Study Protocol: The Behaviour and Pain in Dementia Study (BePAID)

BMC Geriatrics

Study Protocol

Sharon Scott¹  Louise Jones¹  Elizabeth L Sampson²  Martin R Blanchard³ 

[1] Marie Curie Palliative Care Research Unit, UCL Mental Health Sciences Unit University College Medical School, 1st Floor, Charles Bell House, 67-73 Riding House Street, W1W 7EJ, London, UK;Marie Curie Palliative Care Research Unit, UCL Mental Health Sciences Unit University College Medical School, 1st Floor, Charles Bell House, 67-73 Riding House Street, W1W 7EJ, London, UK;Barnet Enfield and Haringey Mental Health Trust, St Ann's Hospital, St Ann's Road, N15 3TF, London, UK;UCL Mental Health Sciences Unit, University College Medical School, 1st Floor, Charles Bell House, 67-73 Riding House Street, W1W 7EJ, London, UK;

关键词: Dementia;    Informal Carer;    Generalise Estimate Equation;    Acute Hospital;    Confusion Assessment Method;   

DOI  :  10.1186/1471-2318-11-61

 received in 2011-08-08, accepted in 2011-10-17,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundPeople with dementia admitted to the acute hospital often receive poor quality care particularly with regards to management of behavioural and psychiatric symptoms of dementia (BPSD) and of pain. There have been no UK studies on the prevalence and type of pain or BPSD in people with dementia in this setting, or on how these may impact on patients, carers, staff and costs of care.Methods/DesignWe shall recruit older people with dementia who have unplanned acute medical admissions and measure the prevalence of BPSD using the Behave-AD (Behaviour in Alzheimer's Disease) and the CMAI (Cohen Mansfield Agitation Inventory). Pain prevalence and severity will be assessed by the PAINAD (Pain Assessment in Advanced Dementia) and the FACES pain scale. We will then analyse how these impact on a variety of outcomes and test the hypothesis that poor management of pain is associated with worsening of BPSD.DiscussionBy demonstrating the costs of BPSD to individuals with dementia and the health service this study will provide important evidence to drive improvements in care. We can then develop effective training for acute hospital staff and alternative treatment strategies for BPSD in this setting.

【 授权许可】

Unknown   
© Scott et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.