Persistent pain in the elderly

Galicia-Castillo, Marissa; McElhaney, Janet E.

doi:10.1007/s12019-003-0006-7

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…p < 0.001. about this important concept. However, it is also important to realise that even the most knowledgeable health professional will not be able to change their practice without their patients involvement and Mahowald et al (2005), Galicia-Castillo and Mcelhaney (2003) and McCarberg and Barkin (2001) found that fear of addiction, tolerance and side effects have been described by patients. Woolf and Salter (2000) have argued that an important part of any therapeutic approach to chronic pain is to treat or prevent central sensitization.…”

Section: Comparison Of Knowledgementioning

confidence: 99%

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

Ali

Thomson

2009

European Journal of Pain

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The scientific literature reveals a surprising lack of knowledge of chronic pain mechanisms and its management amongst health care professionals, including physicians and physiotherapists. There is little information directly related to a comparison between medical and physiotherapy students' knowledge of chronic pain. This study aimed to determine and compare the level of knowledge of chronic pain and its management between final year medical (n=126) and physiotherapy students (n=62). A chronic pain questionnaire which included two sections on knowledge and one section on management was used to gather quantitative and qualitative data. Final year physiotherapy students were found to have statistically greater knowledge of chronic pain than final year medical students (p=0.01 and p=0.002). In contrast, medical students were found to have statistically significantly greater understanding of the management of patients with chronic pain (p=0.001). Male students from both groups scored significantly higher in the management section (p=0.008) as did older students (p=0.01). There was a lack of understanding, in varying degrees, of central sensitization, opioid addition, fear-avoidance and a number of students from both cohorts appeared to bring a curative focus to the treatment of chronic pain. One way forward could be found in the interprofessional agenda. This will offer students from different disciplines opportunities to understand their different roles and enhance each others' learning base so that a biopsychosocial framework of care can be implemented. In this way, physiotherapists could learn more about the drug management of chronic pain and medical students could explore more collaborative patient-centred paradigms that address issues such as self-efficacy, self-management and patient empowerment. More focus needs to be paid to the education of the health professionals regarding their assumptions and understanding what 'vulnerable' means in a tissue in comparison to a person.

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Section: Comparison Of Knowledgementioning

confidence: 99%

A comparison of the knowledge of chronic pain and its management between final year physiotherapy and medical students

Ali

Thomson

2009

European Journal of Pain

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Schmerzerfassung bei Demenz

et al. 2011

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Recent literature demonstrates that pain in patients with dementia is often undertreated. This can partially be explained by a lack of training in the possibilities of assessing pain in patients with dementia. Subjective reports are the most valid approach for the assessment of the subjective experience of pain and should therefore be preferred over other methods. The assessment of the context, behavior, and physiological markers is advised if the patient is unable to provide a subjective report. Pain assessment scales are useful for documentation and monitoring.

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