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Titolo:
Pain assessment in cognitively impaired and unimpaired older adults: a comparison of four scales
Autore:
Chibnall, JT; Tait, RC;
Indirizzi:
St Louis Univ, Sch Med, Dept Psychiat, St Louis, MO 63104 USA St Louis Univ St Louis MO USA 63104 Dept Psychiat, St Louis, MO 63104 USA
Titolo Testata:
PAIN
fascicolo: 1-2, volume: 92, anno: 2001,
pagine: 173 - 186
SICI:
0304-3959(200105)92:1-2<173:PAICIA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
MINI-MENTAL-STATE; DESCRIPTOR DIFFERENTIAL SCALE; NURSING-HOME RESIDENTS; INTENSITY MEASUREMENT; ALZHEIMERS-DISEASE; DEMENTIA; PEOPLE; PERCEPTIONS; RELIABILITY; ASSOCIATION;
Keywords:
pain; pain measurement; geriatrics; aged; cognition disorders;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Chibnall, JT St Louis Univ, Sch Med, Dept Psychiat, 1221 S Grand Blvd, St Louis, MO 63104 USA St Louis Univ 1221 S Grand Blvd St Louis MO USA 63104 104 USA
Citazione:
J.T. Chibnall e R.C. Tait, "Pain assessment in cognitively impaired and unimpaired older adults: a comparison of four scales", PAIN, 92(1-2), 2001, pp. 173-186

Abstract

The purpose of the study was to compare the psychometric properties of four established pain scales in a population of hospitalized older adults (mean age, 76 years) with varying levels of cognitive impairment. Patients maderatings of current pain three times/day for 7 days. They also made retrospective daily, weekly, and bi-weekly ratings of usual, worst, and least painlevels over a 14-day period. Ratings were made on four different scales, varying in numeric and verbal demands: a five-point verbal rating scale, a seven-point facts pain scale. a horizontal 21-point (0-100) box scale, and two vertical 21-point (0-20) box scales (measuring pain intensity and pain unpleasantness). The accuracy, reliability, construct validity, postdictive validity. and bias susceptibility of each scale were evaluated. The horizontal 21-point box scale emerged as the best scale with respect to both psychometrics and validity, regardless of mental status. Pain intensity did not vary as a function of mental status. Retrospective estimates of pain variedby mental status: a combination of usual/worst pain was best for cognitively impaired patients, while a combination of usual/least pain was best for unimpaired patients. These findings support the use of the 21-point box scale for pain assessment in older patients, including those with mild-to-moderate cognitive impairment. They also support the ability of older, cognitively impaired patients to rate pain reliably and validly. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 10:27:04