Barriers to pain management in elderly surgical patients

Barriers to Managing Chronic Pain of Older Adults with Arthritis

“…These study participants substantiated some previously reported barriers observed with older adults experiencing acute or cancer-related pain: failure to report pain (Moddeman, 1995), fear of addiction to or tolerance of medicines (Moddeman;Ward et al, 1993), hesitancy to take medicine until pain is at its worst (Hofland, 1992), and hesitancy to take medicine because of side effects (Hofland). Inadequate education of health care professionals was also confirmed as a pain management issue (Ferrell, 1991;McCaffery & Ferrell, 1997), evidenced by the problems associated with health care provider relationships.…”

A structured literature review of pain assessment and management of patients with chronic kidney disease

“…Pain is poorly managed in those who are the most vulnerable, such as the older population who commonly experience pain (Moddeman 1995, Carr 1997, Horgas & Tsai 1998, Ross & Crook 1998, Loeb 1999, Rich 2004, Williams 2004, Yorke et al 2004). For example, Blomqvist's (2003) Swedish study of health professionals identified eight different types of pain in older patients that included 'real', 'trivial' and 'self-inflicted', a medicalized approach to pain management, and attitudes non-conducive to effective pain relief.…”

“…Pain is poorly managed in those who are the most vulnerable, such as the older population who commonly experience pain (Moddeman 1995, Carr 1997, Horgas & Tsai 1998, Ross & Crook 1998, Loeb 1999, Rich 2004, Williams 2004, Yorke et al. 2004).…”