Avaliação do conhecimento da equipe de assistência sobre dor em idosos institucionalizados com síndrome demencial

Abstract

With technological, social advancement and health promotion, there is a change in the morbidity profile of Brazilian society. Acute conditions are replaced by chronic degenerative processes of age, which are signs of a longer-lived society and greater access to healthcare. However, this reality impacts Brazil's health system, which now needs to look for ways to integrate an elderly and vulnerable population into society. This reality ends up influencing the institutionalization process. One of the most common syndromes is dementia, which is characterized by a set of neurodegenerative pathologies, whose main symptom is cognitive loss to the point of interfering with the person's ability to manage their daily life. These syndromes lead to the patient's inability to express themselves, thus affecting their ability to demonstrate pain and discomfort, making the work of the dementia team even more challenging. Therefore, the present work To assess the level of knowledge of the care team regarding the level of pain in institutionalized elderly people with dementia syndrome. To carry out the work, sociodemographic data was collected to outline the social profile of the elderly population and the care team. The PAINAD (Pain Assessment in Advanced Dementia) scale was used to assess pain and the CDR (Clinical Dementia Rating) scale was used to assess the degree of dementia. To assess the level of knowledge, an interview was carried out with the team about aspects of pain assessment in patients with dementia syndrome. With this, the work can conclude that the sample of elderly people presented a moderate level of pain, which was more present in women and did not vary with age. As for the team, it was evident that the length of service and training are factors that influence the assessment of pain. There was also little literature on the subject, leading to the need for greater debate on the topic.