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Pain Assessment in Advanced Dementia Scale

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1. The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale Full Text available with Trip Pro

The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale This study was conducted to test the reliability and validity of the Turkish version of the "Pain Assessment In Advanced Dementia (PAINAD) Scale".One hundred and six older adults with advanced dementia (AD) were recruited in the study. Detailed medical history and demographic data of the participants were recorded. Initially, the Turkish version of PAINAD (PAINAD-TR), which was prepared by means of "back-translation (...) was proved.The PAINAD-TR scale can be used for the assessment and management of pain in non-communicative older adults with AD.

2018 Archives of Neuropsychiatry

2. Dementia: assessment, management and support for people living with dementia and their carers

, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Dementia: assessment, management and support for people living with dementia and their carers (...) to review and change any advance statements and decisions they have made. 1.2 Diagnosis Initial assessment in non-specialist settings Initial assessment in non-specialist settings 1.2.1 At the initial assessment take a history (including cognitive, behavioural and Dementia: assessment, management and support for people living with dementia and their carers (NG97) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 13

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

3. Pain Assessment in Advanced Dementia Scale

Pain Assessment in Advanced Dementia Scale Pain Assessment in Advanced Dementia Scale Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pain Assessment in Advanced Dementia Scale Pain Assessment in Advanced Dementia Scale Aka: Pain Assessment in Advanced Dementia Scale , PAINAD Scale II. Criteria Breathing independent of vocalization Score 0: Normal Score 1: Occasional labored breathing with short periods of Score 2: Noisy, labored breathing with longer periods of (e.g. Cheyne-Stokes) Negative vocalization Score 0: None Score 1: Low level speech with negative or disapproving quality with occasional moan or groan Score 2: Repeated

2018 FP Notebook

4. A novel pain assessment tool incorporating automated facial analysis: interrater reliability in advanced dementia Full Text available with Trip Pro

A novel pain assessment tool incorporating automated facial analysis: interrater reliability in advanced dementia Regardless of its severity, dementia does not negate the experience of pain. Rather, dementia hinders self-reporting mechanisms in affected individuals because they lose the ability to do so. The primary aim of this study was to examine the interrater reliability of the electronic Pain Assessment Tool (ePAT) among raters when assessing pain in residents with moderate-to-severe (...) automated facial expression analysis and clinical behavioral indicators in a single observational pain assessment tool, demonstrates good reliability properties, which supports its appropriateness for use in residents with advanced dementia.

2018 Clinical interventions in aging

5. Evaluation of instruments for pain assessment in patients diagnosed with advanced dementia: a systematic review

Evaluation of instruments for pain assessment in patients diagnosed with advanced dementia: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files (...) of reperfusion (if applicable). ">Data to be extracted: animal model Example: Dose, timing of administration, frequency of administration, route of administration, vehicle. ">Data to be extracted: intervention of interest Example: Serum creatinine; continuous; umol/L (may be recalculated from mg/dL). ">Data to be extracted: primary outcome(s) Example: Blood urea nitrogen; continuous; mmol/L (may be recalculated from mg/dL); Renal histological damage as assessed by Jablonski scale; continuous; Jablonski score

2019 PROSPERO

6. Pain assessment for individuals with advanced dementia in care homes: a systematic review

Pain assessment for individuals with advanced dementia in care homes: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing (...) of administration, route of administration, vehicle. ">Data to be extracted: intervention of interest Example: Serum creatinine; continuous; umol/L (may be recalculated from mg/dL). ">Data to be extracted: primary outcome(s) Example: Blood urea nitrogen; continuous; mmol/L (may be recalculated from mg/dL); Renal histological damage as assessed by Jablonski scale; continuous; Jablonski score. ">Data to be extracted: secondary outcome(s) Example: 1st author, year of publication, language, journal. ">Data

2019 PROSPERO

7. Pain assessment in advanced dementia.Validity of the German Painad -a prospective double-blind randomised placebo-controlled trial. (Abstract)

