Multidisciplinary Pain Clinics for Older People

Helme, Robert D.; Katz, Benny; Gibson, Stephen; Bradbeer, Mark; Farrell, Michael J.; Neufeld, M. Lynne; Corran, T. M.

doi:10.1016/s0749-0690(18)30218-0

Cited by 36 publications

(17 citation statements)

References 10 publications

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“…To our knowledge, there is little data on the McGill Pain Questionnaire or any other multidimensional pain scale in populations of 85‐year‐old subjects. Nevertheless, the McGill Pain Questionnaire may be a reasonable reference for new instrument development because its use has been reported by several investigators of pain in older people, 18,19 and a large body of evidence has been available from its use in younger populations for many years. Findings of this study indicate that the GPM and the McGill Pain Questionnaire capture similar constructs with correlations that are highly statistically significant.…”

Section: Discussionmentioning

confidence: 99%

The Geriatric Pain Measure: Validity, Reliability and Factor Analysis

Ferrell

Stein

Beck

2000

J American Geriatrics Society

152

138

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Section: Discussionmentioning

confidence: 99%

The Geriatric Pain Measure: Validity, Reliability and Factor Analysis

Ferrell

Stein

Beck

2000

J American Geriatrics Society

152

138

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“…Interdisciplinary assessment during the evaluation process may help identify all such treatable contributing factors. For patients whose underlying pain source is not remediable or only partially treatable, an interdisciplinary assessment and treatment strategy is the best approach 18,19 . When specialized services or skilled procedures are indicated, referral to an appropriate specialist is necessary.…”

Section: Assessment and Management Of Persistent Painmentioning

confidence: 99%

Pharmacological Management of Persistent Pain in Older Persons

2009

J American Geriatrics Society

908

359

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“…The short form has been successfully used in pain clinics for older adults over several years, [56] although it should be noted that neither version of the MPQ has been systematically evaluated for use among persons with cognitive impairment. …”

Section: Mcgill Pain Questionnairementioning

confidence: 99%

“…[87] Although the MPQ Short Form is less time-consuming to administer, it does not evaluate pain location (as in the long form). The short form has been successfully used in pain clinics for older adults over several years, [56] although it should be noted that neither version of the MPQ has been systematically evaluated for use among persons with cognitive impairment.…”

Section: Mcgill Pain Questionnairementioning

confidence: 99%

Assessment and measurement of pain in older adults

Herr

Garand

2001

Clinics in Geriatric Medicine

342

251

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Although the empirical base is still limited when providing clear directions for pain assessment and management in older adults, it is possible to identify recommendations for guiding practice based on consensus and a developing scientific base to support best practice activities. This article offers a brief overview of the epidemiology and consequences of pain, followed by a summary of issues and approaches relevant to pain assessment in older adults. Cohort specific recommendations for comprehensive pain assessment and measurement are then addressed. Prevalence and Consequences of Pain in Older AdultsOlder individuals frequently suffer from both acute and chronic painful diseases, have multiple diseases, and take numerous pain medications, [2] although relatively little investigative or clinical attention has been paid to the assessment of pain in the geriatric population, compared with the general population. This is surprising because populationbased figures indicate that the prevalence of pain is twofold higher in those over age 60 (250 per thousand), compared with those under age 60 (125 per thousand). [24] [79] [108] Further, prevalence estimates suggest that approximately 60% of community-dwelling older adults and up to 80% of elderly long-term care facility residents experience substantial pain.[24] [79] [108] Because pain is often remediable, [2] [25] it is thought that the high prevalence estimates of unrelieved pain in elderly persons may result from underrecognition, which in turn results in undertreatment. [65] [91] [120] The consequences of untreated pain can profoundly impact the older person's quality of life. In addition to physiologic risks associated with untreated pain (e.g., cough suppression with subsequent retention of pulmonary secretions), depression, [58] [39] [90] Therefore, it is imperative that health care professionals' knowledge and skills related to pain assessment in older adults be improved, and aggressive approaches to comprehensive pain assessment be adopted, to ensure and improve the quality of life of our senior citizens. Approaches to Pain Assessment with Older Adults Clinical AssessmentIn the clinical setting, accurate assessment of pain is critical for the identification of appropriate interventions and for evaluating the effectiveness of such interventions. Patients should be assessed regularly for the presence of pain and for improvement, deterioration, or complications attributable to pain treatment.[2] The frequency of the follow-up should be a function of the severity of the pain and the potential for adverse effects of treatment. Documentation of pain assessment formalizes the pain assessment process and is essential in the provision of individualized care from both a legal and professional perspective. [17] Inherent in the assessment of pain among older adults is the understanding of its potentially remediable components. For example, if a patient has acute pain, assessment should focus on the underlying pathology responsible for the pain stimulus. If th...

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Multidisciplinary Pain Clinics for Older People

Cited by 36 publications

References 10 publications

The Geriatric Pain Measure: Validity, Reliability and Factor Analysis

The Geriatric Pain Measure: Validity, Reliability and Factor Analysis

Pharmacological Management of Persistent Pain in Older Persons

Assessment and measurement of pain in older adults

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