Healthy Aging Patient Pain: A Case Study

Dealing with aging dementia patients can be a challenge in and of itself. However, when healthcare providers need to include regulating pain as well, the challenge becomes even greater. Pain management with cognitively impaired patients is a constant problem within geriatric care in modern healthcare facilities (Zwakhalen et al 2006). The reduced self capacity to report pain in its true degrees then makes pain management a challenge for physicians and healthcare providers (Husebo et al. 2007). Thus, research aims to explore effective measures for observing and reporting pain management within aging dementia patients.

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

A great deal of investment in terms of research has yielded copious information regarding the individual phenomena of sleep and pain. These two subjects have even been studied to a substantial degree in specific populations, the older adult population being one of these. However, study of the interaction between these two phenomena has only recently begun to be of great notice. This interaction, though lately established in the literature, has not been adequately studied in many populations. In particular this inadequacy is notable for the older adult population. A search of the database Academic Onefile using keywords “older adults”, “sleep” and “pain” produced no literature involving all three. The literature used in this review was found with individual searches of “sleep” and “pain”, “older adults” and “sleep”, and “older adults” and “pain”. This issue is of great importance to nurses and other clinicians due to the increasing age of the patient population seen in practice (Berman, Snyder, Kozier, & Erb, 2012), and due to the pervasive difficulties with sleep and pain faced by older adults.

Pain is one of the most influential symptoms that leads individuals to reach out to health care professionals to seek relief. Pain is subjective and unique to each person. Some individuals may have a higher pain tolerance than others. According to Frandsen (2014), “Pain is an unpleasant, sensory, emotional sensation associated with actual or potential tissue injury” (p. 889). Pain may be caused by a variety of elements, such as tissue or nerve damage and surgery. There are three main categories that pain is classified by, which are origin, duration, and cause. The main focus of this paper is on acute pain, chronic pain, and phantom pain. It is crucial to know how to assess each type of pain, as well as how to enhance it, or decrease the pain.

Physical therapy can be a marvel for those who are chronically ill or injured giving them the ability to live an active and healthy lifestyle after proceeding with treatment. A close relative of mine experiences this at CBI Health Center in Kelowna, BC and is pursuing at improving his health post treatment. With the assist of his physiotherapists he modifies his health daily by eating better and being active, is currently losing weight, has had a decrease in pain, increase in mobility, and returned to work after being on medical leave for years die to chronic pain as a result of degenerative disk disorder. Through CBI Health’s approach at treatments, administering knowledge, and the motivation of the physiotherapists, Dave has been able to make a noticeable improvement on his health and began living a more active life.

It is a challenge to manage pain in older adults. The course of action, effect and

Therapeutic recreation has been a long-time and frequently used form of healing for many people, including individuals who are elderly, disabled, or have a form of mental illness (Carter & Van Andel, 2011). It was only a short time ago, in the twentieth century, that therapeutic recreation was recognized as a crucial component in health care (Carter & Van Andel, 2011). Therapeutic recreation has a variety of benefits that vary for many age groups. There is outdoor therapeutic recreation for young children who have down syndrome, an example would be swimming, as this is quite beneficial not only to the young age group, but to the older age group as well. These benefits include physical skills, cognitive skills, behavioural issues, and many more. This essay will discuss these specific particularly within the elderly age group.

Regarding Cognitive Behavior Therapy x 50 sessions, CA MTUS Chronic Pain Medical Treatment Guidelines state that behavioral modifications are recommended for appropriately identified patients during treatment for chronic pain, to address psychological and cognitive function, and address co-morbid mood disorders (such as depression, anxiety, panic disorder, and posttraumatic stress disorder). In addition, CA MTUS Chronic Pain Medical Treatment Guidelines state that with evidence of objective functional improvement, a total of up to 6-10 visits. In addition, ODG states that Up to 13-20 visits over 7-20 weeks (individual sessions), if progress is being made and in cases of severe Major Depression or PTSD up to 50 sessions if progress is being made. In this case, the patient has received psychological treatment and psychotherapy since 2000. There is no documentation of the number sessions of psychotherapy completed to date. It is noted that the patient received 8 sessions of psychotherapy in 2015. The guidelines state that the provider

