Assessment of discomfort in patients with cognitive failure in palliative care.
作者： José António Ferraz Gonçalves , Elisabete Costa , Natércia Edra , João Gil , Carla Martinho
DOI: 10.1017/S1478951515000942
关键词:
摘要: Objective: When cognitive impairment precludes patients' report of symptoms, it becomes necessary to use other means. The purpose our study was evaluate the validity method currently in on service. Method: Two members team simultaneously assessed patient and independently recorded whether showed signs discomfort, a third questioned patients with failure who maintained some ability respond if something bothering them. Results: Some 200 assessments were made 116 patients. kappa coefficient agreement 0.615. sensitivity 17% specificity 99%. positive predictive value 88%, negative 73%. Significance Due low this method, cannot be recommended as screening tool.
sci-hub.se 参考文章(41)
Mateo Om, Krenzischek Da, A pilot study to assess the relationship between behavioral manifestations and self-report of pain in postanesthesia care unit patients. Journal of post anesthesia nursing. ,vol. 7, pp. 15- 21 ,(1992)
B. Wary, C. Doloplus, Doloplus-2, une échelle pour évaluer la douleur Soins. Gérontologie. pp. 25- 27 ,(1999)
Sandra MG Zwakhalen, Jan PH Hamers, Huda Huijer Abu-Saad, Martijn PF Berger, Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools BMC Geriatrics. ,vol. 6, pp. 3- 3 ,(2006) , 10.1186/1471-2318-6-3
Bechor Z. Aminoff, Elena Purits, Shlomo Noy, Abraham Adunsky, Measuring the suffering of end-stage dementia: reliability and validity of the Mini-Suffering State Examination. Archives of Gerontology and Geriatrics. ,vol. 38, pp. 123- 130 ,(2004) , 10.1016/J.ARCHGER.2003.08.007
Kristin Martin-Cook, Linda S. Hynan, Kathleen Rice-Koch, Doris A. Svetlik, Myron F. Weiner, Responsiveness of the quality of life in late-stage dementia scale to psychotropic drug treatment in late-stage dementia. Dementia and Geriatric Cognitive Disorders. ,vol. 19, pp. 82- 85 ,(2005) , 10.1159/000082353
Céline Gélinas, François Harel, Lise Fillion, Kathleen A. Puntillo, C. Celeste Johnston, Sensitivity and Specificity of the Critical-Care Pain Observation Tool for the Detection of Pain in Intubated Adults After Cardiac Surgery Journal of Pain and Symptom Management. ,vol. 37, pp. 58- 67 ,(2009) , 10.1016/J.JPAINSYMMAN.2007.12.022
Margaret Odhner, Deborah Wegman, Nancy Freeland, Ann Steinmetz, Gail L. Ingersoll, Assessing pain control in nonverbal critically ill adults Dimensions of Critical Care Nursing. ,vol. 22, pp. 260- 267 ,(2003) , 10.1097/00003465-200311000-00010
Paolo L Manfredi, Brenda Breuer, Diane E Meier, Leslie Libow, Pain assessment in elderly patients with severe dementia. Journal of Pain and Symptom Management. ,vol. 25, pp. 48- 52 ,(2003) , 10.1016/S0885-3924(02)00530-4
Kathleen A. Puntillo, Ann B. Morris, Carol L. Thompson, Julie Stanik-Hutt, Cheri A. White, Lorie R. Wild, Pain behaviors observed during six common procedures: results from Thunder Project II. Critical Care Medicine. ,vol. 32, pp. 421- 427 ,(2004) , 10.1097/01.CCM.0000108875.35298.D2
Mamoona Arif-Rahu, Mary Jo Grap, Facial expression and pain in the critically ill non-communicative patient: State of science review Intensive and Critical Care Nursing. ,vol. 26, pp. 343- 352 ,(2010) , 10.1016/J.ICCN.2010.08.007