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E J A Scherder, J M Oosterman, M E Ooms

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    As the elderly population grows, so does the incidence of chronic pain in dementia. This review explores how dementia affects pain perception and assessment in older adults.

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    Area of Science:

    • Gerontology
    • Neurology
    • Pain Medicine

    Background:

    • Aging is a significant risk factor for both chronic pain and dementia.
    • The increasing elderly population will lead to a higher prevalence of chronic pain in individuals with dementia.
    • Current pain assessment methods are often inadequate for dementia patients, especially in advanced stages, leading to underutilization of analgesics.

    Purpose of the Study:

    • To examine the impact of dementia on pain perception and experience.
    • To highlight the challenges in pain assessment and management in elderly individuals with cognitive impairment.
    • To discuss the neuropathological underpinnings of pain in different dementia subtypes and related cognitive disorders.
    • To explore pain in neurodegenerative diseases like Parkinson's disease and multiple sclerosis with high dementia risk.

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    Main Methods:

    • Literature review of existing clinical studies on pain in dementia.
    • Analysis of neuropathological changes associated with dementia and cognitive impairment.
    • Discussion of pain assessment instruments for both communicative and non-communicative patients.

    Main Results:

    • Pain perception and experience may be altered in individuals with dementia, though research is limited.
    • Neuropathological differences across dementia subtypes could influence pain experience.
    • Pain is a significant symptom in neurodegenerative diseases with high dementia risk, but its change with cognitive decline is understudied.
    • Appropriate pain assessment tools are crucial for effective pain management in this population.

    Conclusions:

    • Effective pain management in dementia requires improved assessment strategies tailored to cognitive status.
    • Further research into the neuropathology of pain in dementia and related disorders is essential.
    • Understanding how cognitive impairment affects pain is critical for improving quality of life in aging populations.