Assessment of pain in people living with dementia at the end of life: a systematic review

Int J Palliat Nurs. 2021 Apr 2;27(2):72-85. doi: 10.12968/ijpn.2021.27.2.72.

Abstract

Background: People with dementia may not receive the same quality of palliative care as those with other life-limiting conditions, particularly at end of life (EoL).

Aims: To understand the best way to examine pain in people with dementia.

Methods: A systematic review of tools to assess pain in patients with dementia near the end of life; PubMed, Medline, Embase, EBSCO Host, CINAHL Plus, Web of Science, Psycinfo, PsycArticles and Scopus were searched.

Findings: A total of 15 articles were identified, which were qualitatively synthesised.

Conclusion: There are a range of pain assessment tools that are appropriate for use in people with dementia, but all 15 studies used a formal tool. A more robust approach is needed to improve the quality of research for measurement and management of pain in this population.

Keywords: Dementia; End of life; Pain assessment; Pain assessment tools; Palliative care.

Publication types

  • Systematic Review

MeSH terms

  • Death
  • Dementia*
  • Humans
  • Pain
  • Pain Measurement*
  • Palliative Care*
  • Terminal Care*