Skip to main content
Article thumbnail
Location of Repository

The assessment and management of pain in older people : a systematic review of the literature

By Pat Schofield and David M. Reid

Abstract

This paper presents the findings of a systematic literature which was carried out to determine the most appropriate strategies that could be carried out for the assessment and management of pain in residents living in care homes. Five hundred and seventy-one papers were initially identified and from this total 70 papers were found to be appropriate. These papers were organised into five key themes; Assessment & Behavioural Assessment, Barriers/Attitudes/Perceptions, Cognitive Behavioural Therapy, Complementary Therapies and Education/Guidelines. Most of the papers related to pain in this group were pharmacological suggesting that health care professionals generally feel that pharmacological approaches are the only way to manage pain in this group. Nevertheless, the non-pharmacological papers do suggest that there are other methods of pain control which should be considered. Recommendations for further research are made.Burdett Trust for Nursin

Topics: assessment tools, older people, pain behaviours, nursing homes, management
Publisher: Freund
Year: 2006
OAI identifier: oai:aura.abdn.ac.uk:2164/165
Journal:

Suggested articles

Citations

  1. (2006). A
  2. (1988). Adherence and medication instructions: review &
  3. (2004). Ameliorating pain in nursing homes: a collaborative quality improvement project
  4. (2004). An Investigation into the Prevalence and nature of pain in care home residents: A pilot study.
  5. and the DOLOPLUS group (2001) The DOLOPLUS2 scale – evaluating pain in the elderly.
  6. (2002). Appraising the evidence: reviewing disparate data systematically.
  7. (2004). Aromatherapy and hand massage: Therapeutic recreation interventions for pain management. Therapeutic Recreation
  8. (1995). Assessing pain in elderly patients who cannot respond verbally.
  9. (1992). Assessment of Discomfort
  10. (1999). Chronic pain and distress among elderly in the community: comparison of patients’ experiences with enrolled nurses’ assessments.
  11. (1995). Cognitive –Behavioural Pain Management for Elderly Nursing home Residents. Doctoral Thesis
  12. (2004). DeBellis A Esterman A Parker D Giles L
  13. (2004). Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC) Pain Management Nursing
  14. (2002). Edberg A
  15. (2002). Effects of a controlled exercise trial on pain in nursing home residents The Clinical
  16. (1998). Elderly recipients of nursing home services: Pain disability and functional competence.
  17. (1998). Evaluating the use of Snoezelen & chronic pain: the findings of an investigation into its use (Part II).
  18. (1991). Is there such a thing as geriatric pain?
  19. (1996). Management of chronic pain in the elderly: pharmacology of opioids and other analgesic drugs.
  20. (1992). Management of gastroduodenopathy associated with the use of nonsteroidal antiinflammatory drugs.
  21. (2002). Management of pain in older people within a care home: a preliminary study.
  22. (2001). National Service Framework for older people. Stationary Office
  23. (1991). Nonsteroidal anti-inflammatory drug toxicity: increased risk in the elderly.
  24. (1993). Pain complaints and cognitive status among elderly institution residents
  25. (1995). Pain in cognitively impaired nursing home patients.
  26. (2002). Pain in Cognitively impaired nursing home residents: How well are physicians diagnosing it?
  27. (2002). Pain in older persons. Presentation at the World Pain Congress.
  28. (1991). Pain management in elderly people.
  29. (2005). Pain relief strategies used by older people with chronic pain: an exploratory survey for planning patient-centred interventions
  30. (1995). Pain: The views of elderly people living in long-term residential care settings.
  31. (2000). Providing tender touch massage to elderly nursing home residents: A demonstration project.
  32. (2002). Self-Reports of Pain Reduction Through Paced Respiration and Heart Rate Variability Biofeedback with Nursing Home Residents Doctoral Thesis
  33. (1998). Sensory Deprivation: The Concept as applied to chronic pain,
  34. (2000). Sensory Stimulation (Snoezelen) versus Relaxation for the management of chronic pain.
  35. (1998). Snoezelen and chronic pain: developing a study to evaluate its use (Part 1)
  36. (2002). Snoezelen: An alternative environment for relaxation in the management of chronic pain
  37. (1996). Snoezelen: Its potential for people with chronic pain.
  38. (2004). Testing the feasibility of implementation of clinical practice guidelines in long-term care facilities.
  39. (2003). The clinical utility of five pain assessment scales for nursing home residents with varying degrees of cognitive impairment. Unpublished paper submitted to
  40. (2002). The feasibility of Using Snoezelen within palliative care.
  41. (2004). Timing in the Communication of Pain among nursing home residents, nursing staff and clinicians Archives of Internal Medicine.
  42. (2004). Westreich L & Likourezos A

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.