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Pain pp 1121-1124 | Cite as

Pain Issues in Individuals with Limited Ability to Communicate Due to Neurocognitive Impairments

  • Elyse M. Cornett
  • Mark R. Jones
  • Alan David KayeEmail author
Chapter

Abstract

The treatment and assessment of pain in the neurocognitively impaired is challenging. While self-report is the most reliable way to assess pain in patients, those with neurocognitive impairment open have trouble communicating with healthcare providers. Treatment of pain in this population relies heavily on a multidisciplinary approach. Certain medications can cause further sedation, cognitive impairment, and should be carefully considered using a risk/benefit analysis. Caregivers can play an important role in management of the neurocognitively impaired patient, including safe dispensing of medications.

Keywords

Pain Neurocognitive disorder Neurodegenerative disease Chronic pain Opioids Acetaminophen 

References

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    Booker SQ, Haedtke C. Assessing pain in nonverbal older adults. Nursing (Lond). 2016;46(5):66–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elyse M. Cornett
    • 1
  • Mark R. Jones
    • 2
  • Alan David Kaye
    • 3
    Email author
  1. 1.Department of Anesthesiology, Department of Pharmacology, Toxicology & NeuroscienceLSUHSCShreveportUSA
  2. 2.Department of Anesthesiology, Critical Care and Pain MedicineBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA
  3. 3.Department of AnesthesiologyLSU Health Science CenterNew OrleansUSA

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