Article

Pain assessment in the cognitively impaired and unimpaired elderly.

University of Nebraska Medical Center, College of Nursing, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, USA.
Pain Management Nursing (impact factor: 1.14). 12/2000; 1(4):106-15. DOI:10.1053/jpmn.2000.19332 pp.106-15
Source: PubMed

ABSTRACT The purpose of this study was to determine the self-report pain rating scale(s) that can be used to quantify pain in elderly persons across cognitive functioning levels. Randomly selected elderly subjects (N = 100) completed the Short Portable Mental Status Questionnaire to categorize their level of cognitive impairment: intact (n = 36), mild (n = 9), moderate (n = 15), and severe (n = 40). Pain was measured with the Memorial Pain Assessment Card verbal subscale, FACES, COOP pain subscale, a numeric rating scale, and the Present Pain Intensity subscale of the McGill Pain Questionnaire. Receiver operator characteristic curves indicated that participants categorized with moderate to no cognitive impairment were able to complete 1 or more of the pain assessment tools. Of the severely impaired, 30% were able to complete 1 or more pain assessment tools. Intraclass correlations showed a high degree of consistency among all pairs of tools (intraclass correlation > 0.74). We conclude that most elderly, with normal to moderately impaired cognitive functioning, as well as some severely impaired elderly, are capable of using self-report tools to rate their pain.

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Keywords

capable
 
categorize
 
cognitive impairment
 
complete 1
 
COOP pain subscale
 
elderly persons
 
elderly subjects
 
FACES
 
impaired elderly
 
McGill Pain Questionnaire
 
Memorial Pain Assessment Card verbal subscale
 
moderate
 
numeric rating scale
 
pain assessment tools
 
pairs
 
participants
 
Present Pain Intensity subscale
 
Receiver operator characteristic curves
 
self-report pain rating scale(s)
 
Short Portable Mental Status Questionnaire