Are Chronic Pain Patients with Dementia Being Undermedicated?

被引：37
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
收藏
页码：431 / 439
页数：9
相关论文
共 64 条
  • [41] The stigma of low opioid prescription in the hospitalized multimorbid elderly in Italy
    Marengoni, Alessandra
    Nobili, Alessandro
    Corli, Oscar
    Djade, Codjo Djignefa
    Bertoni, Diana
    Tettamanti, Mauro
    Pasina, Luca
    Corrao, Salvatore
    Salerno, Francesco
    Marcucci, Maura
    Mannucci, Pier Mannuccio
    [J]. INTERNAL AND EMERGENCY MEDICINE, 2015, 10 (03) : 305 - 313
  • [42] Time Trends in Opioid Use by Dementia Severity in Long-Term Care Nursing Home Residents
    Mehta, Hemalkumar B.
    Kuo, Yong-Fang
    Raji, Mukaila
    Li, Shuang
    Westra, Jordan
    Goodwin, James S.
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2021, 22 (01) : 124 - +
  • [43] Understanding and predicting the longitudinal course of dementia
    Melis, Rene J. F.
    Haaksma, Miriam L.
    Muniz-Terrera, Graciela
    [J]. CURRENT OPINION IN PSYCHIATRY, 2019, 32 (02) : 123 - 129
  • [44] Pain in People With Alzheimer Disease: Potential Applications for Psychophysical and Neurophysiological Research
    Monroe, Todd B.
    Gore, John C.
    Chen, Li Min
    Mion, Lorraine C.
    Cowan, Ronald L.
    [J]. JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2012, 25 (04) : 240 - 255
  • [45] Analgesic use among nursing homes residents, with and without dementia, in Poland
    Neumann-Podczaska, Agnieszka
    Nowak, Tomasz
    Suwalska, Aleksandra
    Lojko, Dorota
    Krzyminska-Siemaszko, Roma
    Kozak-Szkopek, Elzbieta
    Wieczorowska-Tobis, Katarzyna
    [J]. CLINICAL INTERVENTIONS IN AGING, 2016, 11 : 335 - 340
  • [46] Are nursing home patients with dementia diagnosis at increased risk for inadequate pain treatment?
    Nygaard, HA
    Jarland, M
    [J]. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2005, 20 (08) : 730 - 737
  • [47] Effects on pain of a stepwise multidisciplinary intervention (STA OP!) that targets pain and behavior in advanced dementia: A cluster randomized controlled trial
    Pieper, Marjoleine J. C.
    van der Steen, Jenny T.
    Francke, Anneke L.
    Scherder, Erik J. A.
    Twisk, Jos W. R.
    Achterberg, Wilco P.
    [J]. PALLIATIVE MEDICINE, 2018, 32 (03) : 682 - 692
  • [48] Effects of a Stepwise Multidisciplinary Intervention for Challenging Behavior in Advanced Dementia: A Cluster Randomized Controlled Trial
    Pieper, Marjoleine J. C.
    Francke, Anneke L.
    van der Steen, Jenny T.
    Scherder, Erik J. A.
    Twisk, Jos W. R.
    Kovach, Christine R.
    Achterberg, Wilco P.
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2016, 64 (02) : 261 - 269
  • [49] Interventions targeting pain or behaviour in dementia: A systematic review
    Pieper, Marjoleine J. C.
    van Dalen-Kok, Annelore H.
    Francke, Anneke L.
    van der Steen, Jenny T.
    Scherder, Erik J. A.
    Husebo, Bettina S.
    Achterberg, Wilco P.
    [J]. AGEING RESEARCH REVIEWS, 2013, 12 (04) : 1042 - 1055
  • [50] The Effect of Using PARO for People Living With Dementia and Chronic Pain: A Pilot Randomized Controlled Trial
    Pu, Lihui
    Moyle, Wendy
    Jones, Cindy
    Todorovic, Michael
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2020, 21 (08) : 1079 - 1085
1234567