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September 10, 2025Nursing Older People1 citations

Challenges of assessing pain in people with dementia: a systematised literature review

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SBSamantha Joyce Bonser

Key Points

  • Identifying challenges in pain assessment improves quality of care for dementia patients.
  • Healthcare professionals experience communication issues and inconsistencies with assessment tools.
  • Lack of experience and familiarity sharply hinders effective pain assessment in dementia care.
  • Enhancing education and training for professionals is crucial for effective pain management.

Abstract

This systematised literature review explored the challenges faced by healthcare professionals when assessing pain in people with dementia. A comprehensive search of six databases for qualitative studies published between 2018 and 2023, followed by a rigorous study selection, enabled the author to identify six relevant studies. The main challenges identified included communication issues arising from cognitive impairment; difficulties stemming from a lack of experience in dementia care and lack of familiarity with individual patients; and limited awareness and inconsistent use of pain assessment tools. Addressing these barriers through enhanced education and training, clear guidelines and a strengthened commitment to person-centred care is crucial for improving the accuracy of pain assessments in people with dementia and therefore enhancing quality of life in this vulnerable population group.

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Samantha Joyce Bonser (2025) studied this question.

synapsesocial.com/papers/68c1cc4054b1d3bfb60f4a75https://doi.org/10.7748/nop.2025.e1518
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