Dementia may make it impossible for your loved one to express one of the most common problems in the elderly--persistent pain. A person suffering from dementia may be unable to tell you of a physical problem such as discomfort of any sort, including pain during movement. It is likely that the only way to determine if your loved one is having pain is to observe signs or behaviors that are not normal. Signs can include:
• Non verbal distortions in facial expressions
• Verbal expressions typical of discomfort, groaning, moaning, anxiety, nausea, shortness of breath
• Resistance to movement, tension on movement, pacing, repetitive movements normally associated with anxiety or nervousness
• Insomnia, poor appetite
• Increased confusion, low energy levels, irritability, agitation
Because these signs are hard to differentiate in a person who cannot speak for himself, pain is best detected by someone who is very familiar with your loved one.
If you are concerned that pain might be present, consult your physician. When you visit the medical provider, be sure to bring a list of current medications along with you so side effects can be ruled out as a cause. The physician will want to rule out common source of pain in the elderly, including diseases such as cancer, arthritis, severe headache or chest pain. Of course, if you have observed any physical injury such as a fall or a burn, or if your loved one has any signs of infection, gastrointestinal changes, an increase in temperature or bladder problems, don't fail to mention these to the doctor. The physician will want to investigate all these and any other potential sources of pain. Mention all clues you have picked up about your loved one. Pain is very difficult to diagnose in someone with dementia. However, once discovered, most types of pain can be controlled.
Gauging Pain in Dementia Patients
Jul 2, 2009 | By
