Barriers to Managing Chronic Pain of Older Adults with Arthritis

Davis, Gail C.; Hiemenz, Melinda L.; White, Terri L.

doi:10.1111/j.1547-5069.2002.00121.x

Cited by 56 publications

(55 citation statements)

References 27 publications

(17 reference statements)

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“…One of the challenges of treating pain appropriately in older people with frailty is they often have multiple comorbidities and are in receipt of multiple medications 51 . Personal decision making regarding the use of pain medication has been reported in qualitative studies of older people where pain medication may not be considered a priority by the older person already taking multiple medications for multiple conditions 52 . However, it was reported within the GeMS study, that nearly half of the older people with frailty wanted their doctor to pay greater attention to pain management.…”

Section: Discussionmentioning

confidence: 99%

Pain in older people with frailty

Brown

Young

Clegg

et al. 2015

Rev. Clin. Gerontol.

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In this review we identified cohort and cross-sectional studies which assessed pain in community-dwelling older people (> 65 years) reliably characterised as frail. Secondly, we considered biologically plausible mechanisms which may alter pain perception, or contribute to, or exacerbate pain in an older person with frailty. Thirdly, we considered specific implications of pain management for this group of people. From the limited data from the seven included studies, it would appear that the presence of pain is higher in older people with frailty compared to people characterised as pre-frail or not frail. Thus, older people reporting pain are more likely to be frail. However, a lack of prospective data precludes inferences about the direction of the relationship: that is whether pain or frailty is the antecedent. Further research is needed to understand the direction of the relationship, and to identify appropriate pain management strategies for older people with frailty.

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Section: Discussionmentioning

confidence: 99%

Pain in older people with frailty

Brown

Young

Clegg

et al. 2015

Rev. Clin. Gerontol.

View full text Add to dashboard Cite

show abstract

“…In provider-related barriers, chronic pain knowledge deficits (Kaasalainen et al, 2010) and limited recommendations for future approaches (Park et al, 2013) are included. Organizational-related barriers involve inadequate policies (Kaasalainen et al, 2010), limited resources (Davis, Hiemenz, & White, 2002;Park et al, 2013), few practice guidelines (Smith & Torrance, 2011), and insufficient time and staffing (Wilsey, Fishman, Crandall, Casamalhuapa, & Bertakis, 2008).…”

Section: Introductionmentioning

confidence: 99%