RT Book, Section A1 Jones, Mark R. A1 Novitch, Matthew B. A1 Shulman, Alexander B. A1 Sutker, Patricia B. A1 Kaye, Alan D. A2 Mitra, Raj SR Print(0) ID 1182779839 T1 Pain Management in Individuals with Cognitive Impairment T2 Principles of Rehabilitation Medicine YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071793339 LK neurology.mhmedical.com/content.aspx?aid=1182779839 RD 2024/03/28 AB Cognition may be altered by neurodegenerative, vascular, traumatic, anoxic, infectious, and toxic pathophysiological processes. Treating pain in such patients poses challenges, because memory loss, language and speech deficits, and altered levels of consciousness may impair patient ability to communicate meaningful discomfort.1 Patients with cognitive deficits are less likely to ask for and to receive analgesia, and they may be predisposed to exacerbations of mental and behavioral aberrance given standard analgesic regimens.1–5