BOOK
Geriatric Pain Management, An Issue of Clinics in Geriatric Medicine, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. M. Carrington Reid, is devoted to Geriatric Pain Management. Articles in this timely issue include: Overview of Pain Management in the Older Adult; Assessment Approaches in Geriatric Pain Management; Pharmacotherapies in Geriatric Pain Management; Psychological Approaches in Geriatric Pain Management; Exercise and Movement-based Therapies in Geriatric Pain Management; Non-surgical Interventional Approaches in Geriatric Pain Management; Interdisciplinary Approach to Managing Pain in Geriatric Patients; Role of Opioid Medications in Geriatric Pain Management; Pain Beliefs and Attitudes in Geriatric Patients; Role of Emerging Technologies in Geriatric Pain Management; Impact of Pain on Family Members and Caregivers of Geriatric Patients; and Pain in the Geriatric Patient with Advanced Chronic Disease.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Geriatric Pain Management\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface | vii | ||
| Overview of Pain Management in Older Adults | vii | ||
| Pain in the Geriatric Patient with Advanced Chronic Disease | vii | ||
| Impact of Pain on Family Members and Caregivers of Geriatric Patients | vii | ||
| Assessment and Measurement of Pain in Adults in Later Life | vii | ||
| Interdisciplinary Approaches to Managing Pain in Older Adults | viii | ||
| Pharmacotherapies in Geriatric Chronic Pain Management | viii | ||
| The Role of Opioid Analgesics in Geriatric Pain Management | viii | ||
| Exercise and Movement-based Therapies in Geriatric Pain Management | viii | ||
| Psychological Approaches to Coping with Pain in Later Life | ix | ||
| Interventional Techniques for Management of Pain in Older Adults | ix | ||
| Role of Emerging Technologies in Geriatric Pain Management | ix | ||
| Expanding Targets for Intervention in Later Life Pain: What Role Can Patient Beliefs, Expectations, and Pleasant Activities ... | ix | ||
| CLINICS IN GERIATRIC MEDICINE\r | x | ||
| FORTHCOMING ISSUES | x | ||
| February 2017 | x | ||
| May 2017 | x | ||
| August 2017 | x | ||
| RECENT ISSUES | x | ||
| August 2016 | x | ||
| May 2016 | x | ||
| February 2016 | x | ||
| Preface | xi | ||
| REFERENCE | xii | ||
| Overview of Pain Management in Older Adults | 635 | ||
| Key points | 635 | ||
| INTRODUCTION | 635 | ||
| EPIDEMIOLOGY | 636 | ||
| Pain and Advancing Age | 637 | ||
| Type and Sites of Pain | 637 | ||
| Risk Factors | 640 | ||
| Summary | 640 | ||
| BARRIERS TO PAIN MANAGEMENT | 641 | ||
| GUIDELINES AND APPROACHES TO PAIN MANAGEMENT | 642 | ||
| Identification and Assessment of Pain | 642 | ||
| Pain Management | 643 | ||
| Pharmacologic pain treatments | 643 | ||
| Nonpharmacologic pain treatments | 643 | ||
| SUMMARY | 644 | ||
| ACKNOWLEDGMENTS | 645 | ||
| REFERENCES | 645 | ||
| Pain in the Geriatric Patient with Advanced Chronic Disease | 651 | ||
| Key points | 651 | ||
| INTRODUCTION | 651 | ||
| CONGESTIVE HEART FAILURE | 652 | ||
| Epidemiology and Prevalence | 652 | ||
| Etiology of Pain | 652 | ||
| Chronic stable angina | 652 | ||
| Noncardiac pain | 652 | ||
| Symptoms That Co-occur with Pain | 652 | ||
| Challenges and Management of Pain | 653 | ||
| END-STAGE RENAL DISEASE | 653 | ||
| Epidemiology and Prevalence | 653 | ||
| Etiology of Pain | 653 | ||
| Chronic kidney disease–mineral and bone disorder | 653 | ||
| Calciphylaxis | 654 | ||
| Polycystic kidney disease | 654 | ||
