PMID: 15218408Jun 26, 2004Paper

The management of pain in long-term care

The Clinical Journal of Pain
Bruce A Ferrell

Abstract

The purpose of this paper is to present salient principles of pain management in nursing homes and other long-term care settings. Review and author opinion. Pain is a common problem in nursing homes and other long-term care facilities. Often unrecognized and under-treated, pain is a major source of suffering and functional impairment. These patients present substantial barriers to pain assessment and management. Multiple concurrent disease processes, cognitive impairment and communication difficulties, and limited access to diagnostic technologies make assessment more difficult. Multiple medications, altered physiology and pharmacology and limited access to a variety of drug and non-drug interventions make treatment strategies more difficult to implement. Clinicians who care for patients receiving long-term care services must help establish a treatment plan that is reasonable given the limited resources and skills available in nursing homes and other long-term care facilities. Medication regimens should be simplified as much as possible. Contingency plans for pain management must be anticipated and made available so that delays do not occur during medication changes or dosage adjustments. Long-term care facilities need substant...Continue Reading

References

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Apr 1, 1990·Journal of the American Geriatrics Society·B A FerrellD Osterweil
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Citations

Jan 4, 2008·Journal of Palliative Medicine·Jay Thomas
Apr 23, 2008·The Clinical Journal of Pain·Kelli F Koltyn, Aaron J Stegner
Oct 31, 2008·The British Journal of Ophthalmology·A F ElliottC Owsley
Nov 7, 2014·Drugs & Aging·Elisabeth FloBettina S Husebo
Jul 1, 2008·Journal of the American Medical Directors Association·Raymond C Tait, John T Chibnall
Nov 17, 2007·Archives of Gerontology and Geriatrics·Mauro ZanocchiMario Molaschi
Feb 13, 2008·European Journal of Pain : EJP·Anneke A BoerlageCarin C D van der Rijt
Jan 28, 2009·Journal of the American Geriatrics Society·Amanda F ElliottCynthia Owsley
May 20, 2011·Journal of Clinical Nursing·Pei-Chao LinMau-Sun Hua
Oct 26, 2013·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Thomas HadjistavropoulosRamesh Zacharias
Feb 24, 2015·Journal of Pain and Symptom Management·Isabelle van RiesenbeckOrah R Burack
Apr 23, 2017·Journal of the American Medical Directors Association·Genevieve N ThompsonCarole A Estabrooks
Mar 14, 2007·International Journal of Palliative Nursing·Patricia H Berry
Sep 25, 2020·Primary Health Care Research & Development·Rasa MikelytePatricia M Wilson

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