This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.
Highlights major new accomplishments in such areas as the neurobiology of pain, age-related psychological and cognitive differences in pain perception, and the assessment of pain in cognitively intact and cognitively impaired older persons. Treatments such as oral analgesics, physical therapy techniques, cognitive-behavioral therapy, complementary and alternative medicine applications, and multidisciplinary pain management clinics are discussed, as are low back pain, neuropathic pain, postoperative pain, and end-of-life issues.
This book addresses relevant issues to enhance pain management nurses need to advocate for effective pain treatment in the elderly. Significant changes in the evolving nursing and healthcare environment require adequate information on this topic, as pain is a very challenging area. As other care professionals, nurses are daily confronted with issues on pain assessment and management. This volume offers an overview within an evolving health environment, in which nurses dealing with pain play a growing role. It showcases best practices in pain assessment and management, details non pharmacological and pharmacological treatments. It also addresses core issues defined by the International Association for the Study of Pain (IASP), such as knowledge translation, that are most relevant for clinical nurses, student nurses, nurse researchers as well as other care professionals.
Pain is both a symptom and a disease. It manifests in multiple forms and its treatment is complex. Physical, social, economic, and emotional consequences of pain can impair an individual's overall health, well-being, productivity, and relationships in myriad ways. The impact of pain at a population level is vast and, while estimates differ, the Centers for Disease Control and Prevention reported that 50 million U.S. adults are living in pain. In terms of pain's global impact, estimates suggest the problem affects approximately 1 in 5 adults across the world, with nearly 1 in 10 adults newly diagnosed with chronic pain each year. In recent years, the issues surrounding the complexity of pain management have contributed to increased demand for alternative strategies for treating pain. One such strategy is to expand use of topical pain medicationsâ€"medications applied to intact skin. This nonoral route of administration for pain medication has the potential benefit, in theory, of local activity and fewer systemic side effects. Compounding is an age-old pharmaceutical practice of combining, mixing, or adjusting ingredients to create a tailored medication to meet the needs of a patient. The aim of compounding, historically, has been to provide patients with access to therapeutic alternatives that are safe and effective, especially for people with clinical needs that cannot otherwise be met by commercially available FDA-approved drugs. Compounded Topical Pain Creams explores issues regarding the safety and effectiveness of the ingredients in these pain creams. This report analyzes the available scientific data relating to the ingredients used in compounded topical pain creams and offers recommendations regarding the treatment of patients.
A high percentage of patients with dementia experience debilitating pain. Untreated, it can result in mental and physical impairment; a higher frequency of neuropsychiatric symptoms such as agitation, depression, and sleep problems; and adverse events such as falls, hallucination, and even death. With the help of Pain in Dementia, you can learn new ways to give these patients a better quality of life! A multidisciplinary team of leading experts navigates the complex clinical challenges associated with pain among these patients. They identify the sources of pain, even in patients who have trouble communicating, and recommend the most effective pain treatment options.
Geriatric is a topic of great interest in medicine and among the general public. Population aging is an inevitable and irreversible demographic reality that is associated with welcome improvements in health care. The increase in life expectancy has led the very old to become the fastest-growing segment. The geriatric population experiences significant alterations of numerous organ systems as a result of the aging process. Normally, functional reserve and organ functions are declined in geriatric patients. The care of geriatric patients can be complex and will be a growing task. A balance between physiological and psychological alterations is required in these patients. Geriatric patients also have several co-morbidities including hypertension, cardiac disease, diabetes, cerebrovascular disease, and renal dysfunction.
New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensive second edition handbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients. - The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering: psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning - Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide - Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc - Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population - Each chapter cites case studies to illustrate assessment techniques - Exposes reader to real-world application of each assessment discussed
This book provides a comprehensive and practical overview of the knowledge required for the assessment and management of the older adult with arthritis and other rheumatological conditions. This book equips nurses and allied health professionals with the knowledge and skills to undertake a comprehensive holistic assessment to identify the physical, psychological and social impact of living with arthritis. It informs them on osteoarthritis, a leading cause of pain and disability in 10-15% of all adults over the age of 60. Polymyalgia rheumatic can prove challenging for the clinician to manage, whilst rheumatoid arthritis and gout, (two other inflammatory conditions) also have a substantial global burden. This book informs nurses and allied health professionals on to manage these conditions, as well as the symptoms of fatigue, pain and mood and how patients can be supported to engage in Self-Management. The pharmacological and non pharmacological approach to management is discussed in depth including the role of medications and exercise. The impact of arthritis on a person’s ability to engage in their day to day activities and social participation is also explored.
Written specifically for older adults who need practical information and advice for managing chronic pain, this easy-to-read, illustrated guide offers effective techniques, exercises, and methods to improve quality of life. With an emphasis on realistic goals, resisting negative thoughts, and mind/body balance, this Second Edition of Pain Management for Older Adults: A Self-Help Guide offers an up-to-date approach to successful pain management, ideal for older adults with chronic pain, physicians and health-care providers, and caregivers.
