Measurement and management of pain in older people

Author(s): Gibson, S. J.

Journal/Book: Aust J Ageing. 1998; 17: Level 2, 3 Bowen Crescent, Melbourne, Victoria 3004, Australia. Council Ageing. 5-9.

Abstract: The successful treatment of chronic pain requires meticulous diagnosis and a comprehensive assessment of pain, suffering and disability. Pharmacological strategies form the mainstay of management approaches for chronic pain. However, it is important to offer an integrated and tailored management program in order to address all of the factors which contribute to the patient's pain problem. This may include physical therapies, such as a graded exercise program, attention to posture and the use of TENS, as well as psychological strategies suggested by cognitive-behavioral treatment approaches. In cases where conventional treatment efforts fail, multidisciplinary pain management clinics for older persons have been Shown to be effective, although negative referral bias and ageist community attitudes may limit access to these services. Age should not be regarded as a barrier to effective pain management and continuing education of both therapists and older persons themselves is needed in order to reinforce this view.

Note: Article Helme RD, Natl Ageing Res Inst, POB 31, Parkville, Vic 3052, AUSTRALIA

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