Pain assessment and cognitive impairment: part 2.

Aim: To evaluate the use of a tool for pain assessment in cognitively impaired adults.

Method: A multi-dimensional tool was implemented and evaluated in relation to use rate; frequency of specific pain indicators; staff perceptions of advantages and disadvantages of pain assessment in this patient group; and factors that aid or impede this assessment.

Results: Some indicators are more likely to be observed and documented.

Pain assessment and cognitive impairment: part 1.

People with cognitive impairment are often unable to inform others of their pain. Nurses need to be able to assess pain in cognitively impaired adults so that appropriate pain management strategies can be implemented. Evidence suggests that certain verbal, facial and behavioural signs may be indicative of pain.