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    Appropriate pain assessment tools for use in patients with dementia in the out-of-hospital environment

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    Author
    Armour, Richard
    Murphy-Jones, Barry
    Keyword
    Emergency Medical Services
    Dementia
    Pain Management
    Out-of-Hospital Care
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/108
    DOI
    10.12968/jpar.2016.8.11.533
    Abstract
    Abstract published with permission. There is substantial evidence to suggest adults with cognitive impairment, caused by degenerative conditions such as dementia, are at a significantly higher risk of suboptimal pain assessment and management in the acute care setting when compared to adults without cognitive impairment. This paper aims to assess the pain assessment tools most appropriate for use in adults with cognitive impairment as a result of dementia within the out-of-hospital setting. A search of the literature was conducted in May 2016. The databases searched were Pubmed (Medline) and Embase. The primary types of literature retrieved were meta-reviews, systematic reviews or reviews. All subcategories of dementia were included in this review. From the search strategies, 12 relevant articles and 35 pain assessment tools for use in patients with dementia were identified. In this review, the Abbey Pain Scale and PAINAD have been identified as tools substantiated in the literature for use in detecting pain in adults with dementia, which likely have applications in the out-of-hospital environment. A trial of either the Abbey Pain Scale or PAINAD in an emergency ambulance service is appropriate and likely warranted to assess their impact on pain assessment in this vulnerable patient group.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2016.8.11.533
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    Publications - London Ambulance Service

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