Pijn en neurocognitieve stoornissen: stand van zaken en de weg nog te gaan

Translated title of the contribution: Pain and neurocognitive disorders: current state of the art and remaining challenges

Wilco P. Achterberg*, Margot W.M. de Waal, Juanita M.J. Cheuk-A-Lam-Balrak, Petra Crutzen-Braaksma, Annelore van Dalen-Kok, Pauline van Dam, Nanda C. de Knegt, Janine van Kooten, Frank Lobbezoo, Hanneke J.A. Smaling, Gregory P. Sprenger , Jenny T. van der Steen, N.J. (Carolien) de Vries, Sandra M.G., Zwakhalen, Martin Smalbrugge, Joukje M. Oosterman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

The detection and treatment of pain is hampered by cognitive disorders. In this review we discuss the epidemiology of pain in cognitive disorders, and elaborate further on the current state of the art on pain in these populations. We will specifically highlight current gaps and recommendations for the future for the following knowledge domains: 1) Biology and neuropathology, 2) Assessment and evaluation, 3) Treatment and management, and 4) Contextual factors such as the organization and education. We identify the following knowledge gaps: 1) (Biology): Do pain experience and pain expressions change in different types of cognitive disorders, and how? 2) (Assessment): How to recognize, evaluate and assess pain, in case the self-report of pain is no longer reliable? 3) (Treatment): Which treatment possibilities are effective? How can we organize this in an interdisciplinary way? And how to monitor this? How can we ensure proper implementation of pain assessment and treatment in clinical practice? Specifically with regard to non-pharmacological treatment, how can we communicate observations from different disciplines, family members and clinicians to improve the detection of pain as well as treatment monitoring/evaluation? 4) (Contextual): How can we increase knowledge and skills on pain in cognitive impairment within educational training?.

Translated title of the contributionPain and neurocognitive disorders: current state of the art and remaining challenges
Original languageDutch
JournalTijdschrift voor Gerontologie en Geriatrie
Volume53
Issue number4
DOIs
Publication statusPublished - 24 Nov 2022

Bibliographical note

Namens de Nederlandse groep Onderzoekers naar Pijn bij Cognitieve stoornissen

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