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  • Title: Pain assessment in nonverbal older adults with advanced dementia.
    Author: Smith M.
    Journal: Perspect Psychiatr Care; 2005; 41(3):99-113. PubMed ID: 16138819.
    Abstract:
    TOPIC: Pain assessment is a particular challenge among individuals with advanced dementia who lack the ability to formulate and express their experience of discomfort. PURPOSE: Awareness of pain scales and methods specifically designed for use with nonverbal individuals with dementia is critical to expanded use and testing in clinical settings. SOURCES: Computerized literature searches using four databases revealed the five observational scales and two caregiver reports methods reviewed. CONCLUSIONS: A small number of valid, reliable, and sensitive scales are available for use by nurses and allied health personnel. Each has strengths and limitations and all would benefit from additional testing.
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