarte, CIA, do Rosário, RAF, et al. (2012) Adaptação cultural e propriedades psicométricas da versão portuguesa da escala Pain Assessment in Advanced Dementia. Revista de Enfermagem Referência 8(III), 7–16.10.12707/RIII1294CrossRefGoogle Scholar
Bezerra Thé, K, Gazoni, FM, Cherpak, GL, et al. (2016) Pain assessment in elderly with dementia: Brazilian validation of the PACSLAC scale. Einstein (São Paulo) 14(2), 152–157. doi:10.1590/S1679-45082016AO3628Google Scholar
Chamorro, P and Puche, E (2013) Traducción al castellano y validación de la escala Abbey para la detección del dolor en pacientes no comunicativos. Revista de La Sociedad Española Del Dolor 20(1), 3–7. doi:10.4321/S1134-80462013000100002CrossRefGoogle Scholar
Custodio, N, García, A, Montesinos, R, et al. (2008) Prevalencia de demencia en una población urbana de Lima-Perú: Estudio puerta a puerta. Anales de La Facultad de Medicina 69(4), 233–238.CrossRefGoogle Scholar
De La Rica Escuín, M and González Vaca, J (2014) Valoración del dolor en pacientes con demencia avanzada institucionalizados. Gerokomos 25(1), 3–8. doi:10.4321/S1134-928X2014000100002CrossRefGoogle Scholar
De Souza Rolim, T, Campos Fabri, G, Nitrini, R, et al. (2014a) Oral infections and orofacial pain in Alzheimer's disease: A case-control study. Journal of Alzheimer's Disease 38(4), 823–829. doi:10.3233/JAD-131283CrossRefGoogle Scholar
De Souza Rolim, T, Campos Fabri, G, Nitrini, R, et al. (2014b) Evaluation of patients with Alzheimer's disease before and after dental treatment. Arquivos de Neuro-Psiquiatria 72(12), 919–924. doi:10.1590/0004-282X20140140CrossRefGoogle Scholar
Domenichiello, AF and Ramsden, CE (2019) The silent epidemic of chronic pain in older adults. Progress in Neuro-Psychopharmacology and Biological Psychiatry 93, 284–290. doi:10.1016/j.pnpbp.2019.04.006CrossRefGoogle ScholarPubMed
Ferri, CP, Prince, M, Brayne, C, et al. (2005) Global prevalence of dementia: A Delphi consensus study. Lancet 366(9503), 2112–2117. doi:10.1016/S0140-6736(05)67889-0CrossRefGoogle ScholarPubMed
Franco, ML and De Lucas, AS (2001) Características del dolor crónico en el anciano: Tratamiento. Revista Sociedad Española Del Dolor 8(1), 29–38.Google Scholar
Gallego Valera, G, Carezzato, NL, Carvalho Vale, FA, et al. (2014) Adaptação cultural para o Brasil da escala Pain Assessment in Advanced Dementia — PAINAD. Revista Da Escola de Enfermagem 48(3), 462–468. doi:10.1590/S0080-623420140000300011CrossRefGoogle Scholar
García-Soler, Á, Sánchez-Iglesias, I, Buiza, C, et al. (2014) Adaptación y validación de la versión española de la escala de evaluación de dolor en personas con demencia avanzada: PAINAD-Sp. Revista Espanola de Geriatria y Gerontologia 49(1), 10–14. doi:10.1016/j.regg.2013.02.001CrossRefGoogle Scholar
Helme, RD and Gibson, SJ (2001) The epidemiology of pain in elderly people. Clinics in Geriatric Medicine 17(3), 417–431, v.10.1016/S0749-0690(05)70078-1CrossRefGoogle ScholarPubMed
Herr, K, Bjoro, K and Decker, S (2006) Tools for assessment of pain in nonverbal older adults with dementia: A state-of-the-science review. Journal of Pain and Symptom Management 31(2), 170–192. doi:10.1016/j.jpainsymman.2005.07.001CrossRefGoogle ScholarPubMed
Hong, QN, Pluye, P, Fàbregues, S, et al. (2018) Mixed Methods Appraisal Tool (MMAT) Version 2018. User guide. Registration of Copyright (#1148552). Montreal, Canada: Canadian Intellectual Property Office, Industry Canada.Google Scholar
Jakobsson, U, Klevsgård, R, Westergren, A, et al. (2003) Old people in pain: A comparative study. Journal of Pain and Symptom Management 26(1), 625–636.CrossRefGoogle ScholarPubMed
