Dementia UK, London, England.
Nurs Stand. 2023 Sep 6;38(9):69-75. doi: 10.7748/ns.2023.e12165. Epub 2023 Aug 14.
There is little evidence to suggest that people with dementia experience less pain than those without dementia, however they are less likely to report their pain due to the cognitive impairments they experience as their dementia progresses. A comprehensive pain assessment that involves family members, carers and/or friends in the process is crucial to gain an understanding of a person's medical and pain history, and to ensure effective pain management in people with dementia. This article describes the identification, assessment and management of pain in older people with dementia. The author includes a fictional case study with the aim of supporting nurses to reflect on possible indicators of pain in a person with dementia and to consider the tools they may use when identifying and assessing this pain.
虽然没有证据表明痴呆症患者比没有痴呆症的人经历的疼痛更少，但随着痴呆症的进展，他们由于认知障碍而不太可能报告自己的疼痛。全面的疼痛评估涉及家庭成员、护理人员和/或朋友，这对于了解患者的医疗和疼痛史以及确保痴呆症患者的疼痛管理有效至关重要。本文描述了老年痴呆症患者疼痛的识别、评估和管理。作者包含了一个虚构的案例研究，旨在支持护士思考痴呆症患者疼痛的可能指标，并考虑他们在识别和评估这种疼痛时可能使用的工具。