| Comorbidities and dialysis-associated pain | 654 | ||
| Symptoms That Co-occur with Pain | 654 | ||
| Challenges and Management of Pain | 654 | ||
| Chronic kidney disease–mineral and bone disorder, calciphylaxis, polycystic kidney disease | 655 | ||
| Other treatments | 655 | ||
| STROKE | 655 | ||
| Epidemiology and Prevalence | 655 | ||
| Etiology of Pain | 656 | ||
| Central poststroke pain | 656 | ||
| Muscle spasticity | 656 | ||
| Poststroke shoulder pain | 656 | ||
| Symptoms That Co-occur with Pain | 656 | ||
| Challenges and Management of Pain | 656 | ||
| SUMMARY | 657 | ||
| ACKNOWLEDGMENTS | 658 | ||
| REFERENCES | 658 | ||
| Impact of Pain on Family Members and Caregivers of Geriatric Patients | 663 | ||
| Key points | 663 | ||
| OLDER ADULT’S PAIN AND RELATIONSHIP FUNCTIONING | 664 | ||
| Pain Perception | 665 | ||
| Coping Behavior | 665 | ||
| Pain Communication | 666 | ||
| IMPACT OF PAIN ON FAMILY MEMBERS’ PSYCHOLOGICAL WELL-BEING | 666 | ||
| Relationship Closeness | 666 | ||
| Pain Communication | 667 | ||
| Self-efficacy in pain communication | 667 | ||
| IMPACT OF PAIN ON PHYSICAL FUNCTIONING | 667 | ||
| Relationship Closeness | 667 | ||
| FUTURE DIRECTIONS | 668 | ||
| Patient Age | 668 | ||
| Relationship to the Patient | 668 | ||
| Caregiver Status | 669 | ||
| Chronic Pain and Multimorbidity | 669 | ||
| PRACTICE RECOMMENDATIONS | 669 | ||
| SUMMARY | 670 | ||
| REFERENCES | 671 | ||
| Assessment and Measurement of Pain in Adults in Later Life | 677 | ||
| Key points | 677 | ||
| INTRODUCTION | 677 | ||
| PAIN ASSESSMENT | 678 | ||
| Importance of Assessment | 678 | ||
| Types and causes of pain | 679 | ||
| Initiation of Pain Assessment | 679 | ||
| Intent of Assessment | 680 | ||
| Challenges in obtaining self-report | 680 | ||
| General self-report approach: pain presence | 681 | ||
| Condition-specific self-report approach: pain presence | 681 | ||
| Proxy report to support self-report | 684 | ||
| Unidimensional self-report tools: pain intensity and impact | 684 | ||
| Intensity | 684 | ||
| Impact/interference | 687 | ||
| Multidimensional self-report tools: Pain intensity and impact | 687 | ||
| Goals for comfort–function–mood | 688 | ||
| PAIN REASSESSMENT | 688 | ||
| SUMMARY | 689 | ||
| REFERENCES | 689 | ||
| Interdisciplinary Approaches to Managing Pain in Older Adults | 693 | ||
| Key points | 693 | ||
| INTRODUCTION | 693 | ||
| WHY THE NEED FOR AN INTERDISCIPLINARY APPROACH? | 694 | ||
| Description of Pain in the Older Adult | 694 | ||
| Difficult Pain Management in the Older Adult | 694 | ||
| A Comprehensive Approach is Recommended | 695 | ||
| Interdisciplinary Team and Roles in Pain Management | 695 | ||
| Challenges of Assembling and Working in Interdisciplinary Teams | 697 | ||
| Summary of Evidence that Interdisciplinary Pain Care Teams Are Effective | 698 | ||
| SUMMARY | 702 | ||
| REFERENCES | 702 | ||
| Pharmacotherapies in Geriatric Chronic Pain Management | 705 | ||
| Key points | 705 | ||
| CHALLENGES TO MANAGING PAIN IN LATER LIFE | 706 | ||
| EXISTING GUIDELINES FOR MANAGING CHRONIC PAIN IN LATER LIFE | 706 | ||
| Specific Pharmacologic Agents | 707 | ||
| Topicals | 707 | ||
| Menthol/Methyl Salicylate | 707 | ||
| Capsaicin | 707 | ||
| Lidocaine | 707 | ||
| Topical Diclofenac | 709 | ||
| General Considerations | 709 | ||
| Acetaminophen | 709 | ||
| Nonsteroidal antiinflammatory drugs | 711 | ||
| Adjuvant Therapies | 712 | ||
| Antidepressants | 713 | ||
| Antiepileptics | 714 | ||
| Muscle Relaxants | 716 | ||
