Are Chronic Pain Patients with Dementia Being Undermedicated?

Faculty/Professorship: Physiological Psychology  
Author(s): Achterberg, Wilco P.; Erdal, Ane; Husebo, Bettina; Kunz, Miriam ; Lautenbacher, Stefan
Publisher Information: Bamberg : Otto-Friedrich-Universität
Year of publication: 2022
Pages: 431-439
Source/Other editions: Journal of Pain Research, 14 (2021), S. 431-439 - ISSN: 1178-7090
is version of: 10.2147/JPR.S239321
Year of first publication: 2021
Language(s): English
Licence: Creative Commons - CC BY-NC - Attribution - NonCommercial 4.0 International 
URN: urn:nbn:de:bvb:473-irb-555273
In dementia, neuropathological changes alter the perception and expression of pain. For clinicians and family members, this knowledge gap leads to difficulties in recognizing and assessing chronic pain, which may consequently result in persons with dementia receiving lower levels of pain medication compared to those without cognitive impairment. Although this situation seems to have improved in recent years, considerable geographical variation persists. Over the last decade, opioid use has received global attention as a result of overuse and the risk of addiction, while the literature on older persons with dementia actually suggests undertreatment. This review stresses the importance of reliable assessment and the regular evaluation and monitoring of symptoms in persons with dementia. Based on current evidence, we concluded that chronic pain is still undertreated in dementia.
GND Keywords: Chronischer Schmerz; Demenz
Keywords: pain, dementia, assessment, analgesic treatment
DDC Classification: 610 Medicine & health  
RVK Classification: WW 4250   
Type: Article
Release Date: 20. October 2022

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