Cognitive impairment and pain management: review of issues and challenges.
J Rehabil Res Dev
; 44(2): 315-30, 2007.
Article
en En
| MEDLINE
| ID: mdl-17551882
ABSTRACT
The assessment and treatment of pain in persons with cognitive impairments pose unique challenges. Disorders affecting cognition include neurodegenerative, vascular, toxic, anoxic, and infectious processes. Persons with memory, language, and speech deficits and consciousness alterations are often unable to communicate clearly about their pain and discomfort. Past research has documented that persons with cognitive impairments, particularly dementia, are less likely to ask for and receive analgesics. This article provides an overview of the assessment, treatment, and management of pain in adults with cognitive impairments. We review types of cognitive impairment; recent work specific to best practices for pain management in patients with dementia, including assessment-tool development and pharmacological treatment; challenges in patients with delirium and in medical intensive care and palliative care settings; and directions for future research.
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Bases de datos:
MEDLINE
Asunto principal:
Dolor
/
Delirio
/
Demencia
/
Manejo del Dolor
Tipo de estudio:
Guideline
Límite:
Aged
/
Aged80
/
Humans
Idioma:
En
Revista:
J Rehabil Res Dev
Asunto de la revista:
ENGENHARIA BIOMEDICA
/
REABILITACAO
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos