Pain Assessment for Older Adults. By: Ellen Flaherty, PhD, APRN, AGSF, Dartmouth Centers for Health & Aging WHY: There is significant evidence demonstrating that pain is a common problem in older adults (persons 65 years of age and older).In one study, 50% of adults 65 years of age and older said they experienced pain in the previous 30 days.
How to use the Pain Assessment Tool Patient self-reporting is the most reliable indicator of severity of pain. The 0–10 Numerical Scale, Simple Descriptive Scale and Faces Pain Scale – Revised are intended to help patients quantify their pain. When patients with dementia or delirium are unable to self-report, use the PAINAD scale.
The challenges of recognizing pain in cognitively impaired older persons can be particularly difficult. This section provides core principles of pain assessment, recommendations for effective pain management and is organized with tools for assessing, documenting and monitoring pain in cognitively intact and cognitively impaired older adults.
Lack of systematic investigation into the phenomena of pain in older adults has led to several misconceptions that have serious implications for the assessment and treatment of pain in the elderly population. One pervasive misconception is the belief that pain is Cited by: 403.