Schofield

Management of Pain in Older Pe

Herausgegeben:Schofield, Patricia

• Broschiertes Buch

Produktbeschreibung

Epidemiology of pain in the older person is not a subject that has been widely studied in the past, although it has been suggested that almost half of older people in the community suffer with significant pain. This is a major problem within society and with the aging population it is likely that the incidence of pain in this group will continue to rise. There are currently no UK publications that focus specifically upon the needs of the older person in pain. This book will empower individuals who are working with this group to enable them to deal with pain more effectively.

The Management of Pain in the Older Person will enable the reader to understand the principals underpinning the management of pain, with a particular emphasis upon the care of the older person. Chapters will focus on:

_ Highlighting a number of questions or concerns that are important to the topic area and encourage the reader to reflect upon their own experience/beliefs. Chapters will then challenge or confirm these perspectives, encouraging the reader to consider how the theory may be used to make changes
_ Concerns of the older person, which have been identified through empirical work over the past few years and the recent completion of a systemic review of literature
_ Understanding of the impact of aging upon pain physiology
_ Practical suggestions on how to apply both traditional and complementary approaches to pain management
_ Using case scenarios to demonstrate the relationship between theory and practice

The book is designed to encourage the reader to read further and to think about his or her own practice setting or how they would respond to a particular practice situation. This book is ideal for nurses and would also be a great text for diploma/graduate and post-graduate students working in a range of care settings.

Produktdetails

• Verlag: Wiley & Sons
• 1. Auflage
• Seitenzahl: 226
• Erscheinungstermin: 1. Juni 2007
• Englisch
• Abmessung: 229mm x 152mm x 12mm
• Gewicht: 335g
• ISBN-13: 9780470033494
• ISBN-10: 0470033495
• Artikelnr.: 22580756

Autorenporträt

Dr Pat Schofield PhD PGDipEd DipN RGN, Senior Lecturer - University of Sheffield, School of Nursing & Midwifery. Pat Scofield one of the leading International nurse academics working in the field of pain management and in the field of multisensory environments (Snoezelen). She has a consistent record of publication of articles of national and international status and is invited to present her work at national and international nursing and multidisciplinary conferences, including the World Pain congress. She has presented in three continents during the last 2 years.

Inhaltsangabe

Chapter 1: Anatomy & Physiology of Pain. Pain & Sensation. Neural Pain
Pathways. A Delta fibres. Dorsal Roots. Spinal cord to brain. Descending
tracts & Substantia gelatinosa. The pain gate. Chronic pain. Peripheral
sensitisation. Central Senstization. Older People. Chapter 2: Relating
socio-economic issues with older people and pain: Independence dignity and
choice. Health Economics. Cultural issues in older age. Resources linked
with being older and in pain . Policy in health services, economics and
older people. Diet and health in older age, related to economics.
Independence. Dignity. Choice. Chapter 3: Creaking joints, a bit of
arthritis, and aches and pains': Older people's experiences and perceptions
of pain. The Study. Is pain different for older people Equating older age
with aches and pains. Salience of older age linked to whether people
experienced pain. Effect of pain on everyday lives. Managing the pain
Keeping a positive attitude. Others in relation to pain. Implications for
practice Exercises. Case studies. Mr Uddim. Violet Jones. Learning points.
Chapter 4: Assessment of Pain. Visual Analogue Scale. Numerical Rating
Scale. Verbal Descriptors. Faces Pain Scale. Colour Scale. McGill Pain
Questionnaire (MPQ). Sensory Impairment. Learning disability. Cognitive
impairment. Perception of Pain. Behavioural Pain Assessment Tools. DS DAT
Scale. Checklist of non-verbal Pain Indicators (CNPI). ADD Protocol.
DOLOPLUS Scale. The NOPAIN Scale. Pain Assessment Scale for Dementing
Elderly (PADE). PAINAD. PACSLAC. Abbey Scale. Terminal Care. Chapter 5 :
Communication. Research. Care workers and mentioning dementia. Explaining
memory loss. Chapter 6: Acute versus Chronic Pain. Assessing Acute with
Chronic Pain. Treatment for Acute with Treatment for Chronic. Opiophobia
and Other Barriers. Chapter 7: Cancer Pain in the elderly in palliative
care settings. How is cancer pain addressed in palliative care settings?
The total pain concept - the patient experience. Multidimensional
assessment. The family in palliative care. What are the issues for older
people Expectations of pain in later life. Co-morbidity. Lack of access to
specialist palliative care services. Compliance with pharmacological
treatments. Age related alterations in drug disposition Management of
cancer pain in the elderly in palliative care. Drugs
compliance/concordance. Other treatments. Recommendations for practice
Assessment and management Roles of MDT. SPCS intervention. Chapter 8: Care
Settings. Problems with Chronic Pain in Older people. Physiological
Changes. Getting used to pain. Assessment. Management. Education. Assets.
Research Ongoing. Reluctance to report pain/ an acceptance that being in
pain is normal and low expectations for help with medical interventions Age
related perceptions of pain. Lack of Awareness of potential strategies for
dealing with pain. Multidisciplinary Management. Cognitive Behavioural
Therapy. Care Home Settings.

Rezensionen

"Provides the reader with a comprehensive review of the management of pain." ( International Emergency Nursing , 2008) "Some of the case studies make interesting reading " ( Nursing Standard , January 2008)