Scandinavian journal of caring sciences
-
Advancing age is associated with high prevalence of dementia, often combined with under-diagnosed and under-treated pain. A nurse-administered assessment tool has been developed to unmask pain during standardised, guided movements, called Mobilisation-Observation-Behaviour-Intensity-Dementia (MOBID) Pain Scale. The aim was to examine intra- and inter-rater reliability of pain behaviour indicators, inferred pain intensity, and the overall MOBID Pain Score. ⋯ Intra- and inter-rater reliability of overall pain were very good [intraclass correlation coefficient (1,1) ranging 0.92-0.97 and 0.94-0.96 respectively, at day 8]. Reliability of pain intensity scores tended to increase by repeated assessment. Using video uptake, MOBID Pain Scale was shown to be sufficiently reliable to assess pain in older persons with severe dementia.
-
The brief screening version of the Multidimensional Pain inventory (MPI) is a shorter version of the West Haven-Yale Multidimensional Pain Inventory that measures pain in a multidimensional way and is theoretically linked to a cognitive-behavioural perspective on chronic pain. ⋯ The result showed that the instrument had acceptable validity and reliability in all age groups except for those aged >or=90 years. Thus, the instrument can be seen as a useful (multidimensional) form of screening for chronic pain.