[:en]Addressing the pain in palliative care, in non-communicative elderly[:ro]Abordarea durerii în îngrijirile paliative, la vârstnicul non-coumunicativ[:]

[:en]Mihaela Ceucă, MD, geriatrics and gerontology, psychogeriatric, Department for Social Services, Bucharest, Romania

Address for correspondence: m.ceuca@gmail.com

Abstract

There is an understatement and insufficient treatment of pain in palliative care in terminally ill patients suffering from non-cancer diseases, especially in older non-communicative people with degenerative cognitive disorders, like dementia. A review of numerous studies analysing pain assessment by quantifiable methods (scales), leads to the conclusion that there is not a pain assessment tool perfectly predictable, perfectly validated and the pain must be even presumed actively sought using multiple instruments.

It is recommended to evaluate pain in rest and in activity, looking for atypical signs of and also use the information from those close to the patient. Elderly care professionals should receive continuing medical education in this matters to be able to identify, use effective assessment tools and treat pain.

Key words: pain assessment, elderly, dementia, pain scales, chronic pain, palliative care

(Full text in Romanian)

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