Chronic Pain Proposal

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Chapter/Section 1: Introduction to the Proposal
When there is a talk about pain, we must distinguish between acute and chronic pain. And as this proposal is about people leaving with dementia and how they express their pain. And as per this we have to think about acute pain situations for people with dementia. People with dementia have the same pain perception as everyone else. But the detection of the pain is more difficult, because it is not adequately expressed due to difficulties in communication. Pain is not part of the common ageing process according to Douglas et al (2016). Cornally (2016) says there are over 48000 people with Dementia living in Ireland at the moment, but this will have supposed to be treble by the year 2045 from this …show more content…

Signals of distress such as agitation or aggression can be seen as normal, but we have to look behind the challenging behaviour to see behind the hidden physical and psychological suffering, but most of the time it is unnoticed. When we work with patients with dementia it is important to know their disease history. Then as well a patient with dementia when they were younger they might be suffering from back pain, arthritis or other painful disorders so this might still persist today. Physically and cognitively healthy people are able to express their pain, for this it is possible to develop an adequate pain therapy. But for people with dementia so more advanced the disease is, and the communication is affected, and the patient is even unable to answer simple question, observation is taking a big part in pain recognition and management. This work will try to go in to detail how to deal with the pain therefore it will take a closer look at dementia. It will respond to the disease in general and explain what implications it has for the experience and communication of pain. Further it will have a look at successful implementation of pain management. …show more content…

Pain in older people with cognitive impairment are often too little recognized and insufficiently treated. There is a false assumption out there that dementia patients have less pain. According to Guerriero (2016) a person with a neurological disorder for instance with dementia are vulnerable patient groups in which pain is often under-recognised, underestimated, and under-treated. The inability to successfully communicate pain in moderate-severe dementia is a big problem for cognitively impaired elderly people. As the symptoms of dementia increases especially in an advanced stage of the disease, the recognition of pain is a special challenge for the nursing staff. So, more the disease progresses communication becomes more difficult, and so is the pain assessment. Based on this the following question is

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