Journal of Pain and Symptom Management
Volume 25, Issue 1 , Pages 48-52 , January 2003

Pain Assessment in Elderly Patients with Severe Dementia

  • Paolo L Manfredi, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Paolo L. Manfredi, MD, Pain and Palliative Care Service, Department of Neurology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA
    • Pain and Palliative Care Service, Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
    • The Jewish Home and Hospital, New York, NY, USA
    • ,
  • Brenda Breuer, MPH, PhD

      Affiliations

    • Department of Neurology, New York University, New York, NY, USA
    • The Jewish Home and Hospital, New York, NY, USA
    • The Hospital for Joint Diseases, New York, NY, USA
    • ,
  • Diane E Meier, MD

      Affiliations

    • Department of Geriatrics and Adult Medicine, Mount Sinai School of Medicine, New York, NY, USA
    • ,
  • Leslie Libow, MD

      Affiliations

    • Department of Geriatrics and Adult Medicine, Mount Sinai School of Medicine, New York, NY, USA
    • The Jewish Home and Hospital, New York, NY, USA

,Accepted 25 February 2002.

References 

  1. Stein WM, Ferrell BA. Pain in the nursing home. Clin Geriatr Med. 1996;12(3):601–613
  2. Parmelee PA. Pain in cognitively impaired older persons. Clin Geriatr Med. 1996;12(3):473–485
  3. Rovner BW, Kafonek S, Filipp L, et al.  Prevalence of mental illness in a community nursing home. American J Psy. 1986;143(11):1446–1449
  4. Magaziner J, Zimmerman SI, German PS, et al.  Ascertaining dementia by expert panel in epidemiologic studies of nursing home residents. Ann Epidemiology. 1996;6(5):431–437
  5. Merskey H, Bogduk N. Classification of chronic pain. Seattle: International Association for the Study of Pa; in Press; , 1994
  6. Feldt KS, Ryden MB, Miles S. Treatment of pain in cognitively impaired compared with cognitively intact older patients with hip-fracture. J Am Geriatr Soc. 1998;46:1079–1085
  7. Morrison RS, Siu AL. A comparison of pain and its treatment in advanced dementia and cognitively intact patients with hip fractures. J Pain Symptom Manage. 2000;19:240–248
  8. Folstein F, Folstein SE, McHugh PR. “Mini-Mental State” (a practical method for grading the cognitive state of patients for the clinician). J Psychiatric Research. 1975;12:189–198
  9. Shrout PE, Fleiss JL. Intraclass correlations (uses in assessing rater reliability). Psychol Bull. 1979;86:420–428
  10. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  11. Dallam L, Smyth C, Jackson BS, et al.  Pressure ulcer pain (assessment and quantification). J Wound Ostomy Continence Nurs. 1995;22:211–218
  12. Morrison RS, Ahronheim JC, Morrison GR, et al.  Pain and discomfort associated with common hospital procedures and experiences. J Pain Symptom Manage. 1998;15(2):91–101

PII: S0885-3924(02)00530-4

Journal of Pain and Symptom Management
Volume 25, Issue 1 , Pages 48-52 , January 2003

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