8/12/2023 0 Comments Benz and beamer![]() In older people who have severe cognitive impairments or communication difficulties, their behaviour may be the only external indicator of pain. ![]() If you are not successful in using one type of self-report tool with an older person, try a different tool. Some patients prefer to use numbers to describe their pain, while others prefer words. A pictorial pain scale (FACES pain scale).They evaluate only the sensory component of pain. Unidimensional pain assessment tools are used for ongoing evaluation of pain intensity and response to treatment. They evaluate the sensory component of pain (what the person is feeling), the emotional response to pain (impact on the person’s function and relationships, and the meaning of the pain) and quality of life (activities, mood, sleep). Multidimensional tools are used for an initial comprehensive pain assessment. However, take care when using family or carer reports of pain in an older person, as pain intensity may be over- or under-estimated. 4 Self-reported pain from people with a severe cognitive impairment or non-communicative patients should be cross-validated with an observational pain assessment and, where appropriate, discussed with the patient’s family or carer. using a multidimensional self-report tool.Īll self-reports should be taken seriously, including those from older people with a cognitive impairment.asking an older person questions about their pain – consider using terms such as ‘hurting’, ‘aching’ and ‘soreness’ and document these terms if the older person uses them 1.1,2 Self-report of pain may be obtained by: Use it with all older people, including those with a cognitive or communication impairment. ![]() Self-report is the most reliable source of information on pain. There are two main methods for identifying pain in older people: self-report and observational. If the older person does report pain during the initial screening interview, then further assessment of pain intensity, location, quality and symptoms is needed to guide diagnosis and treatment. If the older person has no pain on admission, record ‘0’ as the pain score and advise them to let staff know if pain develops.
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