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Pain Assessment in Noncommunicative Elderly persons--PAINE
1Hebrew Home of Greater Washington, Research Institute on Aging, Rockville, MD 20852, USA. cohen-mansfield@hebrew-home.org
The Pain Assessment in Noncommunicative Elderly persons (PAINE) tool effectively identifies pain in individuals with dementia. Validation studies confirm its reliability and accuracy in detecting pain symptoms.
Area of Science:
- Gerontology
- Pain Management
- Dementia Care
Background:
- Assessing pain in individuals with dementia is challenging due to communication barriers.
- Existing pain assessment tools may not be suitable for noncommunicative elderly populations.
Purpose of the Study:
- To validate the informant-based Pain Assessment in Noncommunicative Elderly persons (PAINE) tool.
- To assess the reliability and validity of PAINE in diverse nursing home settings.
Main Methods:
- Two studies were conducted with a total of 171 nursing home residents.
- Internal consistency, interrater, and test-retest reliability were evaluated.
- Validity was assessed using receiver operating characteristic curve analyses and correlations with other pain measures.
Main Results:
- PAINE demonstrated adequate internal consistency and reliability (interrater and test-retest).
- Receiver operating characteristic curve analyses yielded adequate results.
- PAINE showed reasonable correlations with existing pain assessment measures in dementia patients.
Conclusions:
- The PAINE tool is a reliable and valid method for assessing pain in noncommunicative elderly individuals with dementia.
- Its comprehensive symptom list, based on caregiver reports, enhances its utility.
- PAINE is a valuable tool for improving pain detection and management in dementia care.
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