Jin, M. (2017). Pain assessment tools used when caring through cultural boundaries: A qualitative systematic literature review. Yrkeshogskolan Novia. Available at https://www.theseus.fi/handle/10024/123908Google Scholar
Kim, Y, Park, J, Moon, Y, et al. (2017) Assessment of pain in the elderly: A literature review. The National Medical Journal of India 30(4), 203. doi:10.4103/0970-258X.218673Google ScholarPubMed
Kumar, KH and Elavarasi, P (2016) Definition of pain and classification of pain disorders. Journal of Advanced Clinical and Research Insights 3, 87–90. doi:10.15713/ins.jcri.112CrossRefGoogle Scholar
Manrique Espinoza, B, Salinas Rodríguez, A, Moreno Tamayo, KM, et al. (2013) Condiciones de salud y estado funcional de los adultos mayores en México. Salud Pública de México 55(1), 323–331.CrossRefGoogle Scholar
McAuliffe, L, Nay, R, O'Donnell, M, et al. (2009) Pain assessment in older people with dementia: Literature review. Journal of Advanced Nursing 65(1), 2–10. doi:10.1111/j.1365-2648.2008.04861.xCrossRefGoogle ScholarPubMed
Molero, AE, Pino-Ramírez, G and Maestre, GE (2007) High prevalence of dementia in a Caribbean population. Neuroepidemiology 29(1–2), 107–112. doi:10.1159/000109824CrossRefGoogle Scholar
Montoro-Lorite, M and Canalias-Reverter, M (2015) Dolor y demencia avanzada: Revisión bibliográfica. Gerokomos 26(4), 142–147.Google Scholar
Nance, DC, May, MIR, Padilla, LF, et al. (2015) Discussing end-of-life issues in Mexico with older people and family caregivers. Journal of Hospice & Palliative Nursing 17(5), 427–433. doi:10.1097/NJH.0000000000000180CrossRefGoogle Scholar
Narayan, MC (2010) Culture's effects on pain assessment and management. American Journal of Nursing 110(4), 38–47. doi:10.1097/01.NAJ.0000370157.33223.6dCrossRefGoogle ScholarPubMed
Papiol Espinosa, G and Abades Porcel, M (2015) Valoración del dolor en demencia avanzada: Revisión bibliográfica. Gerokomos 26(3), 89–93. doi:10.4321/S1134-928X2015000300004CrossRefGoogle Scholar
Pinto, MCM, Minson, FP, Lopes, ACB, et al. (2015) Cultural adaptation and reproducibility validation of the Brazilian Portuguese version of the Pain Assessment in Advanced Dementia (PAINAD-Brazil) scale in non-verbal adult patients. Einstein (São Paulo) 13(1), 14–19. doi:10.1590/s1679-45082015ao3036CrossRefGoogle ScholarPubMed
Rostad, HM, Utne, I, Grov, EK, et al. (2017) Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: A systematic review. BMC Geriatrics 17(1), 257. doi:10.1186/s12877-017-0643-9CrossRefGoogle ScholarPubMed
Santos, S and Castanho, M (2014) The use of visual analog scales to compare pain between patients with Alzheimer's disease and patients without any known neurodegenerative disease and their caregivers. American Journal of Alzheimer's Disease and Other Dementias 29(4), 320–325. doi:10.1177/1533317513517046CrossRefGoogle ScholarPubMed
Scherder, EJA, Sergeant, JA and Swaab, DF (2003) Pain processing in dementia and its relation to neuropathology. The Lancet Neurology 2(11), 677–686.CrossRefGoogle ScholarPubMed
Tsai, I-P, Jeong, SY-S and Hunter, S (2018) Pain assessment and management for older patients with dementia in hospitals: An integrative literature review. Pain Management Nursing 19(1), 54–71. doi:10.1016/j.pmn.2017.10.001CrossRefGoogle Scholar
Zwakhalen, SM, Hamers, JP, Abu-Saad, HH, et al. (2006) Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools. BMC Geriatrics 6(1), 3. doi:10.1186/1471-2318-6-3CrossRefGoogle ScholarPubMed