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British medical bulletin · Sep 2014
ReviewThe importance of pain management in older people with dementia.
- Anne Corbett, Bettina S Husebo, Wilco P Achterberg, Dag Aarsland, Ane Erdal, and Elisabeth Flo.
- Wolfson Centre for Age-Related Diseases, King's College London, London, UK.
- Br. Med. Bull. 2014 Sep 1; 111 (1): 139-48.
IntroductionPain is common in people with dementia, representing a critical aspect of treatment and care. However, there remain considerable gaps in evidence to support pain assessment and treatment.Sources Of DataAn updated literature search focussing on systematic reviews and randomized controlled trials.Areas Of AgreementThere are key areas of consistency around the prevalence, causes and current treatment trends for pain in dementia, the impact of untreated pain and the need for an accurate, fully validated assessment tool.Areas Of ControversyAccurate assessment due to inherent issues in dementia is a critical challenge. There is also a lack of evidence around alternative treatment options.Growing PointsNew pain predictors are being identified, including physical function, depression and specific pain types, which should inform assessment methodology.Areas Timely For Developing ResearchFuture research should focus on developing integrated pain management approaches with optimized assessment and evidence-based treatment guidance.© The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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