Development of an assessment framework including signs of pain among elderly people with dementia

Research Project

Project/Area Number	23593451
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Community health/Gerontological nurisng
Research Institution	Kyoritsu Women's University (2013) Ibaraki Prefectural University of Health Science (2011-2012)
Principal Investigator	KITAGAWA Kimiko 共立女子大学, 看護学部, 教授 (30224950)
Project Period (FY)	2011 – 2013
Project Status	Completed (Fiscal Year 2013)
Budget Amount *help	¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000) Fiscal Year 2013: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000) Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000) Fiscal Year 2011: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords	認知症 / 痛み / 高齢者 / 評価 / 緩和ケア / 終末期 / 認知症高齢者 / 評価指標 / 苦痛 / 苦痛症状
Research Abstract	To develop an assessment framework including signs of pain as an observational assessment tool to screen for pain among elderly people with dementia.(1) Seventeen nurses were interviewed regarding specific behaviors with pain in patients with dementia.The interview results were analyzed on the basis of the following six categories: words/sounds,facial expressions,body language, daily living activities,behaviors/moods, and physiological responses.A total of 36 sub-items were elicited.(2)In a survey of 106 elderly dementia suffering from pain,6 items were observed in >30% of the individuals,whereas 13 items were present in <10% of the individuals.(3)In a survey for evaluating signs of pain that could be appropriately include in the pain assessment framework,17 items were rated as appropriate by less than 75% of nurses.This resulted in a final version of 31 signs of pain in 6 categories.