Comparative study between the PAINAD and Abbey scales for pain assessment in non-communicative palliative care patients
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13816Keywords:
Pain, Palliative care, Assessment scales, Geriatric nursingAbstract
Objective: to compare the sensitivity of the PAINAD and Abbey scales in assessing pain in non-communicative palliative care patients. Methodology: A quantitative, descriptive, and exploratory study conducted in a large hospital in Rio de Janeiro. The sample consisted of 10 palliative care patients, simultaneously evaluated using the PAINAD and Abbey scales. Descriptive statistics and comparative graphs were analyzed. Results: the PAINAD scale showed greater stability and lower score dispersion, demonstrating higher sensitivity in detecting subtle pain variations, especially at moderate and severe levels. The Abbey scale, on the other hand, showed higher variability in scores and a tendency to classify more patients with severe pain. Conclusion: the findings suggest that the PAINAD scale may be preferable for continuous pain monitoring in non-communicative palliative care patients, while the Abbey scale may be useful for detecting more severe cases. The study reinforces the need for continuous training of nursing professionals to ensure the correct application of these scales, improving diagnostic accuracy and pain management.
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