Pain assessment in advanced dementia.Validity of the German Painad -a prospective double-blind randomised placebo-controlled trial. Pain in combination with dementia is a common condition that makes pain recognition significantly more difficult. This results in undertreatment of pain in those suffering from dementia. The Pain Assessment in Advanced Dementia (PAINAD) scale currently represents one of the best approaches to pain detection in dementia. In a pilot study, strong inter-rater (...) and retest reliability of the German version (PAINAD-G) was proven. However, the available data concerning the validity of this instrument were insufficient. The aim of the study was to validate the PAINAD-G scale by a double-blind randomised placebo-controlled trial in people with advanced dementia expected to be in pain. A second aim was to examine whether other observational tools (BISAD = Observation Instrument for Assessing Pain in the Elderly with Dementia) (German: Beobachtungsintrument für das

2018 Pain Controlled trial quality: uncertain

8. Effects on pain of a stepwise multidisciplinary intervention (STA OP!) that targets pain and behavior in advanced dementia: A cluster randomized controlled trial. (Abstract)

-intervention. Logistic generalized estimating equations were used to test treatment and time effects.A total of 21 clusters (single nursing home units) in 12 Dutch nursing homes included 288 residents with advanced dementia (Global Deterioration Scale score 5, 6, or 7): 148 in the intervention and 140 in the control condition.The multilevel modeling showed an overall effect of the intervention on observed pain but not on estimated pain; Pain Assessment Checklist for Seniors with Limited Ability (...) Effects on pain of a stepwise multidisciplinary intervention (STA OP!) that targets pain and behavior in advanced dementia: A cluster randomized controlled trial. Pain in nursing home residents with advanced dementia remains a major challenge; it is difficult to detect and may be expressed as challenging behavior. STA OP! aims to identify physical and other needs as causes of behavioral changes and uses a stepwise approach for psychosocial and pharmacological management which was effective

2017 Palliative medicine Controlled trial quality: uncertain

9. Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients. (Abstract)

Psychometric Properties of the Pain Assessment in Advanced Dementia Scale Compared to Self Assessment of Pain in Elderly Patients. The aims of the present study were to report on the psychometric properties of the Pain Assessment in Advanced Dementia (PAINAD) scale by comparing it with the gold standard method of self-reporting on a numerical rating scale (NRS), and to provide a categorical version of the PAINAD scale comparable with the verbal descriptor scale of the NRS.Six hundred elderly (...) of the PAINAD scale was adequate for all items, both in patients with dementia (α = 0.90) and in those with no cognitive impairment (α = 0.94). The psychometric evaluation demonstrated a stronger level of concurrent validity (Kendall's τ = 0.73, p < 0.0001) and inter-rater agreement (ĸ = 0.74, p < 0.0001) for the PAINAD compared with the NRS.Our findings clearly indicate that the PAINAD scale is a reliable and easily administered tool for assessing pain intensity also in elderly patients with advanced

2012 Dementia and Geriatric Cognitive Disorders

10. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

, and the interprofessional team . Ia Recommendation: 6 .4: Assess older adults with dementia for pain using a population-specific pain assessment tool . Ia 7.0 Planning Recommendation 7 .1: Develop an individualized plan of care that addresses the behavioural and psychological symptoms of dementia (BPSD) and/or the person’s personal care needs . Incorporate a range of non-pharmacological approaches, selected according to: ? the person’s preferences, ? the assessment of the BPSD, ? the stage of dementia, ? the person’s (...) Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition Clinical Best Practice Guidelines JULY 2016 Delirium, Dementia, and Depression in Older Adults: Assessment and Care Second EditionDisclaimer These guidelines are not binding for nurses or the organizations that employ them. The use of these guidelines should be flexible based on individual needs and local circumstances. They neither constitute a liability nor discharge from liability. While every effort has

2016 Registered Nurses' Association of Ontario

11. Systematic Pain Assessment in Nursing Home Residents With Advanced Dementia

Systematic Pain Assessment in Nursing Home Residents With Advanced Dementia Systematic Pain Assessment in Nursing Home Residents With Advanced Dementia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Systematic Pain Assessment in Nursing Home Residents With Advanced Dementia The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02945865 Recruitment Status : Unknown Verified October 2016 by Liv Halvorsrud, Oslo and Akershus University College of Applied Sciences. Recruitment status was: Active

