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Acute Pain Management in Older Adults
Acute Pain Management in Older Adults


 
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Acute Pain Management in the Older Adult


Pain is a complex, subjective, and multidimensional experience without objective biological markers and is a prevalent problem in a growing segment of the population. In developed countries, older adults comprise 20% of the population and by 2050 is estimated to be a third of the population. Research demonstrates older adults receive significantly less analgesic medication than younger adults experiencing similar painful conditions or procedures, leading to inadequate pain relief in these older adults. Undertreated acute pain correlates with poorer outcomes during hospital stays including the development of persistent pain, longer length of stay in the hospital, ineffective physical therapy sessions, ambulation delays, and delirium

This evidence-based practice guideline provides recommendations for the management of acute pain in older adults. Studies have shown that when evidence-based practice guidelines are effectively implemented, patient outcomes improve and resource use declines. Written 1997; Revised 2000; 2003; 2006; 2016.


Toolkit Included in Guideline:

  • Pain Intensity Rating Tools
  • Strategies for Obtaining Pain Intensity Report in Older Persons with Cognitive Impairment
  • Checklist of Non-Verbal Pain Indicators (CNPI)
  • Pain Assessment in Advanced Dementia (PAINAD)
  • Screening for Cognitive Impairment (Mini COG)
  • Five-Item Geriatric Depression Scale (GDS-5)
  • Functional Pain Scale (modified)
  • Brief Pain Inventory Short Form
  • CAGE Questionnaire
  • Types of Pain and Examples
  • Selected Nonopioids Analgesics: Older Adult Dosage and Comparative Efficacy to Standards
  • Opioid Analgesics Commonly Used in Older Adults for Management of Mild to Moderate Acute Pain
  • Opioid Analgesics Commonly Used in Older Adults for Management of Moderate to Severe Acute Pain
  • Risk Factors for Opioid-Induced Respiratory Depression
  • Pasero Opioid-Induced Sedation Scale
  • Jaw Relaxation Technique
  • Nursing Interventions Classification (NIC): Pain Management – 1400
  • Nursing Outcomes Classification (NOC): Pain Control - 1605
  • Knowledge Assessment Test
  • Process Evaluation Monitor
  • Outcomes Monitor


Permission to Copy & Copyright Notice:


To obtain permission to copy a guideline toolkit click HERE
and fill out the form presented to you. Once you've submitted this form, please allow up to 6 to 10 business for your request to be reviewed. At that time, we will contact you by email to inform you of our decision.

Before you proceed, please note we do not grant permission to use and/or copy any one individual tool not developed under the Barbara and Richard Csomay Center for Gerontological Excellence. For individual tool use, please contact the author/publisher of that tool.

By purchasing and downloading permissions for the Guideline and Toolkit you agree to the following terms:

  1. Guideline and Toolkit are for private, internal, non-commercial use only (unless special permissions are obtained).
  2. If the Guideline and Toolkit will be distributed online, it must be password protected and unavailable to the general public.
  3. Guideline and Toolkit cannot be modified without expressed consent from author(s) and/or publisher.
  4. You must give appropriate credit when using materials from the Guideline and Toolkit by using the citation on the Contact Information (or Contact Resource) page of the Guideline and place the following copyright notice at the bottom of the page, " ©2018 the University of Iowa, College of Nursing, Barbara and Richard Csomay Center for Gerontological Excellence. All rights reserved. Do not copy or reproduce without permission."
  5. You may not reprint and/or redistribute materials from the Guideline or Toolkit for any of your own publications. Please email Csomay-Center@uiowa.edu if you wish to obtain permission to use material from the Guideline or Toolkit in a publication.

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