Pain Assessment and Dementia Amanda Floetke Elliott, PhD(c), ARNP Ann L. Horgas, RN, PhD, FAAN University of Florida College of Nursing Objectives To convey the importance of pain assessment in older adults with dementia To describe the barriers to assessing pain in persons with dementia
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Amanda Floetke Elliott, PhD(c), ARNP
Ann L. Horgas, RN, PhD, FAAN
University of Florida College of Nursing
Memory and learning problems
+ Deficits in communication
Decreased ability to recognize, recall, and report the presence of pain
Scales like the numeric rating scale (NRS) or the verbal descriptor scale (VDS)
0 1 2 3 4 5 6 7 8 9 10
Pain as bad as it could be (6) Extreme pain (5)
Severe pain (4)
Moderate pain (3)
Mild pain (2)
Slight pain (1)
No pain (0)Pain Assessment Strategies
Horgas, A. L. & Elliott, A. F. (2004) Pain assessment and mangagement in persons with dementia. Nursing Clinics of North America, 39(3), 593-606.
Horgas, A. L., McLennon, S. M., Floetke, A. L. (2003). Pain management in persons with dementia. Alzheimer’s Care Quarterly, 4(4), 297-311.
Try This: Best Practices in Care for Older Adults series from the Hartford Institute for Geriatric Nursing http://www.hartfordign.org/resources/education/tryThis.html