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dc.contributor.authorArmour, Richard
dc.contributor.authorMurphy-Jones, Barry
dc.date.accessioned2019-08-08T09:58:44Z
dc.date.available2019-08-08T09:58:44Z
dc.date.issued2016-11
dc.identifier.citationArmour, R. and Murphy-Jones, B., 2016. Appropriate pain assessment tools for use in patients with dementia in the out-of-hospital environment. Journal of Paramedic Practice, 8 (11), 533-541.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2016.8.11.533
dc.identifier.urihttp://hdl.handle.net/20.500.12417/108
dc.description.abstractAbstract 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.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectDementiaen_US
dc.subjectPain Managementen_US
dc.subjectOut-of-Hospital Careen_US
dc.titleAppropriate pain assessment tools for use in patients with dementia in the out-of-hospital environmenten_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2019-07-30
rioxxterms.versionNAen_US
rioxxterms.versionofrecord10.12968/jpar.2016.8.11.533en_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-07-30
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2016-11
html.description.abstractAbstract 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.en_US


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