Pain Management
Annals of Long-Term Care on the Web is a comprehensive resource for clinical information on geriatric medicine and long-term care as well as Pain Management. We hope the articles below provide timely information for your practice.
Pain Management Standards: Their Role in Improving the Quality of Care
Pain Management Standards: Their Role in Improving the Quality of Care Feature: Pain Management Standards: Their Role in Improving the Quality of Care - Speakers: June L. Dahl, PhD, David E. Joranson, MSSW, and Wendy Stein, MD, CMD Click here to download full article in PDF JCAHO Standards on Pain Management: Toward Improved Management of Pain in Older Adults ? Physicians should view effective pain management as a part of quality medical practice for all patients with pain, including the ...
Pain in Older Adults
Although the possibility remains that older adults experience and report less pain, the need exists to objectively evaluate pain in order to provide the most effective pain management. 18 Pain Management Pain management is most effective when pain assessment results in the identification of the underlying cause of pain. Short-term postsurgical pain is likely to require aggressive, yet far different pain management strategies from chronic arthritis pain in the older patient.
Improving Patient Safety in Long-Term Care Facilities: An Overview of AHRQ Funded Projects
Pain Management Dr. Ginette Pepper, a Professor and the Colby Presidential Endowed Chair in Gerontological Nursing at the University of Utah College of Nursing, focused on patient safety in the context of improving resident pain management in nursing homes. about pain management, consultation by a pain expert doing pain rounds with the staff, and the provision of a large number of resources in pain management. In acute-care settings, pain usually results from procedural and operative pain, ...
Psychological Issues in Pain Perception and Treatment in the Elderly
As suggested by the biopsychosocial model, this review supports the importance of multidisciplinary pain management, which includes considering and addressing psychological and social factors along with traditional medical interventions for optimal treatment of pain in the elderly. Behavioral Treatment Fordyce28 discusses the importance of behavioral analysis of pain in a complete pain assessment. In summary, this review indicates that optimal treatment of pain in the elderly is contingent ...
Challenges of Pain Assessment and Management in the Minority Elderly Population
Pain is a common syndrome many elderly patients experience. Little is known, however, about pain issues in minority elderly individuals, defined as non-Caucasian persons over age 65 years. The meaning of pain and suffering may be different in different cultures, and this is complicated by communication difficulties regarding symptoms. This review explores the existing literature on pain assessment and management in minority elderly, including current data, challenges physicians face in assessing and treating pain, and specific barriers and potential solutions to adequate pain management. As both the geriatric and minority populations are expected to boom over the ensuing decades, the issues of pain assessment and both pharmacologic and nonpharmacologic management in minority elderly persons will need to be addressed. Physicians, other health care providers, patients, and their caregivers must work together to improve quality of life for this population. (Annals of Long-Term Care: Clinical Care and Aging 2006;14[11]:34-40)
December 2000
Successful Protocol-Based Nurse Practitioner Management of Warfarin Anticoagulation in Nursing Home Patients. 2000;(9):58-63. MANAGED CARE Leff B, Burton JR. Integrating Home Care Into Managed Care: The Case for Home Hospital. 2000;8(Special Issue):52-55. PAIN MANAGEMENT/ PALLIATIVE CARE Barondess LH.
The Ethics of Pain Management
A Fifth Vital Sign Adequate pain management is available today, unlike in the past when there were no long-acting pain medications, patients' progress was intermittent, and pain medication was administered only when patients could no longer handle the pain. Managed Care Health care systems have obstructions because, in a managed care environment, all wound patients cannot be sent to wound care centers, nor can all patients with pain be sent to pain clinics. 4. Managed care organizations ...
Undertreatment of Pain in the Elderly: Causes and Prevention
Pain Guidelines To combat the problems of inadequate pain assessment and undertreatment, the AHCPR5,11 and the American Pain Society23,24 have developed and disseminated pain guidelines. Implementation of the pain protocol would require health care providers caring for elderly patients to select and systematically use a pain tool to routinely assess pain, and to document the pain experience, treatment strategies used to prevent or relieve pain, and other pertinent data, on a pain flow sheet...
AGS Meeting Highlight-Managing Pain and Discomfort in Older Adults Near the End of Life
Opioids are effective for elderly patients with most pain types, are probably underutilized in this population, and may be safer than NSAIDs or other drug strategies used in older persons. Breakthrough pain, which includes end-of-dose failure, incident pain, and spontaneous pain, is often experienced by patients receiving long-acting medications,? While common drug and nondrug approaches are the mainstay of pain management, health care providers may need to consider other high-tech ...
