Assessing Alzheimers Pain




When I refer to Alzheimers pain, I simply mean someone with Alzheimers who has pain anywhere in their body and is unable to communicate that pain to a caregiver. Alzheimers disease by itself is not painful. Unfortunately most people with Alzheimers are elderly and have other medical conditions which may cause pain. Alzheimers Pain can be the cause of behaviors

It can be very difficult to determine if someone with Alzheimer's Disease is having pain.

They may not be able to communicate their pain to you.

Are they aggressive or agitated?

Are they restless?

Did they have problems with pain before the Alzheimers?

Someone with a diagnosis like arthritis can have daily aches and pains.

Alzheimers pain may be present in a diabetic. Diabetics often get neuropathy, which is a numbness/tingling/burning feeeling in their hands or feet.

Consequences of Untreated Pain!


Functional losses, depression

Immobility/contractures/wounds

Cognitive impairment/agitation

Weight loss/anorexia/sleep problems

Decreased quality of life





Myths of Pain Management

Myths:

Old people don’t feel pain as much.

Taking pain medicine will cause you to become an addict

I Just Have to Live with the Pain

Bed Rest Is Usually the Best Cure for Pain.

Older patients cannot tolerate strong pain medications.




Facts:

Taken in the short-term and used as directed, the risk of becoming addicted to an opioid medication is very, very low

For most causes of arthritis or joint pain, keeping up your normal schedule -- including your physical activity -- will help you feel better.

The odds of developing a painful condition, such as arthritis,is higher as we age. But those conditions can be treated and the pain can be well-controlled.



Assessing Alzheimers Pain





You will need to help your doctor figure out if your family member is having any pain. The better picture you can paint for him the more appropriately he will be able to treat any pain. The following information will help you paint that picture.

Location: Ask if pain seems to radiate from one position to another: i.e..., from the back, down leg, from abdomen to back.

Quality: Describe what it feels like in the family members words if possible. The way in which a pain is described is often a clue to its origin.

Timing: In relationship to events, meals, bathing or change in position. Does it begin suddenly or come on gradually? Does it seem worse at night or in morning?

Severity: Describe in terms of what it is now, and at its worst. Determine if pain is mild, moderate, severe, or very severe . Watch for non-verbal signs of pain, especially in the person who cannot describe the pain severity himself. Use your own judgment to rate severity when your family member can not. Factors which worsen or improve pain? Medication, relaxation, movement, breathing, position, bracing, sitting, lying down or one side etc....

Consequences of untreated Alzheimers pain: Pain can affect all areas of their life including: activity, function, sleep, ADL, mobility, appetite, quality of life, agitation, confusion, and increased difficulty in providing care. The Painad assessment tool can be helpful determining if your family member is having pain. Watch them for at least 5 minutes at different times during the day.

There are signs to watch for though. One of the best times to determine if someone has pain is while they are getting dressed or undressed. When they walk do they hang on to furniture or the wall? It may be for added balance but it can also be pain related.

Watch their facial expressions. Do they grimace? Do they pull away?

I have found a tylenol 2 or 3 times a day can help with Alzheimers pain. Especially a dose at bedtime.It can help them sleep better if they are having discomfort at night. Ask your Doctor if it is ok to start your family member with Alzheimers Disease on a scheduled routine of tylenol



Alzheimers in your Home Alzheimers Stages

Alzheimers Behaviors Alzheimers Agitation