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"The care of older adults suffering with pain is a difficult task that calls for understanding as well as compassion. Dr. Quinlan-Colwell has written an excellent book that deals with every facet of the problems that are encountered by caregivers....[This book] provides the reader with valuable knowledge that will diminish suffering and enrich the lives of people confronting new, often frightening, problems."
From the Foreword by Ronald Melzack, PhD, FRSCProfessor Emeritus McGill University
"This is a well-written and concise book....Nurses and other healthcare professionals will certainly find this book a useful resource for understanding and managing geriatric pain."--Clinical Nurse Specialist
Older adults can be especially susceptible to the debilitating effects of chronic pain, yet there are often barriers to successfully alleviating pain on the part of elderly patients and the health care professionals who treat them. This comprehensive guide to geriatric pain management provides the most current information available on assessment and treatment of pain in older adults.
In a concise, reader-friendly format, the book provides techniques, tips, and tools for assessing pain and examines barriers to appropriate treatment. It addresses the physiological and psychosocial factors underlying the process and occurrence of pain and helps nurses to develop a comprehensive multimodal approach to pain management that includes pharmacological and nonpharmacological interventions. The guide provides detailed coverage of medications commonly used for pain management, including all contraindications and side effects, so that nurses will be able to evaluate the best use of a medication in the context of comorbidities and sensitivities of each individual. Also addressed are chronic illnesses common to the elderly population, palliative and hospice care, treatment of concurrent depression and anxiety, treatment of cognitively impaired elderly, and techniques for assessment and intervention in cases of substance abuse.
Ann Quinlan-Colwell, PhD, RNC, AHNBC, DAAPM, works as Pain Management Clinical Nurse Specialist at New Hanover Regional Medical Center, Wilmington, NC.
ForewordPrefaceAcknowledgments
SECTION I: AN OVERVIEW OF PAIN IN THE OLDER ADULT
1.Physiological Factors and Pain Processing in the Older Adult
2.The Psychosocial Impact of Pain on the Older Adult Patient
SECTION II: ASSESSING PAIN IN THE OLDER ADULT
3.Pain Assessment in the Older Adult Patient
4.Assessing Pain in the Nonverbal, Cognitively Impaired Older Adults
5.A Review of Pain Assessment Tools for Use with the Older Adult Patient
SECTION III: MANAGING PAIN IN THE OLDER ADULT
6.Developing a Comprehensive Plan for Managing Pain in Older Adults
7.Choosing the Right Medication for the Pain Complaint
8.Adjuvant Analgesic Medications
9.Managing Medication Side Effects and Specific Recommendations for Using Medications with Older Patients
SECTION IV: OTHER TREATMENT OPTIONS FOR PAIN RELIEF
10.Interventional Options Such as Vertebroplasty for Compression Fractures, Nerve Blocks, and Acupuncture
11.Complementary Interventions for Pain Management in Older Adults
12.The Role of Physical Therapy with Pain and Reconditioning
SECTION V: PAIN CONTROL FOR END OF LIFE CARE
13.Palliative Care: Techniques to Promote Comfort
14.When Is Hospice the Best Option?
SECTION VI: PAIN CONDITIONS COMMON IN OLDER ADULTS
15.Osteoarthritis and Gout
16.Chronic Back Pain and Osteoporosis
17.Neuropathic Pain Associated with Postherpetic Neuralgia and Diabetic Neuropathy
18.Central Poststoke Pain Syndrome
19.Facial Pain Associated with Temporal Arteritis and Trigeminal Neuralgia
20.Rheumatological Conditions
21.Fibromyalgia
SECTION VII: SPECIAL CONSIDERATIONS IN MANAGING PAIN IN OLDER ADULTS
22.Anxiety and Depression with Pain in Older Adults
23.Alcohol and Substance Use, Misuse, and Abuse
Index
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