The Management of Pain in the Older Person will enable the reader to understand the principals underpinning the management of pain, with a particular emphasis upon the care of the older person. Chapters will focus on:
- Highlighting a number of questions or concerns that are important to the topic area and encourage the reader to reflect upon their own experience/beliefs. Chapters will then challenge or confirm these perspectives, encouraging the reader to consider how the theory may be used to make changes
- Concerns of the older person, which have been identified through empirical work over the past few years and the recent completion of a systemic review of literature
- Understanding of the impact of aging upon pain physiology
- Practical suggestions on how to apply both traditional and complementary approaches to pain management
- Using case scenarios to demonstrate the relationship between theory and practice
The book is designed to encourage the reader to read further and to think about his or her own practice setting or how they would respond to a particular practice situation. This book is ideal for nurses and would also be a great text for diploma/graduate and post–graduate students working in a range of care settings.
Pain & Sensation.
Neural Pain Pathways.
A Delta fibres.
Spinal cord to brain.
Descending tracts & Substantia gelatinosa.
The pain gate.
Chapter 2: Relating socio–economic issues with older people and pain: Independence dignity and choice.
Cultural issues in older age.
Resources linked with being older and in pain .
Policy in health services, economics and older people.
Diet and health in older age, related to economics.
Chapter 3: Creaking joints, a bit of arthritis, and aches and pains : Older people s experiences and perceptions of pain.
Is pain different for older people Equating older age with aches and pains.
Salience of older age linked to whether people experienced pain.
Effect of pain on everyday lives.
Managing the pain Keeping a positive attitude.
Others in relation to pain.
Implications for practice Exercises.
Chapter 4: Assessment of Pain.
Visual Analogue Scale.
Numerical Rating Scale.
Faces Pain Scale.
McGill Pain Questionnaire (MPQ).
Perception of Pain.
Behavioural Pain Assessment Tools.
DS DAT Scale.
Checklist of non–verbal Pain Indicators (CNPI).
The NOPAIN Scale.
Pain Assessment Scale for Dementing Elderly (PADE).
Chapter 5 : Communication.
Care workers and mentioning dementia.
Explaining memory loss.
Chapter 6: Acute versus Chronic Pain.
Assessing Acute with Chronic Pain.
Treatment for Acute with Treatment for Chronic.
Opiophobia and Other Barriers.
Chapter 7: Cancer Pain in the elderly in palliative care settings.
How is cancer pain addressed in palliative care settings?
The total pain concept – the patient experience.
The family in palliative care.
What are the issues for older people Expectations of pain in later life.
Lack of access to specialist palliative care services.
Compliance with pharmacological treatments.
Age related alterations in drug disposition Management of cancer pain in the elderly in palliative care.
Recommendations for practice Assessment and management Roles of MDT.
Chapter 8: Care Settings.
Problems with Chronic Pain in Older people.
Getting used to pain.
Reluctance to report pain/ an acceptance that being in pain is normal and low expectations for help with medical interventions Age related perceptions of pain.
Lack of Awareness of potential strategies for dealing with pain.
Cognitive Behavioural Therapy.
Care Home Settings.
"Some of the case studies make interesting reading " (Nursing Standard, January 2008)