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Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties

Adults with childhood-onset disabilities, particularly those with central nervous system impairment, commonly experience pain. Because many such individuals have difficulties in communication, caregivers and medical professionals must identify and interpret non-verbal behaviors as indicators of pain...

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Detalles Bibliográficos
Autores principales: Jersak, Taylor, Noritz, Garey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523837/
https://www.ncbi.nlm.nih.gov/pubmed/34675866
http://dx.doi.org/10.3389/fneur.2021.722971
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author Jersak, Taylor
Noritz, Garey
author_facet Jersak, Taylor
Noritz, Garey
author_sort Jersak, Taylor
collection PubMed
description Adults with childhood-onset disabilities, particularly those with central nervous system impairment, commonly experience pain. Because many such individuals have difficulties in communication, caregivers and medical professionals must identify and interpret non-verbal behaviors as indicators of pain. This process is challenging and can lead to poor outcomes through delayed or incorrect diagnosis and treatment. Most research in the evaluation of pain in individuals with neurologic impairment has focused on the pediatric population, and evidence-based guidelines do not exist for adults. The purpose of this paper is to review current recommendations for pain assessment in adults with communication impairment. This approach includes guidance for history-taking, pharmacologic review, physical examination, and the judicious use of laboratory and imaging tests. Finally, we discuss adult-specific diagnoses to consider when evaluating pain in adults with childhood-onset disabilities and communication difficulties.
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spelling pubmed-85238372021-10-20 Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties Jersak, Taylor Noritz, Garey Front Neurol Neurology Adults with childhood-onset disabilities, particularly those with central nervous system impairment, commonly experience pain. Because many such individuals have difficulties in communication, caregivers and medical professionals must identify and interpret non-verbal behaviors as indicators of pain. This process is challenging and can lead to poor outcomes through delayed or incorrect diagnosis and treatment. Most research in the evaluation of pain in individuals with neurologic impairment has focused on the pediatric population, and evidence-based guidelines do not exist for adults. The purpose of this paper is to review current recommendations for pain assessment in adults with communication impairment. This approach includes guidance for history-taking, pharmacologic review, physical examination, and the judicious use of laboratory and imaging tests. Finally, we discuss adult-specific diagnoses to consider when evaluating pain in adults with childhood-onset disabilities and communication difficulties. Frontiers Media S.A. 2021-10-05 /pmc/articles/PMC8523837/ /pubmed/34675866 http://dx.doi.org/10.3389/fneur.2021.722971 Text en Copyright © 2021 Jersak and Noritz. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Jersak, Taylor
Noritz, Garey
Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title_full Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title_fullStr Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title_full_unstemmed Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title_short Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties
title_sort evaluation of pain in adults with childhood-onset disabilities and communication difficulties
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523837/
https://www.ncbi.nlm.nih.gov/pubmed/34675866
http://dx.doi.org/10.3389/fneur.2021.722971
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