دورية أكاديمية
The assessment of pain in older people: UK National Guidelines
| العنوان: | The assessment of pain in older people: UK National Guidelines |
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| المؤلفون: | Schofield, Patricia, Bellamy, Gary, Stubbs, Brendon |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2018 |
| المجموعة: | Anglia Ruskin University: Anglia Ruskin Research Online (ARRO) |
| الوصف: | We are facing a huge increase in the older population over the next 30 years. This brings an anticipated increase in the prevalence of chronic pain and with this comes the challenge of assessment of pain in many varied settings. Our first iteration of this document was published in 2007. But there has been a proliferation of literature and research since then, so we have developed a new set of guidelines. Different patterns and sites of pain were seen in men and women. Age differences suggest that pain prevalence increased with age up to 85 years and then decreased. The available studies on barriers and attitudes to pain management point towards an adherence to bio-medically orientated beliefs about pain, concern amongst clinicians in relation to activity recommendations, and a negative orientation in general towards patients with chronic painful conditions. A multidisciplinary approach to the assessment and treatment of pain is essential, but the assessment is a complex process which is hampered by many communication issues, including cognitive ability and socio-cultural factors. Such issues are part of the UK ageing population. Structured pain education should be implemented that provides all health professionals (whether professionally or non-professionally trained) with standardised education and training in the assessment and management of pain according to level of experience. Although subjective, patient self-report is the most valid and reliable indicator of pain and it may be necessary to ask questions about pain in different ways in order to elicit a response. A number of valid and reliable self-report measures are available and can be used even when moderate dementia exists. The Numerical Rating Scale or verbal descriptors can be used with people who have mild to moderate cognitive impairment. For people with severe cognitive impairment Pain in Advanced Dementia (PAINAD) and Doloplus-2 are recommended. PAINAD and Doloplus-2 scales continue to show positive results in terms of reliability and validity. ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | https://arro.anglia.ac.uk/id/eprint/702860/6/Schofield_et_al_2018.pdfTest; Schofield, Patricia, Bellamy, Gary and Stubbs, Brendon (2018) The assessment of pain in older people: UK National Guidelines. Age and Ageing, 47 (S1). i1-i22. ISSN 1468-2834 |
| DOI: | 10.1093/ageing/afx192 |
| الإتاحة: | https://doi.org/10.1093/ageing/afx192Test https://arro.anglia.ac.uk/id/eprint/702860Test/ https://arro.anglia.ac.uk/id/eprint/702860/6/Schofield_et_al_2018.pdfTest |
| حقوق: | cc_by_nc_nd_4 |
| رقم الانضمام: | edsbas.C686BAE9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ageing/afx192 |
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