Cent Eur J Nurs Midw 2013, 4(4):678-683

Pain evaluation in clients with moderate and severe dementia

Jan Lužný
Mental hospital in Kroměříž

Aim: to evaluate presence of pain in clients of both sexes, older than 65, who have been admitted to Mental hospital Kroměříž due to dementia of any type.

Methods: study of nursing documentation from dispatching health care facilities, PAINAD scale (Pain assessment in advanced dementia). Severity of dementia was moderate of severe (this was evaluated by Mini-Mental State Examination total score during admission process to our hospital, scores ranged from 0 to 17).

Results: pain was detected in 26.7% of clients with moderate or severe dementia by means of PAINAD scale, compared to 8.96% of clients with pain which has been reported in nursing documentation. Almost in one third of nursing documentation (29.9%) no data or incomplete data about pain were found. Almost one fifth (19.4%) of nursing documentation have not contained any tool for pain screening. Concusion: undiagnosed pain in cognitively impaired clients is a severe problem of nursing care. Permanent education of nursing staff, high quality of nursing documentation awareness as well as more strict control process from chief position is highly recommended.

Keywords: pain, seniors, dementia, nursing documentation, PAINAD scale

Published: September 30, 2013  Show citation

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Lužný J. Pain evaluation in clients with moderate and severe dementia. Ošetřovatelství a porodní asistence. 2013;4(4):678-683.
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