2016 Clinical Trials

12. Pain Assessment in Advanced Dementia Scale

Pain Assessment in Advanced Dementia Scale Pain Assessment in Advanced Dementia Scale Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pain Assessment in Advanced Dementia Scale Pain Assessment in Advanced Dementia Scale Aka: Pain Assessment in Advanced Dementia Scale , PAINAD Scale II. Criteria Breathing independent of vocalization Score 0: Normal Score 1: Occasional labored breathing with short periods of Score 2: Noisy, labored breathing with longer periods of (e.g. Cheyne-Stokes) Negative vocalization Score 0: None Score 1: Low level speech with negative or disapproving quality with occasional moan or groan Score 2: Repeated

2015 FP Notebook

13. Hearing loss in adults: assessment and management

17 3 Use of hearing aids and incidence of dementia 18 4 Hearing loss prevalence in people who under-present for hearing loss 18 5 Monitoring and follow-up for adults with hearing loss 19 Hearing loss in adults: assessment and management (NG98) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 20Ov Overview erview This guideline covers some aspects of assessing and managing hearing loss in primary, community (...) Consider referring adults with diagnosed or suspected dementia or mild cognitive impairment to an audiology service for a hearing assessment because hearing loss may be a comorbid condition. 1.1.9 Consider referring adults with diagnosed dementia or mild cognitive impairment to an audiology service for a hearing assessment every 2 years if they have not previously been diagnosed with hearing loss. 1.1.10 Consider referring people with a diagnosed learning disability to an audiology service

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

14. Pain Assessment in Elderly with Behavioral and Psychological Symptoms of Dementia Full Text available with Trip Pro

of pain in people with dementia in long term care facilities using scales of self-reporting and observational tools and, particularly, to study the relationship between pain and BPSD.A prospective observational study was carried out on 233 patients. Pain assessment was performed using self-reporting tools such as the Numeric Rating Scale (NRS) for patients with slight cognitive impairment or no cognitive impairment and observational tools such as Pain Assessment In Advanced Dementia Scale (PAINAD (...) ) for patients with moderate or severe cognitive impairment. Mood was evaluated through the Cornell Scale for Depression in Dementia (CSDD) while behavioral problems were assessed through the Cohen-Mansfield Agitation Inventory (CMAI) and Neuropsychiatric Inventory (NPI).Only 42.5% of patients evaluated by NRS provided a reliable answer; of these, 20.4% reported no pain. The percentage of pain evaluated by PAINAD was 51.8% . Analysis of data showed a statistically significant correlation between diagnosis

2016 Journal of Alzheimer's Disease

15. Efficacy and Safety of Analgesic Treatment for Depression in People with Advanced Dementia: Randomised, Multicentre, Double-Blind, Placebo-Controlled Trial (DEP.PAIN.DEM). Full Text available with Trip Pro

Efficacy and Safety of Analgesic Treatment for Depression in People with Advanced Dementia: Randomised, Multicentre, Double-Blind, Placebo-Controlled Trial (DEP.PAIN.DEM). Chronic pain and depression often co-occur, and pain may exacerbate depression in people with dementia.The objective of this study was to assess the efficacy and safety of analgesic treatment for depression in nursing home patients with advanced dementia and clinically significant depressive symptoms.We conducted (...) baseline to 13 weeks, assessed using linear mixed models with fixed effects for time, intervention and their interaction in the models. Secondary outcomes were to assess whether any change in depression was secondary to change in pain (Mobilisation-Observation-Behaviour-Intensity-Dementia-2 Pain Scale) and adverse events.The mean depression change was - 0.66 (95% confidence interval - 2.27 to 0.94) in the active group (n = 80) and - 3.30 (- 4.68 to -1.92) in the placebo group (n = 82). The estimated

