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Titolo:
A structured pain interview for geriatric patients
Autore:
Basler, HD; Bloem, R; Casser, HR; Gerbershagen, HU; Griessinger, N; Hankemeier, U; Hesselbarth, S; Lautenbacher, S; Nikolaus, T; Richter, W; Schroter, C; Weiss, L;
Indirizzi:
Univ Marburg, Inst Med Psychol, Klinikum, D-35037 Marburg, Germany Univ Marburg Marburg Germany D-35037 Klinikum, D-35037 Marburg, Germany DRK Schmerzzentrum Mainz, Mainz, Germany DRK Schmerzzentrum Mainz Mainz Germany erzzentrum Mainz, Mainz, Germany Univ Erlangen Nurnberg, Schmerzambulanz, Anasthesiol Klin, Erlangen, Germany Univ Erlangen Nurnberg Erlangen Germany thesiol Klin, Erlangen, Germany EV Johannes Krankenhaus, Klin Anasthesiol Intens & Schmerztherapie, Bielefeld, Germany EV Johannes Krankenhaus Bielefeld Germany ztherapie, Bielefeld, Germany Univ Marburg, Klin Psychiat & Psychotherapie, Marburg, Germany Univ Marburg Marburg Germany sychiat & Psychotherapie, Marburg, Germany Bethesda Geriatr Klin, Ulm, Germany Bethesda Geriatr Klin Ulm GermanyBethesda Geriatr Klin, Ulm, Germany Klin Hoher Meissner, Abt Neurol, Bad Sooden Allendorf, Germany Klin Hoher Meissner Bad Sooden Allendorf Germany den Allendorf, Germany Evangel Krankenhaus Kalk, Schmerzambulanz, Cologne, Germany Evangel Krankenhaus Kalk Cologne Germany merzambulanz, Cologne, Germany
Titolo Testata:
SCHMERZ
fascicolo: 3, volume: 15, anno: 2001,
pagine: 164 -
SICI:
0932-433X(200106)15:3<164:ASPIFG>2.0.ZU;2-C
Fonte:
ISI
Lingua:
GER
Keywords:
pain assessment; pain in the elderly; cognitive impairment; MMSE; diagnostic interview;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Basler, HD Univ Marburg, Inst Med Psychol, Klinikum, Bunsenstr 3, D-35037 Marburg, Germany Univ Marburg Bunsenstr 3 Marburg Germany D-35037 burg, Germany
Citazione:
H.D. Basler et al., "A structured pain interview for geriatric patients", SCHMERZ, 15(3), 2001, pp. 164

Abstract

Background. In old age, assessment of pain often is hampered by sensory and cognitive deficits that do not allow the patients to fill in standardizedquestionnaires without help from significant others. Therefore, as an alternative, we developed a structured pain interview, and examined its properties and acceptance in a sample of geriatric patients with pain. Methods. The interview covers site of pain, intensity of pain, its duration and persistency, pain related disability and, finally, emotional and cognitive variables. In addition, the interviewer addresses significant others to get information about medication, previous treatment,and residence,and administers the Mini-Mental-State-Examination (MMSE). The analysis includes 128 patients of pain centers older than 74 years, of whom 80% are female. Results. Forty percent of the subjects score below the critical MMSE valueless than or equal to 23 indicative of cognitive impairment. These patients are responsible for 36 out of a total of 39 missing values. A significantincrease of missing values is observed in patients with a MMSE score below10. Cognitive impairment goes along with greater functional and social disability. On the other hand, cognitive impairment is unrelated to localization, intensity, and duration of pain. The memory item of the MMSE can be used as a screening tool for cognitive impairment. Patients, who are unable torecall any of the three objects, comprise 80% of the total of missing va lues and demonstrate a low MMSE score. Conclusion. As long as geriatric patients are able to communicate verbally,they are most likely to profit from the structured pain interview in spiteof existing cognitive impairment. A MMSE score < 10 indicates that the interpretation of the data obtained may be difficult, especially due to a highfrequency of missing values.

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Documento generato il 07/06/20 alle ore 06:14:16