Perceived Barriers to Trying Self‐Management Approaches for Chronic Pain in Older Persons

Austrian, Jonathan; Kerns, Robert D.; Reid, M. Carrington

doi:10.1111/j.1532-5415.2005.53268.x

Cited by 75 publications

(57 citation statements)

References 21 publications

(33 reference statements)

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“…Some previous studies have sought to identify barriers to self-management of chronic conditions with both patients 36,37 and GPs, 18 and more specifically chronic pain in older people, 38 and those with comorbid depression. 39 The findings of the current study concur with much of this earlier work.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Gordon

Rice²,

Allcock

et al. 2016

Br J Gen Pract

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Gordon

Rice²,

Allcock

et al. 2016

Br J Gen Pract

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“…When designing home-based exercise programmes, home-visiting nurses need to focus on patients' compliance with behavioural changes towards pain relief. Thus, nurses may provide exercise programmes using a pamphlet with big pictures of each body movement for patients to easily learn and practice on a daily basis (Austrian et al, 2005;Park et al, 2013).…”

Section: Organizational Barriersmentioning

confidence: 99%

“…Most previous studies examined barriers to chronic pain management in institutional settings such as hospitals and nursing homes (Gudmannsdottir & Halldorsdottir, 2009;Teh et al, 2009;Wilsey et al, 2008), and patients' perspectives (Austrian, Kerns, & Reid, 2005;Davis et al, 2002;Dima et al, 2013;Gudmannsdottir & Halldorsdottir, 2009;Lansbury, 2000;Park et al, 2013;Teh et al, 2009), rather than nurses' perspectives. There is an urgent need for more investigation of the barriers nurses perceive when caring for older adults with chronic pain in community settings (Dewar, 2006;Teh et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Barriers to chronic pain management in community-dwelling low-income older adults: Home-visiting nurses’ perspectives

Park

2016

Collegian

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“…It results mostly in lack of information by healthcare professionals about pain control of older people. Furthermore, extensive documentation requirement may deter health-care professionals from appropriately prescribing effective treatments [39,40]. Other factors such as inadequate reimbursement and financial incentives for pain management efforts, negative reinforcement in training programs for attending to pain while being rewarded for less important and more detailed interventions, lack of training for pain management skills, lack of recognition and interaction among various medical disciplines (and even among different pain groups), limited access to diagnostic or therapeutic facilities or experts, inadequate pharmacy services, insufficient staffing for proper pain assessment and interventions, inflexible access to medications based on formulary selections, and other restrictive policies may also contribute to failure in treatment of pain [4,40].…”

Section: Ineffective Management Of Chronic Musculoskeletal Pain In Olmentioning

confidence: 99%

“…Generally older adults are interested in self-managing their chronic pain but can't find opportunity. Austrian et al indicated that 73% of the 68 patients (70 years of age and over with chronic pain) included in his study were willing to participate in an exercise program for pain management but 16% of them had this opportunity [40].…”

Section: Exercise Adherence In Older Adults With Chronic Musculoskelementioning

confidence: 99%

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

Edeer¹,

Tuna²

2012

Pain in Perspective

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Pain in Perspective 94percent of community dwelling adults aged 60 years or above have been found to experience pain and this number increases to 45-80% in the nursing home population with analgesics being used in 40% to 50% of residents [1,[13][14][15][16][17][18][19]. Brown et al report higher percentage and state that more than 90% of the elderly living in the community experienced pain within the past month [6]. Given the prevalence of chronic pain, its impact on health, and its costs, which approach $100 billion annually, chronic pain represents a major public health issue [20].While the existence of acute pain remains approximately the same across the adult life span, there is an age-related increase in the prevalence of chronic pain at least until the seventh decade of life [13,15]. Approximately 57% of older adults report experiencing pain for 1 or more years compared with less than 45% of younger people. Furthermore, long-term care data indicate that over 40% of patients, who were known to have pain at an initial assessment, had worsening or severe pain at the time of the second assessment 2-6 months later [21]. Chronic musculoskeletal painChronic musculoskeletal pain (CMP) is the most common, non-malignant disabling condition that affects at least one in four older people [22,23]. The most musculoskeletal pain in the joints of the upper and lower extremities, especially hips, knees, and hands, is associated with the degenerative changes of osteoarthritis. Older adults may also develop tendonitis and bursitis, as well as inflammatory joint and muscle disease [24]. The most common painful musculoskeletal conditions among older adults are osteoarthritis, low back pain, fibromyalgia, chronic shoulder pain, knee pain, myofascial pain syndrome and previous fracture sites [7,23,25].It is reported that the most common causes of pain identified in nursing home patients included arthritis and previous fractures. Arthritis alone affects well over 20 million Americans with an increase to 40 million expected by 2020. Twenty-nine percent of Medicare patients in nursing homes with a fracture in the prior 6 months suffer with daily pain [13]. Also surgical procedures are more frequently performed on older people. In the Medicare population in the United States for example, rates of total joint replacement surgery for patients with severe hip or knee osteoarthritis are more than doubled between 1988 and 1997. Over the same time period, rates of spine surgery in Medicare patients increased by 57% [23]. Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain condition s i n o l d e r a d u l t s [ 2 6 ] . M a n y o l d e r a d u l t s r e m a i n q u i t e functional despite CLBP, and because age-related co-morbidities often exist independently of pain, the unique impact of CLBP is unknown [27]. The Framingham Study (1992-1993 reported 63% of women pain in one or more regions, compared to 52% of men. Widespread CMP was more prevalent among women than men (15 versu...

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Perceived Barriers to Trying Self‐Management Approaches for Chronic Pain in Older Persons

Cited by 75 publications

References 21 publications

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Barriers to chronic pain management in community-dwelling low-income older adults: Home-visiting nurses’ perspectives

Management of Chronic Musculoskeletal Pain in the Elderly: Dilemmas and Remedies

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