Skip to main content

Main menu

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open Accessibility Statement
    • Editorial Board
    • Editorial Fellowships
    • Audio Abstracts
    • eLetters
    • Alerts
    • BJGP Life
    • Research into Publication Science
    • Advertising
    • Contact
  • SPECIAL ISSUES
    • Social Care Integration with Primary Care: call for articles
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
    • Top 10 Research Articles of the Year
  • BJGP CONFERENCE →
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers

User menu

  • Alerts

Search

  • Advanced search
Intended for Healthcare Professionals
BJGP Open
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers
  • Subscriptions
  • Alerts
  • Log in
  • Follow BJGP Open on Instagram
  • Visit bjgp open on Bluesky
  • Blog
Intended for Healthcare Professionals
BJGP Open

Advanced Search

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open Accessibility Statement
    • Editorial Board
    • Editorial Fellowships
    • Audio Abstracts
    • eLetters
    • Alerts
    • BJGP Life
    • Research into Publication Science
    • Advertising
    • Contact
  • SPECIAL ISSUES
    • Social Care Integration with Primary Care: call for articles
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
    • Top 10 Research Articles of the Year
  • BJGP CONFERENCE →
Research

The challenge of pain identification, assessment, and management in people with dementia: a qualitative study

Laurna Bullock, Carolyn A Chew-Graham, John Bedson, Bernadette Bartlam and Paul Campbell
BJGP Open 2020; 4 (2): bjgpopen20X101040. DOI: https://doi.org/10.3399/bjgpopen20X101040
Laurna Bullock
1 School of Primary Community and Social Care, Keele University, Keele, UK
MSc, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: l.bullock{at}keele.ac.uk
Carolyn A Chew-Graham
1 School of Primary Community and Social Care, Keele University, Keele, UK
2 Midlands Partnership NHS Foundation Trust, St Georges’ Hospital, Stafford, UK
MD, FRCGP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Bedson
1 School of Primary Community and Social Care, Keele University, Keele, UK
MD, FRCGP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for John Bedson
Bernadette Bartlam
1 School of Primary Community and Social Care, Keele University, Keele, UK
3 Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technical University Singapore, Singapore, UK
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paul Campbell
1 School of Primary Community and Social Care, Keele University, Keele, UK
2 Midlands Partnership NHS Foundation Trust, St Georges’ Hospital, Stafford, UK
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info
  • eLetters
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1. Themes and subthemes identified in the data

Tables

  • Figures
    • View popup
    Table 1. Inclusion and exclusion criteria for people with dementia, family caregivers, and healthcare professionals
    Person with dementia
    Inclusion criteria
    • Diagnosis of dementia as assumed by information provided by the agencies involved (that is, Join Dementia Research records), or by verbal confirmation from the person themselves or their caregiver.

    • Lives in the community (lives in their own home alone, with family members, in an assisted living facility, retirement community, or residential home).

    • Has a named caregiver willing to participate in a dyadic interview.

    • Able to vocalise a willingness to take part in an interview.

    • Verbally proficient in English.

    Exclusion criteria
    • Currently or recently experiencing any major psychological, physical distress, or emotive or stressful life events which taking part in an interview may exacerbate (as asked to the caregiver).

    Family caregivers
    Inclusion criteria
    • Self-identifies as the current or previous primary caregiver for an individual diagnosed with dementia. This may include a family member, relative, neighbour, or friend who is involved in care or spends the most time with the person with dementia.35

    • Willing to take part in an interview (alone or with the person with dementia).

    • Verbally proficient in English.

    Exclusion criteria
    • Aged <16 years.

    Healthcare professionals
    Inclusion criteria
    • Self-reports as working with people with dementia in a professional capacity.

    • Has experience providing care for people with dementia in a professional capacity.

    • Willing to take part in an interview.

    • Verbally proficient in English.

    Exclusion criteria
    • Not directly involved in the provision of care for people with dementia.

    • View popup
    Table 2. Demographic details of interview participants with dementia and family caregivers of people with dementia.
    PseudonymRelationshipAge, yearsPrevious occupationDiagnosis (date)c,dCognitive test score (test, date)c,dCurrent pain conditionsc,dPain nowe Pain in previous 4 weekse
    Patriciaa Wife82OTAD (2014)18/30 (MMSE, 2016)Spinal injuryModerateModerate
    RobertHusband82AviationCaregiver––Unable to judgeUnable to judge
    Jamesa Husband74PurchaserAD (2016)87/100 (ACE-R, 2016)Neck painNoneNone
    MaryWife74PACaregiver––NoneNone
    Barbarab Wife67TeacherPCA–Neuralgia, osteoporosis––
    JohnHusband67ElectricianCaregiver––SevereModerate
    Williama Husband78LecturerAD (2012)24/30 (MMSE, 2014)Osteoarthritis (knees)MildMild
    CarolWife74Probation officerCaregiver––NoneMild
    Richarda Father83Tile makingMixed (2015)UnknownOsteoarthritis (back)ModerateModerate
    DavidSon52Cateringf Caregiver––NoneMild
    Marka Husband73Probation officerAD (2014)81/100 (ACE-R, 2014)Tooth painNoneNone
    BrendaWife68NurseCaregiver––NoneMild
    Stevena Husband57PostmanMixed/FTD (2017)Mild (MMSE, 2017)Back painNoneMild
    MichelleWife53Caregiver––NoneMild
    Lindaa Wife77AdministrativeFTD (2017)25/30 (MMSE, 2017)Osteoarthritis, goutMildUnanswered
    CharlesHusband77OptometristCaregiver––ModerateModerate
    Grega Husband64RAFMixed/FTD (2017)48/100 (ACE-R)Frozen shoulder, tennis elbow, spondylitis, osteoarthritis (hips)ModerateModerate
    DeniseWife66Shop assistantCaregiver––ModerateModerate
    • aPerson with dementia. bPerson with dementia did not participate in the interview. cInformation obtained from Join Dementia Research records. dInformation obtained during the interview (from person with dementia or caregiver). eThe pain experienced by the person with dementia using the Revised Iowa Pain Thermometer. fCurrently employed. ACE-R = The Addenbrooke's Cognitive Examination Revised. AD = Alzheimer’s disease. FTD = frontotemporal dementia. MMSE = Mini-Mental State Examination Score. OT = occupational therapist. PA = personal assistant. PCA = posterior cortical atrophy. RAF = Royal Air Force.

