Author : Catherine Apinis
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (9 download)
Book Synopsis Quelle est la relation entre l'évaluation interdisciplinaire et les deux outils d'observation de la douleur chez des personnes âgées incapables de communiquer verbalement en raison de déficits cognitifs? by : Catherine Apinis
Download or read book Quelle est la relation entre l'évaluation interdisciplinaire et les deux outils d'observation de la douleur chez des personnes âgées incapables de communiquer verbalement en raison de déficits cognitifs? written by Catherine Apinis and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim of investigation: The prevalence of chronic pain in long-term care facilities (LTCF) is high and a major proportion being found among older adults unable to communicate. Although there are several validated observational assessment tools for this population, pain in older adults is often not periodically assessed. It is assessed by an interdisciplinary evaluation (IE) which leads to a more subjective assessment. The IE is a collaborative approach where a consensus about the presence of pain is obtained by a subjective agreement of different health care professionals. However, this method shows a possible risk of under-assessment of pain. The aim of this study was to examine the concordance between the results of two validated observational pain tools and an IE for older adults unable to communicate. Methods: In one Sherbrooke LTCF, a population of 59 older adults unable to communicate because of severe cognitive impairment was recruited. For all patients, pain behaviours were assessed using two validated tools, the Pain Assessment Checklist for seniors with Limited Ability to Communicate (PACSLAC) and the Pain Assessment in Advanced Dementia (PAINAD). Assessments were done simultaneously by two trained independent evaluators during a transfer bed to chair or during a mobilisation in bed. Their results were compared to the IE results about presence/absence of pain and with the estimated pain intensity on a numeric scale (0-10) filled for the same activities. Results: The correlation between PACSLAC and PAINAD was high, r= 0.79 (95%, CI: 0.65-0.86). However, we found a weak association between the PACSLAC and the IE (r= 0.37 [95%, CI: 0.09-0.55]), and no association was observed between the PAINAD and the IE (r=0:25[95%, CI: -0.03-0.46]).When the PACSLAC (considered as the reference measure) showed the presence of pain behaviors (with a cut-off score>3/60), the IE was not able to detect the presence of pain in 27% of these cases. Conclusion: These results show that IE leads to under-estimation of pain and supports the implementation of validated tools such as the PACSLAC or the PAINAD, to promote better pain management in LTCF.