OBJECTIVE: There is a concern that pain is under-recognized in dementia. However, there may be other causes of distress. We wished to evaluate the utility of a distress tool and a pain tool. METHODS:Nursing home residents with advanced dementia were observed using pain (Pain Assessment in Advanced Dementia scale (PAINAD)) and distress (Disability Distress Assessment Tool (DisDAT)) assessment tools. Those in pain were treated. Reassessment occurred at one and three months. RESULTS: From 79 participants, 13 were assessed as being in pain. Psychosocial factors explained the behaviour of a false positive group. Both tools showed a significant decrease in pain following intervention (p = 0.008). Behaviours were similar in both groups. CONCLUSIONS: Both tools are useful. However, the pain tool also picks up distress, which is not caused by pain. It could potentially lead to false ascriptions of pain. The distress tool picks up a broader array of signs, which may be useful both in practice and in research.
RCT Entities:
OBJECTIVE: There is a concern that pain is under-recognized in dementia. However, there may be other causes of distress. We wished to evaluate the utility of a distress tool and a pain tool. METHODS: Nursing home residents with advanced dementia were observed using pain (Pain Assessment in Advanced Dementia scale (PAINAD)) and distress (Disability Distress Assessment Tool (DisDAT)) assessment tools. Those in pain were treated. Reassessment occurred at one and three months. RESULTS: From 79 participants, 13 were assessed as being in pain. Psychosocial factors explained the behaviour of a false positive group. Both tools showed a significant decrease in pain following intervention (p = 0.008). Behaviours were similar in both groups. CONCLUSIONS: Both tools are useful. However, the pain tool also picks up distress, which is not caused by pain. It could potentially lead to false ascriptions of pain. The distress tool picks up a broader array of signs, which may be useful both in practice and in research.
Authors: Janine van Kooten; Suzanne Delwel; Tarik T Binnekade; Martin Smalbrugge; Johannes C van der Wouden; Roberto S G M Perez; Didi Rhebergen; Wouter W A Zuurmond; Max L Stek; Frank Lobbezoo; Cees M P M Hertogh; Erik J A Scherder Journal: BMC Geriatr Date: 2015-03-21 Impact factor: 3.921
Authors: Anniek D Masman; Monique van Dijk; Joost van Rosmalen; Frans P M Baar; Dick Tibboel; Anneke A Boerlage Journal: BMC Palliat Care Date: 2018-02-21 Impact factor: 3.234
Authors: Liza J M van de Rijt; Roxane A F Weijenberg; Alexandra R Feast; Victoria Vickerstaff; Frank Lobbezoo; Elizabeth L Sampson Journal: BMC Geriatr Date: 2018-05-23 Impact factor: 3.921
Authors: Elizabeth L Sampson; Nicola White; Kathryn Lord; Baptiste Leurent; Victoria Vickerstaff; Sharon Scott; Louise Jones Journal: Pain Date: 2015-04 Impact factor: 7.926