Page 29 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
For psychological assessment, the screening tools to measure and
recognise distress have to be simple and practical. There are the
single-item Distress Thermometer (DT) (refer to $SSHQGL[ K L)
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are used to screen for psychological distress.
The foundation for spiritual evaluation models is a collection of
interpretive frameworks that requires substantial training in its use.
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for patients with cancer pain.
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screen for psychological distress.

3.3.3 Pain assessment tools in cognitive impairment/learning
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Pain assessment in patients with cognitive impairment is challenging as
self-reported assessment tools are inaccurate. Hence, observational
tools e.g. the Face Legs Activity Cry Consolability (FLACC) scale and The
Pain Assessment in Advanced Dementia tool (PAINAD) may be helpful.

The PAINAD is one of the tools mentioned in WHO guidelines to assess
pain in patients with advanced dementia. A study evaluating the
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psychometric properties of the PAINAD scale in medical inpatients with
dementia showed good inter-rater reliability (ICC of 0.92 at rest and
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rest and 0.80 in movement). 22, level III
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scale can be used for cognitively impaired adults. 14, level III

• Observational tools e.g. FLACC scale or PAINAD may be useful to
assess pain in cognitively impaired adults.

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