PAIN MANAGEMENT IN PATIENTS WITH DEMENTIA


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Abstract

The paper considers the issues of pain treatment in patients with severe forms of dementia. The problem is extremely urgent both for long-term healthcare facilities, psychogeriatric hospitals, and the outpatient facility personnel caring for these patients together with their relatives. International guidelines are quoted in detail; the organizational aspects of care for dementia patients with severe pain syndrome are discussed. Tools for pain syndrome assessment are given.

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About the authors

K. Konson

I.I. Mechnikov North-Western State Medical University; Southern District Health Office, Ministry of Health

Email: claudia.konson@gmail.com
Saint Petersburg; Israel

E. Frolova

I.I. Mechnikov North-Western State Medical University

Professor MD Saint Petersburg

Z. Radomyslsky

Health Insurance Fund

Israel

M. Gdalevich

Southern District Health Office, Ministry of Health

Israel

References

  1. Психические расстройства. Информационный бюллетень ВОЗ, апрель 2017; http://www.who.int/mediacentre/factsheets/fs396/ru/ (доступ 10.04.2017).
  2. Абузарова Г.Р., Невзорова Д.В. и др. Обезболивание взрослых и детей при оказании медицинской помощи. Методические рекомендации / М.: Минздрав РФ, РНИМУ им. Н.И. Пирогова, Ассоциация проф. участников хосписной помощи, 2016.
  3. Левин О.С. Проблемы лечения хронической боли у пожилых. БОЛЬ. информационный портал; http://www.paininfo.ru/articles/4161.html (доступ 9.04.2017).
  4. Беловол А.Н., Князькова И.И. Хроническая боль в гериатрии // Мистецтво лікування. - 2011; 8: 25-30.
  5. Huffman J., Kunik M. Assessment and Understanding of Pain in Patients with Dementia // Gerontologist. - 2000; 40 (5): 574-81.
  6. Karp J. et al. Advances in understanding the mechanisms and management of persistent pain in older adults // Br. J. Anaesthesia. - 2008; 101 (1): 111-20. http://doi.org/10.1093/bja/aen090 (доступ 25.04.2017)
  7. Kaye A., Baluch A., Scott J. Pain Management in the Elderly Population: A Review // Ochsner J. - 2010; 10 (3): 179-87. https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3096211/ (доступ 25.04.2017)
  8. Corbett A. et al. Assessment and treatment of pain in people with dementia // Nature Rev. Neurol. - 2012; 8: 264-74 (2012); published online 10 April 2012; http://www.nsd.uib.no/data/individ/publikasjoner/Corbet,%20Husebo%20et%20 al%20nrneurol.2012.53.pdf (доступ 02.05.2017).
  9. Defrin R. et al. Experimental pain processing in individuals with cognitive impairment: Current state of the science // Pain. - 2015; 156 (8): DOI: 10.1097/j. pain.0000000000000195 (доступ 25.04.2017).
  10. Tommaso M. et al. Pain in Neurodegenerative Disease: Current Knowledge and Future Perspectives // Behav. Neurol. - 2016; 2016: Article ID7576292; http:// dx.doi.org/10.1155/2016/7576292 (доступ 25.04.2017).
  11. Husebo B., Ballard C. et al. Efficacy of Treating Pain to Reduce Behavioural Disturbances in Residents of Nursing Homes With Dementia // BMJ. - 2011; 343: https://doi.org/10.1136/bmj.d4065 (доступ 06.05.2017).
  12. Huskisson E. Measurement of pain // J. Rheumatol. - 1982; 9 (5): 768-9.
  13. Hartrick C. et al. The numeric rating scale for clinical pain measurement: a ratio measure? // Pain Pract. - 2003; 3 (4): 310-6.
  14. Hadjistavropoulos T. et al. Practice Guidelines for Assessing Pain in Older Persons with Dementia Residing in Long-Term Care Facilities // Physiotherapy Canada. - 2010; 62 (2): 104-13. Published online 2010 Apr 23; https://www.ncbi. nlm.nih.gov/pmc/articles/PMC2871017/ (доступ 03.05.2017)
  15. Pangman V., Sloan J., Guse L. An Examination of Psychometric Properties of the Mini-Mental Status Examination and the Standardized Mini-Mental Status Examination: Implications for Clinical Practice // Appl. Nurs. Res. - 2000; 13 (4): 209-13.
  16. Assessing Pain in Older Adults with Dementia. Series «Try this» of The Hartford Institute for Geriatric Nursing /NY: New York University, College of Nursing, and the Alzheimer’s Association; https://consultgeri.org/try-this/dementia/ issue-d2.pdf (доступ 01.05.2017).
  17. Kovach C. et al. The assessment of discomfort in dementia protocol // Pain management nursing. - 2002; 3 (1): 16-27.
  18. Обезболивание при раке / Женева: ВОЗ, 1988 [брошюра] http://apps. who.int/iris/bitstream/10665/141317/1/5225017924.pdf (доступ 06.05.2017).
  19. Palliative Care for Advanced Alzheimer's and Dementia: Guidelines and Standards for Evidence-Based Care. Ed. G. Martin, M. Sabbagh / Springer Publishing Company, 2011.
  20. Zwakhalen S. et al. Which Score Most Likely Represents Pain on the Observational PAINAD Pain Scale for Patients with Dementia? // J. Am. Med. Direct. Assoc. - 2011; 13 (4): 384-9.

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