Translation and cross-cultural adaptation of scale Pain Assessment in Advanced Dementia - PAINAD

• Grant number: 13/05031-1
• Support Opportunities: Regular Research Grants
• Start date: October 01, 2013
• End date: September 30, 2014
• Field of knowledge: Health Sciences - Nursing - Medical-Surgical Nursing
• Principal Investigator: Priscilla Hortense
• Grantee: Priscilla Hortense
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
• Associated researchers: Francisco de Assis Carvalho do Vale

Abstract

The assessment of pain in older people with cognitive impairment and difficulty communicating is a challenge for health professionals. In more advanced cases becomes even more difficult to determine if pain is present or not, because the people affected are unable to interpret and communicate the sensation of pain, resulting in a reduced ability to describe the features of their pain. In advanced stages, clinical observations behavioral, pain opposite appear as a more reliable technique for detecting pain. Thus, instruments that assess the presence and severity of pain in people with advanced dementia are extremely important for the quality of care. General Aim: to perform cross-cultural adaptation of the instrument PAINAD to Brazilian culture. Specific Objectives: Identify the tools available in the literature assessing pain in people with dementia processes; identify the instruments that assess pain in people with dementia processes that are validated for the Portuguese language, translate and deliver cultural adaptation for Portuguese - Brazil PAINAD the instrument - Pain Assessment in Advanced Dementia. Method: There will be an integrative review of the literature and the steps necessary for the process of cross-cultural adaptation of the instrument PAINAD, which must follow five steps: translation, consensus version of the translation, back-translation, revision by a committee and pre - test equivalence. The scale PAINAD consists of items that assess the observation of behavioral and physiological state, such as breathing, negative vocalization, facial expression, body language and the ability to consolability. (AU)