Abstract
Aim: To study the application of the meta-tool Pain Assessment in Impaired Cognition (PAIC) in a clinical setting in patients with moderate to severe dementia. Materials & methods: Observational study in five Dutch nursing homes, where residents were observed by nurses or nurse-assistants during rest and movement. Prevalence and observer agreement of individual items were examined. Results: An observer agreement of ≥70% was found for most items of the body movement domain and vocalization domain, although prevalence of these behaviors was low (especially during rest). Items of the facial expression domain had a percentage agreement <70%, especially during movement, but with high prevalence of behaviors. Conclusion: The pain assessment in impaired cognition items show promising interobserver and intraobserver agreement in a clinical setting.
Overview publication
Title | Pain assessment in impaired cognition: observer agreement in a long-term care setting in patients with dementia. |
Date | September 1st, 2019 |
Issue name | Pain management |
Issue number | v9.5:461-473 |
DOI | 10.2217/pmt-2019-0025 |
PubMed | 31403394 |
Authors | |
Keywords | dementia, interobserver agreement, intraobserver agreement, nursing home, observational measurement instrument, pain, pain assessment, reliability |
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