Chapter 6: Older Adults with Severe Cognitive Impairment: Assessment of Pain

Pain is inadequately assessed and treated in those with cognitive impairments. Keela Herr, PhD, RN, and Sheila Decker, PhD, describe some methods for breaking this unfortunate trend: the use of surrogate reporters, direct observation of potential pain indicators, monitoring baseline activity patterns, and using analgesic and nondrug trials.

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