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The Abbey Pain Scale: A 1-Minute Numerical Indicator for People with End-Stage Dementia

Abbey, Jennifer A., Piller, Neil, De Billis, Anita, Esterman, Adrian, Parker, Deborah, Giles, Lynne, & Lowcay, Belinda (2004) The Abbey Pain Scale: A 1-Minute Numerical Indicator for People with End-Stage Dementia. International Journal of Palliative Nursing, 10(1), pp. 6-13.

Abstract

The need for a specialized clinical regimen for patients with dementia who require palliative care has only recently been recognized. Structured approaches to palliative care are not well developed. The recognition and treatment of pain is an important part of this management risk. However, pain is consistently underdiagnosed and undertreated in this population. A factor contributing to this has been a lack of appropriate tools to help recognize and document pain. This study sought to develop and validate an easy-to-use pain scale for use in residential aged care homes. The tool was developed with residents with end- or late-stage dementia who were unable to articulate their needs, identified by the registered nurses who knew them. Results showed that following pain-relief intervention the average pain score recorded using the scale fell by more than half. A paired Student's t-test showed the reduction to be highly significant (P<0.001). Validity and internal reliability, assessed by calculating Gamma and Cronbach's alpha, were found to be satisfactory. Qualitative evidence gathered from users of the scale indicated that it was considered a useful clinical device that could be completed within one minute. Further analysis of the use of the scale in clinical settings, testing of inter-rater reliability and examination of the limitations found in this study will commence early in 2004.

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ID Code: 7352
Item Type: Journal Article
Additional URLs:
Keywords: Palliative, Dementia Alzheimers Care of the elderly Residential aged, care facilities Pain
ISSN: 1357-6321
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Aged Care Nursing (111001)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2004 MA Healthcare Limited
Deposited On: 04 May 2007
Last Modified: 29 Feb 2012 23:07

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