Managing Pain in the Older Adult Book

Contributors     xi
Preface     xiii
Acknowledgments     xv
Background Information
Pain in Older Adults   Michaelene P. Jansen     3
Age-Related Changes in Perception of Pain     4
Physiology of Pain     5
Summary     14
Common Pain Syndromes in Older Adults   Michaelene P. Jansen     17
Musculoskeletal Pain     18
Neuropathic Pain Syndromes     24
Summary     31
Pain Assessment in the Older Adult   Karen S. Feldt     35
Comprehensive Pain Assessment Instruments     36
Summary     49
Pain Behaviors in the Older Adult   Melissa M. Tomesb     55
Pain Behaviors     55
Influence of Family Members     57
Summary     61
Relationship of Pain and Sleep in Older Adults   Kerri M. Crank     63
Normal Sleep     63
Sleep Disorders in Older Adults     67
Relationship Between Pain and Sleep     69
Conclusion     79
Multidisciplinary Approach to Pain Management in the Older Adult
Multimodality Approach to Pain Management   Michaelene P. Jansen     85
Developing a Comprehensive Pain Management Plan     86
Summary     90
Physical Therapy   Michele Komp-Webb     93
Treatment Modalities     94
Summary     115
Mind-Body and Energy Therapies   Susan D. Eckes Peck   Amanda Gentili     123
Therapy Overviews     126
Summary     137
Pharmacologic Treatment   Michaelene P. Jansen     151
Pharmacokinetics     152
Managing Pain With Pharmacotherapeutic Agents     153
Summary     169
Interventional Therapies   Ann Hoepner     173
Interventional Therapies     174
Advanced Treatment Options     177
Summary     187
Adaptations to Improve Function   Michele Komp-Webb     191
The Role of Occupational Therapists and Assistants     192
Adapting the Environment     193
General Guidelines for Activities and Tasks     200
Resources     200
Reimbursement     201
Challenges to Treating Older Adults Living With Persistent Pain   Michaelene P. Jansen     205
Barriers     205
Education      209
Future Research and Treatment     211
Summary     212
Index     215