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Reduced Pain Reports With Increasing Cognitive Impairment in Older Persons in New Zealand.
- Source :
- American Journal of Alzheimer's Disease & Other Dementias; Nov2018, Vol. 33 Issue 7, p463-470, 8p
- Publication Year :
- 2018
-
Abstract
- Background: Conflicting findings prevail about pain in older persons with cognitive impairment. There is evidence of changed pain perception; however, pain is also underrecognized. Pain and cognitive impairment were examined in a national cohort of older persons assessed using the Home Care International Residential Assessment Instrument (interRAI-HC). Methods: Participants were 41 459 aged 65+ years receiving a mandated needs assessment to access publicly funded services. InterRAI-HC pain severity and Cognitive Performance Scale analyses covaried for age, gender, and ethnicity. Results: Milder pain prevalence increased with age, whereas daily severe-excruciating pain prevalence decreased with age. Daily severe-excruciating pain was reported by 18% of cognitively intact individuals decreasing to 8% in the severe cognitive impairment group. This relationship remained after covarying for age, sex, and ethnicity. Differences among dementia subtypes were found. Conclusion: Although severe pain reports decrease with increasing age and cognitive impairment, more nuanced research covarying for dementia severity and subtype is required. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15333175
- Volume :
- 33
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- American Journal of Alzheimer's Disease & Other Dementias
- Publication Type :
- Academic Journal
- Accession number :
- 132294871
- Full Text :
- https://doi.org/10.1177/1533317518772685