    • View popup
    Table 3. Details of interview participants: healthcare professionals.
    PseudonymSexCurrent professionYear(s) of experiencea
    TomMaleGP12
    AlanMaleGP33
    JennyFemaleGP30
    JessicaFemaleGP1
    MuhammadMaleGP3
    LisaFemaleGP11
    IshannMaleGP1
    AmyFemaleGP5
    ChrisMaleGP7
    PrishaFemaleConsultant — old-age psychiatry10
    HaymaFemaleConsultant — old-age psychiatry8
    AskaFemaleAssociate specialist — old-age psychiatry11
    RinaFemaleConsultant — old-age psychiatry3
    MelFemaleAssociate specialist — old-age psychiatry18
    • ↵a In current role.

Supplementary Data

SUPPLEMENTARY MATERIALS

  • bjgpopen20X101040_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

Back to top
Previous ArticleNext Article

In this issue

BJGP Open
Vol. 4, Issue 2
June 2020
  • Table of Contents
  • Index by author
Download PDF
Download PowerPoint
Email Article

Thank you for recommending BJGP Open.

NOTE: We only request your email address so that the person to whom you are recommending the page knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The challenge of pain identification, assessment, and management in people with dementia: a qualitative study
(Your Name) has forwarded a page to you from BJGP Open
(Your Name) thought you would like to see this page from BJGP Open.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
The challenge of pain identification, assessment, and management in people with dementia: a qualitative study
Laurna Bullock, Carolyn A Chew-Graham, John Bedson, Bernadette Bartlam, Paul Campbell
BJGP Open 2020; 4 (2): bjgpopen20X101040. DOI: 10.3399/bjgpopen20X101040

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The challenge of pain identification, assessment, and management in people with dementia: a qualitative study
Laurna Bullock, Carolyn A Chew-Graham, John Bedson, Bernadette Bartlam, Paul Campbell
BJGP Open 2020; 4 (2): bjgpopen20X101040. DOI: 10.3399/bjgpopen20X101040
del.icio.us logo Facebook logo Mendeley logo Bluesky logo
  • Tweet Widget
  • LinkedIn logo LinkedIn
  • Mendeley logo Mendeley
  • Bluesky logo Bluesky

Jump to section

  • Top
  • Article
    • Abstract
    • How this fits in
    • Introduction
    • Method
    • Results
    • Discussion
    • Notes
    • References
  • Figures & Data
  • Info
  • eLetters
  • PDF

Keywords

  • analgesics
  • primary health care
  • dementia
  • pain
  • pain management
  • community

More in this TOC Section

  • UK primary care teams and social determinants of health intervention: a qualitative study
  • Deprivation and primary care network performance: a national cross-sectional study of the Investment and Impact Fund scheme
  • Sociodemographic and clinical determinants of general practice consultation frequency among regular patients in Australia: a national study
Show more Research

Related Articles

Cited By...

Intended for Healthcare Professionals

 
 

British Journal of General Practice

NAVIGATE

  • Home
  • Latest articles
  • Authors & reviewers
  • Accessibility statement

RCGP

  • British Journal of General Practice
  • BJGP for RCGP members
  • RCGP eLearning
  • InnovAiT Journal
  • Jobs and careers

MY ACCOUNT

  • RCGP members' login
  • Terms and conditions

NEWS AND UPDATES

  • About BJGP Open
  • Alerts
  • RSS feeds
  • Facebook
  • Twitter

AUTHORS & REVIEWERS

  • Submit an article
  • Writing for BJGP Open: research
  • Writing for BJGP Open: practice & policy
  • BJGP Open editorial process & policies
  • BJGP Open ethical guidelines
  • Peer review for BJGP Open

CUSTOMER SERVICES

  • Advertising
  • Open access licence

CONTRIBUTE

  • BJGP Life
  • eLetters
  • Feedback

CONTACT US

BJGP Open Journal Office
RCGP
30 Euston Square
London NW1 2FB
Tel: +44 (0)20 3188 7400
Email: bjgpopen@rcgp.org.uk

BJGP Open is an editorially-independent publication of the Royal College of General Practitioners

© 2026 BJGP Open

Online ISSN: 2398-3795