There is a growing geriatric population of people with dementia throughout the world that are living in pain constantly. Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this population. The existencee of multiple comorbidities, polypharmacy and the declinining cognition in this population result in a much more complex pain symptomology. Zwakhalen, Hamers, Abu-Saad, & Berger, (2006), explain that common behaviors associated with pain may be absent or difficult to interpret in this population because some dementia symptoms may be an indication of pain, but such behavior, however, might also be incorrectly interpreted as a symptom of dementia. Therefore, pain in this population is exceptionally challenging to evaluate and manage as a result of this difficulty.

General exercise programs should be encouraged. The primary components of such programs should be training in balance, flexibility, endurance, and strengthening. (Reid, 2015) If necessary, a physiotherapist can be recommended to reinforce the education program, including coaching on fall risk, body mechanics, and balance training. (Reid, 2015) Another exercise program that has merit are Tai Chi and Yoga. Although there is very little research on both Tai Chi and Yoga in relation to chronic pain, there is some evidence to suggest that both can be utilized in pain reduction and is significant. Tai Chi and yoga are feasible for the older adult population and in the same study that found that Tai Chi and yoga significantly reduced pain also found that there were no reports of adverse effects or safety issues caused by practicing Tai Chi or

There is a growing geriatric population of people with dementia (the subpopulation) throughout the world that are living in pain constantly. Because dementia as a condition with multifaceted symptomology manifested by advancing overall decline of cognitive ability, it causes severe and distinctive barriers to pain assessment and pain management in this subpopulation. The existence of multiple comorbidities, polypharmacy and the declining cognition in this subpopulation results in a much more complex pain symptomology. Zwakhalen, Hamers, Abu-Saad, and (replaced & with and) Berger, (2006), explain that common behaviors associated with pain may be absent or difficult to interpret in this subpopulation because some dementia symptoms may be an indication of pain, but such behavior, however, might also be incorrectly interpreted as a symptom of dementia. Therefore, pain in this subpopulation is exceptionally challenging to evaluate and manage as a result of this difficulty.

Treatment Differential Effects and identify moderating variables. The CSE training tends to be a successful intervention for the patients with CLBP; however, considering the barriers to successful implementation pave the way to efficaciousness of the CSE training program. From the critical analysis, the characteristics of the patients with CLBP who will get least benefit from the CSE training program may be older adults with multiple-comorbidities, severe pain intensity, high physical functional limitation, severe spinal instability, and social isolation or lack of social-family support; these older adults are excluded from the study. The other moderator variables will be the facilitator skills and the environment or clinical setting that can

More specifically, estimates of musculoskeletal pain range from 10% to 71% in elderly people, and 49% of older adults suffer from pain in their lower body (Jones & Macfarlane, 2005; McAlindon et al., 1992). Scudds (2000) showed that the most common musculoskeletal pain conditions found in elderly people were back pain (29%), knee osteoarthritis (17%), and rheumatoid arthritis (8%). Differences in estimates of pain prevalence relate to the complexity of the problem, and there is an inadequate assessment criterion to assess this problem, as

Pain is a phenomenon which is defined as an unpleasant as well as emotional experience is a very common phenomenon in older adults. The level of pain in adults should therefore be controlled at levels that are acceptable to these patients in order to allow them to maintain their optimal level of performance as possible. Pain is however not a normal part of the aging process and it is associated with various chronic (such as osteoarthritis) as well as acute (such as surgery and cancer) conditions.

This paper is going to talk about how to deal with chronic pain. First of all, this paper will explain what chronic pain means by providing the foremost chronic pain encountered in life such as low back, joints, or other kinds. Next, this paper will cover why it is important to address conditions related to chronic pain, and will explore methods and strategies showing how to cope with continuing pain. Finally, this paper will share some predictable outcomes and a conclusion.