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Persistent Pain Management in Older Adults
Persistent Pain Management in Older Adults


 
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Persistent Pain Management in Older Adults


People living in the developed world can now expect to live longer than at any time in history. Although evidence-based practices in modern healthcare routinely promote longevity and save people from the brink of death. The practices believed to prevent pain, and effectively manage pain in a safe manner, are not routinely implemented. Approximately half of older adults living in the community have persistently painful conditions with more frequently encountered pain during the final months of life. An even greater proportion of older adults living in institutions face this nemesis on a daily basis.


The purpose of this guideline is to assist nurses and other health care providers in the management of persistent pain in older adults through assessment and treatment strategies. Assessment tools include the Brief Pain Inventory, Verbal Numeric Rating Scale, and the Faces Pain Scale. This guideline discusses pain management strategies, both non-pharmacological and pharmacologic and includes an algorithm for assessing pain in the cognitively impaired older adult. Written 2005; Revised 2015.


Toolkit Included in Guideline:

  • Numeric Rating Scale
  • Verbal Descriptor Scale
  • Pain Thermometer
  • Faces Pain Scale
  • Brief Pain Inventory-Short Form
  • Functional Pain Scale (modified)
  • Pain Assessment IN Advanced Dementia (PAINAD)
  • Pain Assessment Checklist for Seniors with Limited Ability to Communicate – II (PACSLAC-II)
  • Algorithm for Cognitively Impaired Older Adults
  • Knowledge Assessment Test
  • Process Evaluation Monitor
  • Outcomes Monitor
  • Definition of Key Terms


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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