Observing and treating pain in people living with dementia in long-term care facilities - Report - MDSpire

Observing and treating pain in people living with dementia in long-term care facilities

  • By

  • Sabine D. Kruijer

  • Wilco P. Achterberg

  • Annelore van Dalen-Kok

  • Monique A. A. Caljouw

  • May 8, 2026

  • 0 min

Share

Clinical Report: Assessing and Managing Pain in Dementia Patients

Overview

This study investigates pain assessment and management in dementia patients in long-term care, highlighting the reliance on pharmacological treatments and the limited use of observational tools. Findings indicate a significant gap in effective pain management strategies within this demographic.

Background

Pain is prevalent among individuals with dementia, yet it is often under-recognized and inadequately managed due to communication barriers. The inability of these patients to articulate pain leads to reliance on behavioral indicators, necessitating effective assessment tools. Understanding and addressing pain in this population is crucial for improving their quality of life and overall care.

Data Highlights

ParticipantsMethodFindings
387Survey50% used observational pain scales
20InterviewsNon-verbal signs were primary indicators of pain

Key Findings

  • 50% of healthcare professionals reported using observational pain scales.
  • Pain assessment often relied on non-verbal cues and behavioral changes.
  • Pharmacological treatments, mainly paracetamol, were the primary method for pain control.
  • Non-pharmacological strategies were infrequently and unstructuredly applied.
  • Systematic integration of validated observational instruments is necessary for better pain management.

Clinical Implications

Healthcare providers should prioritize the use of observational pain assessment tools to improve pain recognition in dementia patients. Additionally, integrating non-pharmacological interventions into routine practice could enhance pain management strategies and reduce reliance on medications.

Conclusion

The findings underscore the need for improved pain assessment and management practices in dementia care, emphasizing the importance of both observational tools and non-pharmacological strategies.

Related Resources & Content

  1. Journal of General Internal Medicine, 2026 -- Comparison of Patient-Reported Hospital Discharge Experiences in Patients with Long-Term and Episodic Opioid Therapy
  2. Critical Care, 2025 -- Epidemiology of pain, delirium, psychiatric disorders, discomfort and sedation-analgesia management in the intensive care unit: a one-day nationwide study
  3. The ASCO Post, 2015 -- Improving Management of Cancer-Related Pain
  4. The ASCO Post, 2018 -- ASCO Develops Professional Resources for Pain Management
  5. A Systematic Review Evaluating Pain Assessment Strategies for Patients With Dementia in the Emergency Department: The Geriatric ED Guidelines 2.0 - PMC
  6. Frontiers | Observing and treating pain in people living with dementia in long-term care facilities
  7. Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial | The BMJ
  8. A Systematic Review Evaluating Pain Assessment Strategies for Patients With Dementia in the Emergency Department: The Geriatric ED Guidelines 2.0 - PMC
  9. Frontiers | Observing and treating pain in people living with dementia in long-term care facilities
  10. Efficacy of treating pain to reduce behavioural disturbances in residents of nursing homes with dementia: cluster randomised clinical trial | The BMJ

Original Source(s)

Related Content