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Care of the older person
The evidence base for pain management of people with dementia in the community is weak and needs to be improved
  1. Gareth Parsons
  1. School of Care Sciences, Faculty of Life Science Education, University of South Wales, Pontypridd, UK
  1. Correspondence to Dr Gareth Parsons, School of Care Sciences, University of South Wales, Pontypridd CF37 4BD, UK; gareth.parsons{at}

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Commentary on: Bullock L, Bedson J, Jordan JL, et al. Pain assessment and pain treatment for community-dwelling people with dementia: a systematic review and narrative synthesis. Int J Geriatr Psychiatry 2019;346:807–21. doi: 10.1002/gps.5078.

Implications for practice and research

  • Currently knowledge and care rely upon evidence from hospital and nursing home settings and this review suggests that this knowledge is not transferable.

  • There is a strong requirement for comparative studies to evaluate the effectiveness of different approaches to pain assessment and treatment among people with dementia in the community.


There is an ageing population with a related increase in dementia many of whom are likely to experience pain.1 Many more people with dementia are likely to be cared for in the community than in a formal care setting. We know that people with dementia cared for in hospital and nursing home settings experience pain and are treated …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.