| New Analgesics in the Pipeline | 718 | ||
| Making a Plan: Approach to Managing Chronic Pain in Older Adults with Pharmacologic Agents | 718 | ||
| Expectations and treatment goals | 718 | ||
| Monitoring and managing medication adjustments for older adults | 718 | ||
| REFERENCES | 719 | ||
| Appendix 1. APPENDIX 1 RECOMMENDED RESOURCES FOR PHARMACOLOGIC MANAGEMENT OF CHRONIC PAIN IN OLDER ADULTS | 724 | ||
| The Role of Opioid Analgesics in Geriatric Pain Management | 725 | ||
| Key points | 725 | ||
| INTRODUCTION | 725 | ||
| EPIDEMIOLOGY OF OPIOID USE AND TREATMENT BENEFITS FOR CHRONIC NONCANCER PAIN IN OLDER PERSONS | 726 | ||
| AGE-RELATED PHARMACOKINETIC AND PHARMACODYNAMIC CHANGES AND RISKS OF OPIOIDS IN OLDER PERSONS | 727 | ||
| OPTIMIZING OPIOIDS IN OLDER PERSONS | 730 | ||
| SUMMARY | 732 | ||
| REFERENCES | 732 | ||
| Exercise and Movement-based Therapies in Geriatric Pain Management | 737 | ||
| Key points | 737 | ||
| INTRODUCTION | 737 | ||
| RESISTANCE EXERCISE | 739 | ||
| AEROBIC EXERCISE | 746 | ||
| MULTIMODAL EXERCISE | 746 | ||
| PSYCHOLOGICAL INTERVENTION AND EXERCISE | 752 | ||
| AQUATICS | 752 | ||
| OTHER EXERCISE MODALITIES | 756 | ||
| SUMMARY | 756 | ||
| REFERENCES | 759 | ||
| Psychological Approaches to Coping with Pain in Later Life | 763 | ||
| Key points | 763 | ||
| INTRODUCTION | 763 | ||
| NORMAL AGING AND ADJUSTMENT | 764 | ||
| FRACTURED AGING AND CHRONIC PAIN | 765 | ||
| Identity | 765 | ||
| Depression | 765 | ||
| Disability | 766 | ||
| PSYCHOLOGICAL INTERVENTIONS | 766 | ||
| COGNITIVE BEHAVIORAL THERAPY FOR CHRONIC PAIN | 766 | ||
| NEXT-GENERATION COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF CHRONIC PAIN IN OLDER ADULTS | 767 | ||
| SUMMARY | 768 | ||
| REFERENCES | 768 | ||
| Interventional Techniques for Management of Pain in Older Adults | 773 | ||
| Key points | 773 | ||
| INTRODUCTION | 773 | ||
| LUMBAR EPIDURAL INJECTIONS | 774 | ||
| LUMBAR FACET INJECTIONS | 776 | ||
| PERCUTANEOUS VERTEBRAL AUGMENTATION | 776 | ||
| SACROILIAC JOINT INJECTIONS | 777 | ||
| OSTEOARTHRITIC JOINT PAIN | 779 | ||
| Knee Joint | 780 | ||
| Hip Joint | 782 | ||
| SUMMARY | 783 | ||
| REFERENCES | 783 | ||
| Role of Emerging Technologies in Geriatric Pain Management | 787 | ||
| Key points | 787 | ||
| INTRODUCTION | 787 | ||
| EVIDENCE REGARDING THE USE OF TECHNOLOGY FOR PAIN CARE | 788 | ||
| Pain Assessment | 788 | ||
| Evaluation of the iPhone Pain Assessment Application for People with Dementia | 789 | ||
| Pain Management | 790 | ||
| Pain Management Applications | 790 | ||
| Clinical Dashboards | 791 | ||
| Internet-Based Interventions | 791 | ||
| Text Messaging | 792 | ||
| CHALLENGES WITH TECHNOLOGY | 792 | ||
| Challenges for Health Care Staff Using Technology for Pain Management | 792 | ||
| Appropriateness of Technology in the Clinical Setting | 792 | ||
| Cost | 792 | ||
| Infrastructure | 793 | ||
| Technical Support | 793 | ||
| Hygiene | 793 | ||
| Challenges for Patients Using Technology for Pain Management | 793 | ||
| SUMMARY | 794 | ||
| REFERENCES | 794 | ||
| Expanding Targets for Intervention in Later Life Pain | 797 | ||
| Key points | 797 | ||
| PAIN ATTITUDES AND BELIEFS | 798 | ||
| Targeting Patient Attitudes and Beliefs in Practice | 800 | ||
| PATIENT EXPECTATIONS | 801 | ||
| Targeting Patient Expectations in Practice | 802 | ||
| PLEASURABLE ACTIVITY SCHEDULING | 802 | ||
| Targeting Pleasurable Activity Scheduling in Practice | 803 | ||
| SUMMARY | 803 | ||
| REFERENCES | 803 | ||
| Index | 807 |