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Cohen-Mansfield J, Thein K, Marx MS, Dakheel-Ali M, Jensen B. Sources of Discomfort in Persons With Dementia. JAMA Intern Med. 2013;173(14):1378–1379. doi:10.1001/jamainternmed.2013.6483
Current methods to assess discomfort often include ratings scales, such as the discomfort scale for Alzheimer disease, which are also used to assess pain.1,2 In this study, we take an alternative approach in which we examine the discomfort in the context of its source.
Participants included 179 agitated nursing home residents with dementia (mean age, 86 years; 72% female; mean Mini-Mental State Examination [MMSE] score, 8.79) from 10 nursing homes in Maryland. Residents’ discomfort was observed as part of the study for the Treatment Routes for Exploring Agitation (TREA) that received institutional review board approval of Charles E. Smith Life Communities.3
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