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Instruments for pain assessment in patients with advanced dementia: A systematic review of the evidence for Latin America

Published online by Cambridge University Press:  10 January 2020

Silvia Mercedes Coca  and
Roberto Ariel Abeldaño Zuñiga Open the ORCID record for Roberto Ariel Abeldaño Zuñiga [Opens in a new window]
Silvia Mercedes Coca
Affiliation:
Public Health Research Institute, Universidad de la Sierra Sur, Miahuatlan de Porfirio Diaz, Oaxaca, Mexico
Roberto Ariel Abeldaño Zuñiga*
Affiliation:
PostGraduate Department, University of Sierra Sur, Miahuatlan de Porfirio Díaz, 70805Oaxaca, Mexico
*
Author for correspondence: Roberto Ariel Abeldaño Zuñiga, PostGraduate Department, University of Sierra Sur, Miahuatlan de Porfirio Díaz, 70805Oaxaca, Mexico. E-mail: ariabeldanho@gmail.com
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Abstract

Objective

Pain treatment is an essential component of care for elderly patients with advanced dementia. The objective of this study was to identify and analyze the different scales used for pain assessment in elderly persons diagnosed with dementia, in the literature available at the Latin American level.

Method

A systematic review was performed on the existing scales for pain assessment in elderly people diagnosed with Alzheimer's disease, vascular dementia, and dementia with Lewy bodies.

Results

226 articles were retrieved from the PUBMED, BIREME, and Scielo databases, of which a total of 10 articles entered the systematic review. The instruments identified in these publications were PAINAD, Abbey, McGill, and PACSLAC, while the Colored Pain Scale, Faces Pain Scale, and VAS scales were used as the silver standard. In Spanish, the Abbey scale, and in Portuguese, the PACSLAC scale showed the best reliability and validity coefficients.

Significance of results

It is concluded that there are only two appropriate scales for the assessment of pain in people with dementia in the region of interest of this study. It is recommended to generate more evidence for a more accurate assessment of pain in people with dementia.

Keywords

DementiaOlder adultsPainPain assessment
Type
Review Article
Information
Palliative & Supportive Care , Volume 18 , Issue 6 , December 2020 , pp. 741 - 747
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Copyright
Copyright © Cambridge University Press 2020

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