2018 Drugs & Aging Controlled trial quality: predicted high

16. Quality of life and paracetamol in advanced dementia (Q-PID): protocol of a randomised double-blind placebo-controlled crossover trial. Full Text available with Trip Pro

and frequent problem in persons with dementia. Also, although pain is difficult to assess in this group, the impact on QoL is probably considerable. There is evidence that pain has a negative impact on behaviour, mood, functioning and social participation, and benefit may be derived from use of paracetamol. Therefore, in LTCF residents with advanced dementia, this study aims to evaluate the effect of scheduled pain treatment with paracetamol on QoL, neuropsychiatric symptoms, ADL function, pain, care (...) dependency, and (change in) use of psychotropic and pain medication.This randomised, double-blind, placebo-controlled crossover trial will include 95 patients with: 1) age ≥ 65 years, 2) advanced dementia (Reisberg Global Deterioration Scale 5-7), and 3) QUALIDEM score ≤ 70. Exclusion criteria are the regular use of pain treatment, allergies to the study drugs, severe liver insufficiency or disease, use of > 4 units of alcohol/day, weight < 50 kg, and/or concomitant use of flucloxacillin. The two

2018 BMC Geriatrics Controlled trial quality: predicted high

17. Tools to Assess Pain or Lack of Comfort In Dementia: A Content Analysis. Full Text available with Trip Pro

or at the end of life.Using qualitative content analysis with six classifications, we categorized each item of four thoroughly tested observational pain tools (Pain Assessment in Advanced Dementia [PAINAD], Pain Assessment Checklist for Seniors with Limited Ability to Communicate [PACSLAC], Doloplus-2, and draft Pain Assessment in Impaired Cognition [PAIC]), and four discomfort tools (including distress, comfort, and quality of life in severe dementia or at the end of life; Discomfort Scale-Dementia (...) Alzheimer Type [DS-DAT], Disability Distress Assessment Tool [DisDAT], End-of-Life in Dementia-Comfort Assessment in Dying with Dementia [EOLD-CAD], and Quality of Life in Late-Stage Dementia [QUALID] scale). We calculated median proportions to compare distributions of categories of pain and discomfort tools.We found that, despite variable content across tools, items from pain and discomfort tools overlapped considerably. For example, positive elements such as smiling and spiritual items were more often

2015 Journal of pain and symptom management

18. Patients Hospitalized with Heart Failure: Risk Assessment, Management, and Clinical Trajectory

ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and Clinical Trajectory of Patients Hospitalized With Heart Failure ... - APPENDIX 2 Peer Reviewer Relationships With Industry and Other Entities—2019 ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and ClinicalTrajectoryofPatientsHospitalizedWithHeart Failure .. ... - APPENDIX 3 Abbreviations ... ... - APPENDIX 4 Advance Care Planning .. ... - APPENDIX 5 Alternative Format for the Focused Discharge Handoff (...) . Psychosocial Dementia /cognitive decline Assess precipitating factors, possible delirium, evaluate cognitive and mental executive function. Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology Depression Screen for depression and other mood disorders. Consider referral (87) for counseling and potential pharmacotherapy. Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice

2019 American College of Cardiology

19. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

assessments should include a review of the medications that the older person is taking. Polypharmacy can be reduced by eliminating unnecessary, ine?ective medications as well as medications with a duplicative e?ect How to prescribe appropriately and reduce medication errors: • obtain a complete medication history; • consider whether the medications may a?ect capacity • avoid prescribing before a diagnosis is made except in severe acute pain; • review medications regularly and before prescribing a new (...) in their environment that is, when a person develops dementia. This pathway is intended to apply to older people with some degree of cognitive decline but who do not have dementia. Health professionals must also be able to assess the need for social care and support (see Chapter 10). KEY POINTS eclines in cognitive capacity can be minimied and sometimes reversed by a general approach to a healthier lifestyle, cognitive stimulation and social engagement. Treatment of conditions such as diabetes and hypertension may

2019 World Health Organisation Guidelines

20. Pain and delirium in people with dementia in the acute general hospital setting. Full Text available with Trip Pro

prospective longitudinal cohort data.Two acute hospitals in the UK.Two-hundred and thirty participants aged ≥70 years were assessed for dementia severity, delirium ((Confusion Assessment Method (CAM), pain (Pain Assessment in Advanced Dementia (PAINAD)) scale and prescription of analgesics. Logistic and linear regressions explored the relationship between pain and delirium using cross-sectional data.Pain at rest developed in 49%, and pain during activity for 26% of participants during their inpatient stay (...) Pain and delirium in people with dementia in the acute general hospital setting. Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting.To investigate the relationship between pain and delirium in people with dementia, on admission and throughout a hospital admission.Exploratory secondary analysis of observational

2018 Age and ageing

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