Challenges in End-of-Life Pain Management
Once the pain is under control, the baseline pain medication should be increased in an attempt to prevent a recurrence of the acute pain. Adjuvant Medications When providing pain control at the end of life, using opioids may not provide good pain control in certain pain syndromes. Neuropathic Pain There are two distinct types of neuropathic pain, which are continuous dysesthesia and chronic lancinating (paroxysmal) pain.
Pain Management Standards: Their Role in Improving the Quality of Care Feature: Pain Management Standards: Their Role in Improving the Quality of Care - Speakers: June L. Dahl, PhD, David E. Joranson, MSSW, and Wendy Stein, MD, CMD Click here to download full article in PDF JCAHO Standards on Pain Management: Toward Improved Management of Pain in Older Adults ? Physicians should view effective pain management as a part of quality medical practice for all patients with pain, including the ...
Although the possibility remains that older adults experience and report less pain, the need exists to objectively evaluate pain in order to provide the most effective pain management. 18 Pain Management Pain management is most effective when pain assessment results in the identification of the underlying cause of pain. Short-term postsurgical pain is likely to require aggressive, yet far different pain management strategies from chronic arthritis pain in the older patient.
Pain Management Dr. Ginette Pepper, a Professor and the Colby Presidential Endowed Chair in Gerontological Nursing at the University of Utah College of Nursing, focused on patient safety in the context of improving resident pain management in nursing homes. about pain management, consultation by a pain expert doing pain rounds with the staff, and the provision of a large number of resources in pain management. In acute-care settings, pain usually results from procedural and operative pain, ...
As suggested by the biopsychosocial model, this review supports the importance of multidisciplinary pain management, which includes considering and addressing psychological and social factors along with traditional medical interventions for optimal treatment of pain in the elderly. Behavioral Treatment Fordyce28 discusses the importance of behavioral analysis of pain in a complete pain assessment. In summary, this review indicates that optimal treatment of pain in the elderly is contingent ...
Pain is a common syndrome many elderly patients experience. Little is known, however, about pain issues in minority elderly individuals, defined as non-Caucasian persons over age 65 years. The meaning of pain and suffering may be different in different cultures, and this is complicated by communication difficulties regarding symptoms. This review explores the existing literature on pain assessment and management in minority elderly, including current data, challenges physicians face in assessing and treating pain, and specific barriers and potential solutions to adequate pain management. As both the geriatric and minority populations are expected to boom over the ensuing decades, the issues of pain assessment and both pharmacologic and nonpharmacologic management in minority elderly persons will need to be addressed. Physicians, other health care providers, patients, and their caregivers must work together to improve quality of life for this population. (Annals of Long-Term Care: Clinical Care and Aging 2006;14[11]:34-40)
Successful Protocol-Based Nurse Practitioner Management of Warfarin Anticoagulation in Nursing Home Patients. 2000;(9):58-63. MANAGED CARE Leff B, Burton JR. Integrating Home Care Into Managed Care: The Case for Home Hospital. 2000;8(Special Issue):52-55. PAIN MANAGEMENT/ PALLIATIVE CARE Barondess LH.
A Fifth Vital Sign Adequate pain management is available today, unlike in the past when there were no long-acting pain medications, patients' progress was intermittent, and pain medication was administered only when patients could no longer handle the pain. Managed Care Health care systems have obstructions because, in a managed care environment, all wound patients cannot be sent to wound care centers, nor can all patients with pain be sent to pain clinics. 4. Managed care organizations ...
Pain Guidelines To combat the problems of inadequate pain assessment and undertreatment, the AHCPR5,11 and the American Pain Society23,24 have developed and disseminated pain guidelines. Implementation of the pain protocol would require health care providers caring for elderly patients to select and systematically use a pain tool to routinely assess pain, and to document the pain experience, treatment strategies used to prevent or relieve pain, and other pertinent data, on a pain flow sheet...
Opioids are effective for elderly patients with most pain types, are probably underutilized in this population, and may be safer than NSAIDs or other drug strategies used in older persons. Breakthrough pain, which includes end-of-dose failure, incident pain, and spontaneous pain, is often experienced by patients receiving long-acting medications,? While common drug and nondrug approaches are the mainstay of pain management, health care providers may need to consider other high-tech ...
Once the pain is under control, the baseline pain medication should be increased in an attempt to prevent a recurrence of the acute pain. Adjuvant Medications When providing pain control at the end of life, using opioids may not provide good pain control in certain pain syndromes. Neuropathic Pain There are two distinct types of neuropathic pain, which are continuous dysesthesia and chronic lancinating (paroxysmal) pain.