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Papers of the Week


Papers: 23 Nov 2019 - 29 Nov 2019


2019 Nov


Pain Manag


9


6

Treating pain in patients with dementia and the possible concomitant relief of symptoms of agitation.

Authors

Pergolizzi JV, Raffa RB, Paladini A, Varrasi G, Lequang J A
Pain Manag. 2019 Nov; 9(6):569-582.
PMID: 31755371.

Abstract

Dementia is an irreversible, progressive form of cognitive dysfunction that can affect memory, learning ability, thinking, orientation, comprehension, calculation, linguistic skills and executive function but which does not impair consciousness. Pain prevalence is high among the elderly who are also at elevated risk for dementia. Pain control for dementia patients is important but can be challenging for clinicians as cognitive deficits can make it difficult to identify, localize and assess pain. Cerebral changes associated with dementia may change how people process and experience pain in ways that are not entirely elucidated. Agitation is a frequent symptom of dementia and may be associated with untreated pain as agitation and aggression symptoms decrease when pain is effectively addressed.