Pain Assessment in Noncommunicative Adult Palliative Care Patients

doi:10.1016/j.cnur.2016.05.009

Review

. 2016 Sep;51(3):397-431.

doi: 10.1016/j.cnur.2016.05.009.

Pain Assessment in Noncommunicative Adult Palliative Care Patients

Deborah B McGuire¹, Karen Snow Kaiser², Mary Ellen Haisfield-Wolfe³, Florence Iyamu⁴

Affiliations

¹ Virginia Commonwealth University School of Nursing, 1100 East Leigh Street, PO Box 980567, Richmond, VA 23298, USA. Electronic address: dbmcguire@vcu.edu.
² Clinical Quality and Safety, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD 21201, USA.
³ Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
⁴ University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA.

PMID: 27497016
PMCID: PMC4978178
DOI: 10.1016/j.cnur.2016.05.009

Review

Pain Assessment in Noncommunicative Adult Palliative Care Patients

Deborah B McGuire et al. Nurs Clin North Am. 2016 Sep.

. 2016 Sep;51(3):397-431.

doi: 10.1016/j.cnur.2016.05.009.

Authors

Deborah B McGuire¹, Karen Snow Kaiser², Mary Ellen Haisfield-Wolfe³, Florence Iyamu⁴

Affiliations

¹ Virginia Commonwealth University School of Nursing, 1100 East Leigh Street, PO Box 980567, Richmond, VA 23298, USA. Electronic address: dbmcguire@vcu.edu.
² Clinical Quality and Safety, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD 21201, USA.
³ Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
⁴ University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA.

PMID: 27497016
PMCID: PMC4978178
DOI: 10.1016/j.cnur.2016.05.009

Abstract

Palliative care patients who have pain are often unable to self-report their pain, placing them at increased risk for underrecognized and undertreated pain. Use of appropriate pain assessment tools significantly enhances the likelihood of effective pain management and improved pain-related outcomes. This paper reviews selected tools and provides palliative care clinicians with a practical approach to selecting a pain assessment tool for noncommunicative adult patients.

Keywords: Noncommunicative or nonverbal patients; Pain assessment; Palliative care.

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References

1. International Association for the Study of Pain (IASP) [accessed 4-1-16];IASP Taxonomy. published 1994. http://www.iasp-pain.org/Taxonomy/
1. Reynolds J, Drew D, Dunwoody C. American Society for Pain Management Nursing Position Statement: Pain Management at the End of Life. Pain Manag Nurs. 2013;14(3):172–175. - PubMed
1. World Health Organization [accessed 4-1-16];Palliative Care Fact sheet N°402. published July 2015. http://www.who.int/mediacentre/factsheets/fs402/en/#.
1. Herr K, Coyne PJ, McCaffrey M, et al. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manage Nurs. 2011;12(4):230–250. - PubMed
1. The National Consensus Project for Quality Palliative Care [accessed 4-4-16];Clinical Practice Guidelines for Quality Palliative Care. (3rd edition). published 2013. http://www.nationalconsensusproject.org/guidelines_download2.aspx.

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[1] International Association for the Study of Pain (IASP) [accessed 4-1-16];IASP Taxonomy. published 1994. http://www.iasp-pain.org/Taxonomy/

[2] International Association for the Study of Pain (IASP) [accessed 4-1-16];IASP Taxonomy. published 1994. http://www.iasp-pain.org/Taxonomy/

[3] Reynolds J, Drew D, Dunwoody C. American Society for Pain Management Nursing Position Statement: Pain Management at the End of Life. Pain Manag Nurs. 2013;14(3):172–175. - PubMed

[4] Reynolds J, Drew D, Dunwoody C. American Society for Pain Management Nursing Position Statement: Pain Management at the End of Life. Pain Manag Nurs. 2013;14(3):172–175. - PubMed

[5] World Health Organization [accessed 4-1-16];Palliative Care Fact sheet N°402. published July 2015. http://www.who.int/mediacentre/factsheets/fs402/en/#.

[6] World Health Organization [accessed 4-1-16];Palliative Care Fact sheet N°402. published July 2015. http://www.who.int/mediacentre/factsheets/fs402/en/#.

[7] Herr K, Coyne PJ, McCaffrey M, et al. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manage Nurs. 2011;12(4):230–250. - PubMed

[8] Herr K, Coyne PJ, McCaffrey M, et al. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manage Nurs. 2011;12(4):230–250. - PubMed

[9] The National Consensus Project for Quality Palliative Care [accessed 4-4-16];Clinical Practice Guidelines for Quality Palliative Care. (3rd edition). published 2013. http://www.nationalconsensusproject.org/guidelines_download2.aspx.

[10] The National Consensus Project for Quality Palliative Care [accessed 4-4-16];Clinical Practice Guidelines for Quality Palliative Care. (3rd edition). published 2013. http://www.nationalconsensusproject.org/guidelines_download2.aspx.

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Pain Assessment in Noncommunicative Adult Palliative Care Patients

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