The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia

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dc.contributor.authorAbbey, J.
dc.contributor.authorPiller, N.
dc.contributor.authorDe Bellis, A.
dc.contributor.authorEsterman, A.
dc.contributor.authorParker, D.
dc.contributor.authorGiles, L.
dc.contributor.authorLowcay, B.
dc.date.issued2004
dc.description.abstractThe need for a specialized clinical regimen for patients with dementia who require palliative care has only recently been recognized. Structured approaches to palliative care are not well developed. The recognition and treatment of pain is an important part of this management risk. However, pain is consistently underdiagnosed and undertreated in this population. A factor contributing to this has been a lack of appropriate tools to help recognize and document pain. This study sought to develop and validate an easy-to-use pain scale for use in residential aged care homes. The tool was developed with residents with end- or late-stage dementia who were unable to articulate their needs, identified by the registered nurses who knew them. Results showed that following pain-relief intervention the average pain score recorded using the scale fell by more than half. A paired Student's t-test showed the reduction to be highly significant (P<0.001). Validity and internal reliability, assessed by calculating Gamma and Cronbach's alpha, were found to be satisfactory. Qualitative evidence gathered from users of the scale indicated that it was considered a useful clinical device that could be completed within one minute. Further analysis of the use of the scale in clinical settings, testing of inter-rater reliability and examination of the limitations found in this study will commence early in 2004.
dc.description.statementofresponsibilityAbbey, J; Piller, N; De Bellis, A; Esterman, A; Parker, D; Giles, L. and Lowcay B.
dc.description.urihttp://www.ncbi.nlm.nih.gov/pubmed/14966439
dc.identifier.citationInternational Journal of Palliative Nursing, 2004; 10(1):6-13
dc.identifier.doi10.12968/ijpn.2004.10.1.12013
dc.identifier.issn1357-6321
dc.identifier.issn2052-286X
dc.identifier.orcidEsterman, A. [0000-0001-7324-9171]
dc.identifier.orcidGiles, L. [0000-0001-9054-9088]
dc.identifier.urihttp://hdl.handle.net/2440/55811
dc.language.isoen
dc.publisherMark Allan Publishing Ltd
dc.source.urihttps://doi.org/10.12968/ijpn.2004.10.1.12013
dc.subjectHumans
dc.subjectDementia
dc.subjectPain
dc.subjectObserver Variation
dc.subjectPain Measurement
dc.subjectTerminal Care
dc.subjectGeriatric Assessment
dc.subjectSensitivity and Specificity
dc.subjectAttitude of Health Personnel
dc.subjectNonverbal Communication
dc.subjectKinesics
dc.subjectVerbal Behavior
dc.subjectPsychometrics
dc.subjectNursing Evaluation Research
dc.subjectNursing Methodology Research
dc.subjectQualitative Research
dc.subjectTime Factors
dc.subjectAged
dc.subjectNursing Staff
dc.subjectNursing Homes
dc.subjectNursing Assessment
dc.subjectAustralia
dc.titleThe Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia
dc.typeJournal article
pubs.publication-statusPublished

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