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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-10-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2021.722971/full |
| _version_ | 1818826440863383552 |
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| author | Taylor Jersak Garey Noritz |
| author_facet | Taylor Jersak Garey Noritz |
| author_sort | Taylor Jersak |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-19T00:27:42Z |
| format | Article |
| id | doaj.art-2a23e6f924ee40429c3bc17cf1744c39 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-19T00:27:42Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-2a23e6f924ee40429c3bc17cf1744c392022-12-21T20:45:12ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-10-011210.3389/fneur.2021.722971722971Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication DifficultiesTaylor Jersak0Garey Noritz1Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United StatesAdults 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.https://www.frontiersin.org/articles/10.3389/fneur.2021.722971/fullcerebral palsyneurologic impairmentchildhood-onset disabilityadultspain assessmentpalliative care |
| spellingShingle | Taylor Jersak Garey Noritz Evaluation of Pain in Adults With Childhood-Onset Disabilities and Communication Difficulties Frontiers in Neurology cerebral palsy neurologic impairment childhood-onset disability adults pain assessment palliative care |
| 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 | cerebral palsy neurologic impairment childhood-onset disability adults pain assessment palliative care |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2021.722971/full |
| work_keys_str_mv | AT taylorjersak evaluationofpaininadultswithchildhoodonsetdisabilitiesandcommunicationdifficulties AT gareynoritz evaluationofpaininadultswithchildhoodonsetdisabilitiesandcommunicationdifficulties |