Are Chronic Pain Patients with Dementia Being Undermedicated?

被引：42

作者：

Achterberg, Wilco P. ^{[1
]}

Erdal, Ane ^{[2
]}

Husebo, Bettina S. ^{[2
]}

Kunz, Miriam ^{[3
]}

Lautenbacher, Stefan ^{[4
]}

机构：

[1] Leiden Univ Med Ctr, Dept Publ Hlth & Primary Care, Postzone V0-P,Room V6-76,POB 9600, NL-2300 RC Leiden, Netherlands

[2] Univ Bergen, Dept Global Publ Hlth & Primary Care, N-5020 Bergen, Norway

[3] Univ Augsburg, Dept Med Psychol, D-86156 Augsburg, Germany

[4] Univ Bamberg, Dept Phys Psychol, Bamberg, Germany

来源：

JOURNAL OF PAIN RESEARCH | 2021年 / 14卷

关键词：

pain; dementia; assessment; analgesic treatment; STEPWISE MULTIDISCIPLINARY INTERVENTION; NURSING-HOME PATIENTS; LONG-TERM-CARE; ALZHEIMER-DISEASE; FACIAL EXPRESSION; ELDERLY-PATIENTS; OLDER-PEOPLE; OPIOID USE; POPULATION; BEHAVIOR;

D O I：

10.2147/JPR.S239321

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In dementia, neuropathological changes alter the perception and expression of pain. For clinicians and family members, this knowledge gap leads to difficulties in recognizing and assessing chronic pain, which may consequently result in persons with dementia receiving lower levels of pain medication compared to those without cognitive impairment. Although this situation seems to have improved in recent years, considerable geographical variation persists. Over the last decade, opioid use has received global attention as a result of overuse and the risk of addiction, while the literature on older persons with dementia actually suggests undertreatment. This review stresses the importance of reliable assessment and the regular evaluation and monitoring of symptoms in persons with dementia. Based on current evidence, we concluded that chronic pain is still undertreated in dementia.

引用

页码：431 / 439

页数：9

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