000 01812cam a2200169 4500
001 NMDX6926
008 120401t2016 xxu||||| |||| 00| 0 eng d
100 _aSampson, Elizabeth L
240 _aNeurodegenerative Disease Management
245 _aThe use of facial expressions for pain assessment purposes in dementia: a narrative review
260 _c2016
500 _aNMUH Staff Publications
500 _a6
520 _a<span style="font-size: 10pt;">Facial expressions convey reliable nonverbal signals about pain and thus are very useful for assessing pain in patients with limited communicative ability, such as patients with <span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">dementia</span>. In this review, we present an overview of the available pain observation tools and how they make use of facial expressions. Utility and reliability of facial expressions to measure pain in <span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">dementia</span> are discussed, together with the effect of <span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">dementia</span> severity on these facial expressions. Next, we present how behavioral alterations may overlap with facial expressions of pain, and may even influence the extent to which pain is facially expressed. The main focus is on disinhibition, apathy and emotional changes. Finally, an overview of theoretical considerations and practical implications is presented for assessing pain using facial expressions in clinical settings.</span>
856 _uhttps://www.ncbi.nlm.nih.gov/pubmed/27032976
856 _uhttp://ferriman.wufoo.com/forms/journal-article-request/
999 _c75950
_d75950