Pain, and particularly chronic pain, is one of the most common problems among the elderly, who represent 13% of the U.S. population and the largest group of individuals seeking health care. Controlling pain in this population is more challenging for health care providers because the elderly often have multiple health problems and take many medications in addition to the physiologic changes of aging.
Pharmaceutical agents are not generally tested in this population, leaving health care providers to ''start low and go slow,'' in order to avoid adverse reactions when prescribing new medications, particularly pain medications.
From her experience in critical care and neuroscience nursing and work as a GNP, Dr. Jansen will focus on the assessment, diagnosis, and treatment of acute and chronic pain among older adults with interventional, noninterventional, pharmacotherapeutic, and nonpharmacotherapeutic methods.
Author(s): Michaelene P. Jansen PhD RN C APRN BC
Edition: 1
Publisher: Springer Publishing Company
Year: 2008
Language: English
Pages: 230
Contents......Page 8
Contributors......Page 12
Preface......Page 14
Acknowledgments......Page 16
I: Background Information......Page 18
CHAPTER 1 Pain in Older Adults......Page 20
Age-Related Changes in Perception of Pain......Page 21
Physiology of Pain......Page 22
Summary......Page 31
CHAPTER 2 Common Pain Syndromes in Older Adults......Page 34
Musculoskeletal Pain......Page 35
Neuropathic Pain Syndromes......Page 41
Summary......Page 48
CHAPTER 3 Pain Assessment in the Older Adult......Page 52
Comprehensive Pain Assessment Instruments......Page 53
Summary......Page 66
Pain Behaviors......Page 72
Influence of Family Members......Page 74
Summary......Page 78
Normal Sleep......Page 80
Sleep Disorders in Older Adults......Page 84
Relationship Between Pain and Sleep......Page 86
Conclusion......Page 96
II: Multidisciplinary Approach to Pain Management in the Older Adult......Page 100
CHAPTER 6 Multimodality Approach to Pain Management......Page 102
Developing a Comprehensive Pain Management Plan......Page 103
Summary......Page 107
CHAPTER 7 Physical Therapy......Page 110
Treatment Modalities......Page 111
Summary......Page 132
CHAPTER 8 Mind-Body and Energy Therapies......Page 140
Therapy Overviews......Page 143
Summary......Page 154
CHAPTER 9 Pharmacologic Treatment......Page 168
Pharmacokinetics......Page 169
Managing Pain With Pharmacotherapeutic Agents......Page 170
Summary......Page 186
CHAPTER 10 Interventional Therapies......Page 190
Interventional Therapies......Page 191
Advanced Treatment Options......Page 194
Summary......Page 204
CHAPTER 11 Adaptations to Improve Function......Page 208
The Role of Occupational Therapists and Assistants......Page 209
Adapting the Environment......Page 210
Resources......Page 217
Reimbursement......Page 218
Barriers......Page 222
Education......Page 226
Future Research and Treatment......Page 228
Summary......Page 229
A......Page 232
C......Page 233
D......Page 234
E......Page 235
H......Page 236
K......Page 237
M......Page 238
O......Page 239
P......Page 240
S......Page 242
T......Page 244
Z......Page 245
