Show Summary Details

Page of

PRINTED FROM OXFORD HANDBOOKS ONLINE (www.oxfordhandbooks.com). © Oxford University Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Handbooks Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 September 2019

Abstract and Keywords

Pain assessment and management in persons with dementia are especially challenging and important topics because under-identification and under-treatment are common in this vulnerable population. This chapter recommends the Unmet Needs conceptual model as an important paradigm for understanding causes of pain in persons with dementia. Pharmacological and non-pharmacological pain interventions are described. An integrative clinical assessment/intervention approach, ‘Distress First’, is presented. Clinicians are encouraged to use the term ‘distress’ rather than ‘pain’ for this population. An assessment and treatment approach, ‘Look•Listen•Guess•Respond•Repeat’ is recommended. Finally, a set of principles is presented to guide clinicians toward action at both individual and systemic levels to improve pain assessment and management for this population.

Keywords: pain, dementia, distress, assessment, treatment, analgesics, non-pharmacological treatment

Access to the complete content on Oxford Handbooks Online requires a subscription or purchase. Public users are able to search the site and view the abstracts and keywords for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can''t find the answer there, please contact us.