Challenges of assessing pain in people with dementia: a systematised literature review
To increase your understanding of the barriers to accurate pain assessment in people with dementia
To reflect on the effectiveness of pain assessments in people with dementia in your practice area
To consider ways in which the assessment of pain in people with dementia can be improved
This systematised literature review explored the challenges faced by healthcare professionals when assessing pain in people with dementia. A comprehensive search of six databases for qualitative studies published between 2018 and 2023, followed by a rigorous study selection, enabled the author to identify six relevant studies. The main challenges identified included communication issues arising from cognitive impairment; difficulties stemming from a lack of experience in dementia care and lack of familiarity with individual patients; and limited awareness and inconsistent use of pain assessment tools. Addressing these barriers through enhanced education and training, clear guidelines and a strengthened commitment to person-centred care is crucial for improving the accuracy of pain assessments in people with dementia and therefore enhancing quality of life in this vulnerable population group.
