Assessing pain, anxiety and other symptoms of nursing home residents unable to speak for themselves

As many as half of nursing home residents are cognitively impaired and may be unable to communicate symptoms such as pain or anxiety to those caring for them. Therefore, information needed for the evaluation of symptoms and subsequent treatment decisions typically does not reliably exist in nursing home electronic health records. A new paper reports on the novel adaptation of a commonly used symptom assessment instrument to more comprehensively acquire this difficult-to-obtain data with the ultimate goal of enabling knowledge-based expansion of palliative care services in nursing homes to address residents’ symptoms.  

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